BREAST IMPLANT SIZING 101
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LOL Annette -- I believe you!
Psal -- feel free to use it and I agree "Lilac" is cute!
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Psal70 they are 397cc. I too wear heels all the time but not too high. I have long legs and a short body. This makes me look really tall. Typically super heroes are draw with their legs 1 head longer that real people. I like to think I'm a super hero but I never had the shoulders or boobs… but now I think I have the boobs.
So what super power do you think I should choose?
--------------------------------------------------------So get this. Now one implant is cool the other warm. I think the warm one is the one with more fat grafting on it. The other seems to ripple a little when I lie down. Maybe this cool some ripple one is where my PS wants to do more fat grafting when we do nipples. Granted he never said anything about that. The nurse did on my first visit post op. I didn't see him that visit.
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Hello everyone, my first post on this thread. Funny how we move through the different threads as we progress. I had BMX with TE a month ago on June 8th.
Whippetmom, when you are free I would love your advise on implant sizing. I love my PS and trust her immensely, but over the next few months I can certainly word and lead my questions to my advantage.
I am 5' 3" tall and average 112lbs. 29.5 inch measurement just under my TE's. I also have broad shoulders.
I have Mentor mid profile 350cc's TE (style7200).
My PS said my TE when completely filled have a projection of 6.6cm and the implant she is considering is 6cm.
I was a large A before and aiming for a small/mid B cup. My PS may fill me to 350-400cc's. I've had 2 fills so far with a total of 175cc's. (25 at surgery and 75cc's at each fill) I'm actually quite happy with my TE currently. To me they look nice and straight and project more forward than sideways. I even have cleavage for the first time with a finger and half width!
Thank you whippetmom and everyone for all these wonderful posts. I will PM you with a request to have access to the picture forum too.
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Hi, I'm Erika. Sorry to jump in on what seems like a pretty tight knit group... I'm 30 years old & have had my implants since February 2011. I had expanders for almost a year. I HATE my new body.
Height: 5'6"
weight: 140 lbs
ribcage measurement: 29
I currently have 750/800 cc Mentor high profile round silicone implants. I think...
I'm wearing a size 34D bra for the most part (sometimes 34DD, sometimes 34C, sometimes it seems like I need a 32DD). I'm in constant pain & considering having a revision done to get smaller implants. I want(ed) to be a C, but none of my PS's have really *listened* to me. I was a D/DD prior to bc. If I drop to about 400cc implants, do you think I'd be in the right range for a C?
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Hi Annette,
Had my pre-op yesterday and asked the ps how/where a larger implant would fit in exchange with a smaller te. He explained that an incision is made to enlarge the pocket. The pocket/implant should fit like a glove. The ps tries various sizers in the OR to select just the right size and look before placing the actual corresponding implant. He also showed how an implant that is too large would look kind of squashed and flattened under the pec muscle.
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virtual: Find out what mfr and style of implants your PS is considering - to get you to 6.0 cm of projection. In silicone, that would be an Allergan Style 45 with a volume of 550 ccs - far too much implant for your frame, or saline implants - also in a higher volume. Or.....does your PS have access to the anatomical "gummy bear" implants? I personally think that around 400 ccs or 425 ccs is about where you want to be - Mentor high profile or Allergan Style 20, also HPs.
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lago - I have 457cc and I am a C as well so I guess it depends on the person's body and anatomy. My implant is cold most of the time but it is warm now.
I was wondering if mine doesn't move like a normal breast does because I had radiation or is this the case with all implants? When I jog my left one bounces and the MX side doesn't do anything, I always wonder if people notice.......:)
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Virtual - I am approximately the same height and weight and ribcage circum. as you, I also have broad shoulders and I have a 15-457cc, projection of 4.6 if I am not mistaken (but whipetmom can correct me if i am wrong), I think a projection of 6.6 would be too much. You are in the right place to get all the information you need to help you make your decision, i wish i came here before my exchange but I can't complain, mine are a work in progress since I am a uni. Good luck
Patricia
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Erika: Heavens, what was your PS THINKING? You likely had quite a bit of skin after the BMX and instead of excising and reducing the amount of skin, your PS just opted to "fill the flaps" with implants. The problem is, if you go too small, without revising the pockets, the implants will just sink to the bottom of the pockets - like a rock in a sock. So this will entail significant pocket revisions - narrowing the pockets at the minimum. You could exchange out for a different style and profile - say - Allergan Style 15, which is a midrange plus profile implant, around 533 ccs. This would be significantly smaller than what you have now. I would suggest you get a second opinion, because I cannot even fathom that you had that degree of width with your native breasts and I don't know if I would trust this same PS to perform the revisions. I can help you find someone. PM me with the details of where you live...
Also, I would like to backtrack with your history and find out what style and volume of TEs you had prior to the exchange....could you get that info?
Glad to help and you are welcome to join this tight knit group!
Deborah
Deborah
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Erica: You are in good hands now! I agree, your PS went huge with you. If I was even able to get that size in me I would fall over. Good news is that it can be fixed!!!
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whippetmom and Psal70, I'm sure you are correct and I misunderstood my PS. I just roughly measured out my current TE projection at 3cm (175cc filled) and 6cm would certainly be much too large for me!
My PS said she thinks a high profile would best fit me and I think she uses allergen but I will verify when I next see her.
Thank you both so much for your advice. I do trust my PS completely but it is good to go into the exchange surgery (Oct/Nov) having more information and being able to visualize better how I may come out.
Good luck and prayers to all the other women.
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MBJ: Look at that wonderful photo of you and your hubby! What a lovely couple!!!
