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Can you decide which size you want? I would like to have a full size 40DD thick and...

Q:

Can you decide which size you want? I would like to have a full size 40DD thick and full set.

A:

Consult a Board Certified Plastic Surgeon.  After examination and measurement of your breasts, he/she can advise you of the appropriate range of implant size to your body.

A:

Your desires regarding breast implant size and the look you want will be a very important factor during your consultation with your board certified plastic surgeon.  However a reputable board certified plastic surgeon will not place an implant in you that is so large that it will look abnormal or trait the risk of potential complications.

There are many factors to go into the choice of size of breast implant for breast augmentation including measurements of your breast, measurements of your chest, and the results of a breast implant sizing system evaluation during which implants will be placed into a non-padded bra and you can see how you will look with that size of enlargement.

 

A:

Your desires regarding breast implant size and the look you want will be a very important factor during your consultation with your board certified plastic surgeon.  However a reputable board certified plastic surgeon will not place an implant in you that is so large that it will look abnormal or trait the risk of potential complications.

There are many factors to go into the choice of size of breast implant for breast augmentation including measurements of your breast, measurements of your chest, and the results of a breast implant sizing system evaluation during which implants will be placed into a non-padded bra and you can see how you will look with that size of enlargement.

 

A:

First of all, I would not advise you to go to the DD size because, despite that you might be happy about them initially, this feeling will fade away and will be replaced with regret when you start experiencing the  problems that people with large breasts experience namely back pain, bra strap marks, social embarrassment, clothing problems, and hygiene problems. Every surgeon has his own way to measure what is the best suitable implant that the patient needs to achieve the size and looks she desires. Some are accurate and some are not. The way I do it is pretty accurate but definitely it's not the only way out there. I advise you to do your home work and check multiple surgeons and see which one you felt most comfortable with as far as the sizing and comfort level is concerned. Choosing an ISAPS or ASAPS member will help you make a more informed decision and will decrease the risk of dessatisfaction.

Best,

Shady Hayek, M.D.

Beirut, Lebanon

A:

The best cosmetic result in any particular breast augmentation patient depends on a variety of factors, including: your individual anatomy, realistic expectations, a thorough discussion with the plastic surgeon about the options, and an understanding of the pros and cons of any particular implant choice. Proper sizing is not just about the number of cc’s. The thickness of your tissue, breast dimensions which include the width, height, and projection, as well as chest wall width all need to be considered when choosing an implant. Trying on implant “sizers” of various shapes and volumes while wearing a tight t-shirt, bra, or bathing sit at a preoperative visit will help you and your surgeon choose the optimal implant.

Keep in mind that following the advice from a surgeon on this or any other website who proposes to tell you what to do without examining you, physically feeling the tissue, assessing your desired outcome, taking a full medical history, and discussing the pros and cons of each operative procedure would not be in your best interest. I would suggest you find a plastic surgeon certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS) that you trust and are comfortable with. You should discuss your concerns with that surgeon in person.

Robert Singer, MD FACS

La Jolla, California

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