Would you go smaller or bigger for a first-time implant?

I went to one surgeon in Tucson who used the 3D imaging and measured my breast to be 13 inches in width. He recommended to go no larger than 550 cc HP regular fill. I then wanted a second consult to compare doctors so I went to Scottsdale thinking their size recommendations would be the same, but the PS in Scottsdale measured me at 14.5 inches and recommended I go no larger than 450 with a max fill HP silicone implant and suggested I get liposuction on my love handles to prevent looking bulky.

Answers from doctors (1)


William Rahal, MD

Published on Nov 01, 2017

Understanding Volume (CC) is trickier than you think

To answer your question about 450 cc and 550 cc, you need to take into account what's known as your base width diameter.

Imagine lying on your back and drawing a circle around your breast. If you were to draw a line across that circle, it will be a given length. Your plastic surgeon will measure this length, which is called ‘’base width diameter,’’ or BWD for short. For women, the base width diameter can go from 9.5 cm to 16.5 cm, or 3.75 to 6.5 inches. As you can see, there is a very wide range.

550 cc on a woman with a BWD of 10 cm is very different than 550 cc for a woman with a BWD of 15 cm. On one it may be too much volume in too little space, and for the other it may be even less than the max she can safely go.

Regarding sagging, whether you have implants or not, aging, pregnancy and breastfeeding will do things to your body. When you’re pregnant, your body releases more hormones. You’ll gain weight. Your skin will be stretched by the pregnancy weight and lose some elasticity. And after childbirth and breastfeeding, your breast will deflate and your skin will be looser.

Now, there are two major unpredictable factors surrounding these changes I just mentioned. First, the DEGREE that these changes will occur is unpredictable. We don't know and can't know ahead of time, how much your breasts will deflate or how much looser your skin will become. And second, it is unpredictable whether these changes will warrant a procedure. Maybe the deflation will be mild and not warrant a breast lift. So given these two unknowns, it is impossible to predict whether how much you will sag. But note that If you already have a breast augmentation, the implants will not affect those factors.

I hope that answers your question the 500 cc volume and sagging. It’s great that you’re doing this research. I always say that the best patients are informed patients.

You might also want to research your options for breast implants. Choosing the right implant is the number one concern among women considering breast augmentation. Did you know, there’s actually a way to select a implant shape, size, and profile that is perfect for you?

A term that I use with my patients for the perfect implant is the “Pony Implant.”

So what do I mean by “perfect?” Well, a Pony Implant has three qualities to it. First, the implant meets your beauty goals. For example, you want to your breasts to look fuller while still appearing natural.

Second, when you chose your Pony Implant, you walk out of your consultation 100% confident that you’ve chosen the right shape and size for you. In other words, you won’t be second guessing your decision, and you won’t be afraid of having gone too big or too small.

And third, after your procedure, you are thrilled with your results, and say, "I’m so happy. This is exactly what I wanted!"

That’s the Pony Implant. And the great news is that there is a simple process to go about finding yours.

This issue of selecting the right implant is so important when it comes to patient satisfaction or dissatisfaction that, again, I really encourage you to learn more about it.

Thank you for reading and best of luck on your journey!

Learn more: http://drwilliamrahal.com/

https://www.youtube.com/watch?v=th25pwMOB-A&t=43s

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/8507_1507588165.jpg
Answered by William Rahal, MD

Understanding Volume (CC) is trickier than you think

To answer your question about 450 cc and 550 cc, you need to take into account what's known as your base width diameter.

Imagine lying on your back and drawing a circle around your breast. If you were to draw a line across that circle, it will be a given length. Your plastic surgeon will measure this length, which is called ‘’base width diameter,’’ or BWD for short. For women, the base width diameter can go from 9.5 cm to 16.5 cm, or 3.75 to 6.5 inches. As you can see, there is a very wide range.

550 cc on a woman with a BWD of 10 cm is very different than 550 cc for a woman with a BWD of 15 cm. On one it may be too much volume in too little space, and for the other it may be even less than the max she can safely go.

Regarding sagging, whether you have implants or not, aging, pregnancy and breastfeeding will do things to your body. When you’re pregnant, your body releases more hormones. You’ll gain weight. Your skin will be stretched by the pregnancy weight and lose some elasticity. And after childbirth and breastfeeding, your breast will deflate and your skin will be looser.

Now, there are two major unpredictable factors surrounding these changes I just mentioned. First, the DEGREE that these changes will occur is unpredictable. We don't know and can't know ahead of time, how much your breasts will deflate or how much looser your skin will become. And second, it is unpredictable whether these changes will warrant a procedure. Maybe the deflation will be mild and not warrant a breast lift. So given these two unknowns, it is impossible to predict whether how much you will sag. But note that If you already have a breast augmentation, the implants will not affect those factors.

I hope that answers your question the 500 cc volume and sagging. It’s great that you’re doing this research. I always say that the best patients are informed patients.

You might also want to research your options for breast implants. Choosing the right implant is the number one concern among women considering breast augmentation. Did you know, there’s actually a way to select a implant shape, size, and profile that is perfect for you?

A term that I use with my patients for the perfect implant is the “Pony Implant.”

So what do I mean by “perfect?” Well, a Pony Implant has three qualities to it. First, the implant meets your beauty goals. For example, you want to your breasts to look fuller while still appearing natural.

Second, when you chose your Pony Implant, you walk out of your consultation 100% confident that you’ve chosen the right shape and size for you. In other words, you won’t be second guessing your decision, and you won’t be afraid of having gone too big or too small.

And third, after your procedure, you are thrilled with your results, and say, "I’m so happy. This is exactly what I wanted!"

That’s the Pony Implant. And the great news is that there is a simple process to go about finding yours.

This issue of selecting the right implant is so important when it comes to patient satisfaction or dissatisfaction that, again, I really encourage you to learn more about it.

Thank you for reading and best of luck on your journey!

Learn more: http://drwilliamrahal.com/

https://www.youtube.com/watch?v=th25pwMOB-A&t=43s

Published on Jul 11, 2012


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