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Lago -- there is only one possible superpower: "able to save the world with a single foob flash"
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here is an update on how the nipple saga went today (easier to just cut and paste:)
update- today went well....although ps did not do fat grafting - only the nipples- decided he did not want to take any chances on compromising the blood supply to nipples while healing and said we will have better results when he goes in after a month or two= by then the nipples will have shrunk or whatever they do after they are made and the grafting then will address the ripples, the nipple areas and any flat spots that may result from creating the nipples. he was adamant about not doing both at same time and I must admit I questioned him on it and he said judgement call- had some kind of meeting yesterday with other PS and basically- he is not doing the two together any longer- said would also avoid having to do more fat grafting to address the nipple results. so i was not thrilled but not in opposition either as he has yet to steer me wrong-of course i wanted everything done now yesterday a month ago,,,,you know how it is...but i am looking for the best end results...i see him tomorrow until then I can't touch these huge bandages on my boobs...I swear we were working in nipple placement as long in preop as the actual surgery lasted...it was funny...draw them on...measure...look...look again....wipe off do it all again...look full front on and then look down....it was like goldilocks and the three bears...finally one location was just right......i am hopped up right now on my half a vicodin....recovery was simple as anesthesiologist went very light in light (punny here) of my having to have another surgery in a month or two...was supposed to be twilight but i went completely out perhaps from nerves and exhaustion...then i woke up like the energizer bunny again ready to leave hahahaha....will let ya know what it all looks like tomorrow when he looks at em
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Looking forward to photos Annette!
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posted pic of one of the nipples in pic forum- quick shot i took in doc's office-
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Whippetmom: Thank you!
Lilah: hehehe!
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Annette: FYI: The fat grafting done at the same time of my nipple/areola didn't take and we have to go back in so your PS is right. Going to look at your pic's now!
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Okay Deborah, I know you say I should leave well enough alone, but I really hate that I now have to wear a padded bra because my MX side is an inch or more smaller then the augmented side. Just wondering if a High Profile Plus, although narrower, would give it the projection it lacks and make it look not so small anymore? Yep, obsessive, compulsive.
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MBJ- I know I'm not an expert like Debora but I think it would....you may just have to go up in cc's & may even be able to match the width too....look at the size chart for the 45's & find your same width & see if the projection is more then you currently have. Sorry I don't know your current stats.
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MBJ- I just looked at your stats & I believe you have style 20 550cc's which give you 13.5 width- now to get that in the 45's you would have to go up to 700cc's & it will be exactly the same width but with a 6.4 projection....almost a centimeter more then your current 5.6. The question is will that match your other side or still be smaller or could even be bigger. Though the other side could always be changed too...it's hard to say what will match because of your natural breast tissue added to the size chart, but your ps will probably know more.
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MBJ - If you swap ... what about your nip and graft? Will it mess them up?
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MBJ- I just looked at your pics & you look absolutely amazing! I think they match perfectly & wouldn't want to change a thing if I looked that good. I think if you get the 45's you may have to change the other side to 20's.....but I really don't know too much, just what I read here & looking at the size charts.
But, once again, I just want to tell you how beautiful I think your results are.0 -
MBJ I too just looked at your photos. I think you look perfect. I wish I looked that even. Not sure if things will change since it's still only 2.5 weeks post surgery (with fat grafting)… and I had BMX not uni. Your PS really did an amazing job.
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MBJ: No, that would be too narrow. You would need another 50 ccs in the same style - Style 20. That might be all you need....
Edited to add: How about more fat grafting? Isn't it really the NAC which is impacting the symmetry? Isn't your PS going to try another round of FGT in that area?
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Deborah: It's more about projection & the ptsosis is really becoming noticeably different. Maybe it's because he used a 15 and a 20? I go see him on the 22nd to discuss what we are going to do next and I was hoping for more FG because my tummy is now lumpy and weird looking. He agreed last time I saw him that he could do this but wanted to wait a bit. Also, my MX side is a bit square around the side plus I still have a bit of wrinkiling and I was hoping more weight would help even this out a bit. I had my DH take a picture so that my arms aren't extended (they look like more of a match this way). I will go post them now.
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Thank you to everyone for you posts and to whippitmom for all the advice! I am just starting this journey of deciding about implants, DIEP, etc. This all seems very overwhelming. I have an appointment the first week of August with a plastic surgeon. I had breast reduction in March and was diagnosed with LCIS. Is there going to be a different way for me to go, since I already had the reduction and have the keyhole scar and the scar underneath. My BS mentioned skin-sparing mastectomy for me. I think I would prefer implants. I am not sure I want to go through a long surgery.
Where would be a good place for me to start. I admire you ladies for sharing your stories and giving us strength, hope and love on the forums. What a blessing it is for me!
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Tara & Lago: My PS really does amazing work! I just posted pictures that my DH took without my arms extended so you can see what is going on with them. I see my PS in a few days and we shall see what he says.
Deborah: Posted updated pictures for you to see. Thank you in advance!
Babycakes: You have come to the right place! They have made so many advances in plastic surgery and for me the implants were a no brainer. All surgery will take some time-with implants they will place expanders to stretch the chest muscle to create a pocket. This isn't the most pleasant experience, however, you won't have as much down time as a DIEP. Both require more then one surgery. Best of luck to you and it's good to do your research and to bring a list of questions with you. Come back here and let us know what the PS recommends. I got three opinions before making my decision. Hugs!
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Babycakes: You might be a candidate for a nipple-areola sparing MX....find a PS in your area who is expert at this procedure. There is a thread entitled "Where are the nipple-sparing procedures performed?"....and also "One step procedure with Alloderm, anyone?" I'll find them and bump them up for you.....check the reconstruction forums...
Deborah
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Deborah: I just added a picture with a line under the breasts showing the IMF difference. Thanks again!
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