You have the most important role to play in choosing the right implant size, because its your body and no one knows more than you, what you want. Leaving the decision entirely to your plastic surgeon is may lead to possible future disappointment. So how do you know what implant size would look best on you?
Female breasts come in a variety of sizes and shapes. Breasts should be generally in proportion with your body and equal to or slightly less than your hip size. Personal preference, culture, trends, lifestyle, dressing style, hobbies and profession are some other variables that will determine the size chosen by you. Women usually have a good idea about how they want to look like but they are not able to effectively convey it to plastic surgeon. They are commonly referring to their bra size as 30, 33 inches etc without knowing their cup size which is more important because only cup size changes after breast augmentation. So basically there is communication gap leading to confusion.
Knowing your present breast size is the first step. You should know both your band size and cup size. Roughly A cup is 236 cc, B cup 384cc, C cup 621cc and D cup 798 cc. Average woman seeking breast augmentation is A or B cup and wants to be enhanced to C or D . Breast implants are available from less than 100 cc to more than 1000 cc size. Most commonly used implants are 250-450 cc. A 150-200 cc implant will enhance the breast by one cup size. This can be further confirmed by trying sizer implants inside the bra that you would like to wear after surgery.
You can show also the doctor some pictures of women (from magazine/net) whose breasts you like. You can request the doctor for seeing pictures of patients with implants of various sizes
Plastic surgeon will then assess your tissue elasticity and chest wall measurements to determine whether the tissues will allow the size you have chosen to be inserted. The placement of implant whether below or above the muscle also will affect the choice of size. The pocket under the muscle being tight usually does not allow very large implants. While inserting the implants through areola, if areola is small then very large silicon implant can not be inserted. Larger implant can be inserted through inframammary incision in the breast crease.
Implants are available in round and teardrop shape, low, medium and high profiles. Your surgeon can help you choose the best one for you based on your tissue characteristics, measurements and breast shape.
Choosing the right implant is important. Studies have shown that most common cause of second surgery after breast augmentation is woman seeking to change her implant size. This can be avoided by choosing the right size carefully. Its advised to try the sizer implants and check yourself in full length mirror from all angles with and without clothes. Some women are apprehensive about looking too big and therefore choose smaller implants. Not uncommonly, after surgery they get used to the new breast size they find it small and want bigger implants. Hardly any woman complains about being too big after surgery I therefore suggest my patients to err on the side of bigger size. Choosing the right implant carefully is the best way of avoiding disappointment and secondary surgery.
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