I have met with my plastic surgeon three times. Goal is 350 cc to 400 cc. Breast width is 11cm, I'm 5 ft 9.5 in, 135 lbs, 34 A/B bra size, with a tall thin build. We have chosen the SRX340 and SRX375. I want increased fullness and to avoid the “adipose/ fatty breast” feeling. I am quite slender, so I feel that I still want to maintain that look. What will this will look like for me? Will they look disproportionate to my body? Can I still achieve a gap? How big is the difference on the sizes?
You are already well ahead of the average woman seeking breast augmentation with your awareness of so many details of implant choices, sizing and planning. Now it is time for some calculations...your goal range is 350-400cc so the two close choices of 340 and 375 are right there "in" the range (sort of), the difference in 35cc or about 9% between 340 and 375 which is very minimal. Conclusion: relax and go with your plastic surgeon's judgement...you will not be dissappointed!
Published on Jul 11, 2012
I think the most important dimension that you listed is your breast width. At only 11 cm, you are quite slender. And that necessitates the extra high profile implants when dealing with the volume you want. These types of implants use most of the volume to project the breast and they are relatively narrow. You need narrow to match that 11 cm. I don't think you will feel like you have fatty breasts at all after the planned augmentation. You are fairly tall, so I think you can maintain your athletic look with implants in this under 400 range. I think they will look nice, although the extra high profile will give you a more "augmented" look versus the "natural look that many patients seek. I don't think it will be disproportionate though just based on the numbers you have given. Not sure what gap you want to achieve, so I can't really comment there. Best of luck with your surgery. I am sure you will do great. You seem very well-informed and your surgeon seems to making appropriate decisions with you about implant size and profile.
Published on Jul 11, 2012
I would suggest using an imaging system like the one we employ for breast implants. You can take all the info, photo and then see how it will look on your body specifically. The difference of 50 cc is about 1/3 of a cup size.
Dr. Ed Domanskis
Dr. Edward Jonas Domanskis is Certified by the American Board of Plastic Surgery
Newport Beach, San Francisco,Miami, Italy, Anguilla
949.640-6324/1.888.234-5080(Ca)
FAX- 949.640-7347
Website: http://www.surgery-plastic.com
Assistant Clinical Professor of SurgeryWOS-Plastic,University of California (Irvine)
Orange County’s Physician of Excellence/America’s Top Physicians/Top Doctors
Plastic Surgery- 2005-2017
President,American Society of Bariatric Plastic Surgeons
www.ASBPS.org
Organoderm Skin care/ScaRxTape
Published on Jul 11, 2012
Patients often think in terms of cup size when considering augmentation. Unfortunately, devices are sized in terms of milliliters (cc) of volume. This can lead to some confusion when sizing. Additionally, it is important to remember that cup size itself is not standardized with variations from one manufacturer to another. Unfortunately, as many women can attest their cup size in an industry leader such as VS is not necessarily transferable to another brand.
Another point which is often overlooked is anatomy and starting point. Any implant will add volume to the volume which is already present. The implant is additive. A particular volume will not necessarily confer the same cup size to different patients (often times it will not even confer the same cup size to different breasts in the same individual...remember they are "sisters" not "twins").
A general rule of thumb is that 125 cc can represent somewhere between 1/2 to a full cup size increase. Smaller volume differentials (25-50 cc) are typically less consequential representing a volume change of less than a shot glass. However, I have found these numbers, at least anecdotally, to be of little help. Patients often present with notions/goals which do not correlate with these sorts of sterile volumetric assessments.
When sizing patients, there are a number of useful tools including:
-3D imaging (has the added benefit of offering a volumetric analysis of the pre-operative breast)
-Breast sizers (rice bags)
-Goal photos
I also recommend that patients commit to a particular look rather than a cup size. Once a patient settles on a look that pleases them the overall cup size increase becomes less relevant.
With regards to your specific question, as long as you are staying within the parameters defined by your measurements you should be fine. The differences between your candidate devices are subtle (less than a shot glass). The higher projection will afford more volume for the same BW. However, extra projecting implants are less subtle and more like to have an "augmented" look. This is not bad but definitely not "natural."
As always, discuss your concerns with a board certified plastic surgeon (ABPS).
Published on Jul 11, 2012
There really is a minimal difference between the 340 cc and the 375 cc implants. If your surgeon thinks that either will fit your frame, then I would lean more towards the 375 cc. At 5' 9", your height allows you to carry more and still look proportional for your frame. If your surgeon measured all of the variables and feels that either will fit safely, then a little more volume is usually the way to go. I hope this helps.
Published on Jul 11, 2012
Thank you for the question. Online consultants will not be able to provide you with specific enough advice to be truly helpful.
My best advice: more communication.
It is definitely worth spending more time (prior to the date of surgery) with your plastic surgeon to discuss further. As you know, it will be important for many reasons, that you feel comfortable that you and your plastic surgeon are on the "same page" prior to proceeding.
Ultimately, carefully selecting a plastic surgeon and careful communication of your goals (in my practice I prefer the use of goal pictures, direct examination/communication in front of a full-length mirror, in bra sizers, and computer imaging) as well as careful measurements (dimensional planning) will be critical.
Generally speaking, the best online advice I can give to ladies who are considering breast augmentation surgery ( regarding breast implant size/profile selection) is:
1. Concentrate on choosing your plastic surgeon carefully. Concentrate on appropriate training, certification, and the ability of the plastic surgeon to achieve the results you are looking for. Ask to see lots of examples of his/her work.
2. Have a full discussion and communication regarding your desired goals with your plastic surgeon. This communication will be critical in determining breast implant size/type/profile will most likely help achieve your goals.
In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. For example, I have found that the use of words such as “natural or ridiculous look” or "C or D cup” etc means different things to different people and therefore prove unhelpful.
Also, as you know, cup size varies depending on him who makes the bra; therefore, discussing desired cup size may also be inaccurate. Again, the use of computer imaging has been very helpful during the communication process, in our practice.
3. Once you feel you have communicated your goals clearly, allow your plastic surgeon to use his/her years of experience/judgment to choose the breast implant size/profile that will best meet your goals. Again, in my practice, this decision is usually made during surgery, after the use of temporary intraoperative sizers.
I hope this helps. Best wishes for an outcome that you will be very pleased with.
Tom Pousti MD
www.PoustiPlasticSurgery.com
619-466-8851
Published on Jul 11, 2012