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Breast Augmentation - What Size?

How Will I Know What Size to Choose?

Many women don't have a clear idea of how different cup sizes actually look. They often say that they "don't want to become too big and only want to be about a size C," At the same time, they will show their cosmetic surgeon their "ideal" photo of a woman with a Size D cup.

To make the right choice for you, you should not only consider breast size. The most important factor is how does that breast size appears on a particular frame and a particular height. Proportionality is the final arbiter of the overall appearance of the breasts.

Women are also confused and mislead by the bra manufacturers. While they might fit a C bra from one manufacturer, another one might label the same bra as a D cup. Also, there is a misunderstanding as to why bras are labeled as they are.
For example, a 36 C means that the circumference of the chest wall is 36 inches, and the size of the breasts is a C cup. This means that going larger will only change the cup size and not the strap size.

Another point of confusion is the belief that larger size breast implants protrude more. To the contrary, an implant’s width increases more than its projection. Therefore, going bigger doesn't necessarily mean that your breasts are going to protrude more. It means that you will get more fullness on the sides and a stronger cleavage. This is a more important consideration for the attractiveness of your final result.
This being said, first consider the factors that should not be a part of your decision. These include basing your decision on the proportions of models and celebrities who have body proportions very different from your own. Do not do so by comparing yourself to your friends. And don't leave it all up to your cosmetic surgeon. This is a joint decision that you will make with his or her expert input about your particular physique.

Some surgeons or web sites suggest that you fill your bra with different size bags of sand, grain, or water in order to find the right size. It is actually more effective to have patients try on actual implants in a special bra during their consultation. This gives them a more realistic estimate of the final result, while also giving the cosmetic surgeon a clearer understanding of their goals.

Your cosmetic surgeon should give you as much time as you need in the office to "try on" different sizes of implants. You will practice inserting them into various bras – perhaps some that you will bring with you to the office. While you should not base your decision on the desire to look exactly like someone else, you can bring photographs to demonstrate to your surgeon the looks that you prefer. Factors that will influence the final choice include what kind of implant placement the surgeon will use, and through which kind of incision it will be placed. Also, ask to see "Before and After" photos of your cosmetic surgeon's work. It is important that you have a good feeling about his or her aesthetic sense, and skill as a surgeon.

How Large Can I Go?

The largest implant size that is manufactured in the United States is 850cc with a final fill volume of approximately 920 ccs or approximately one liter, which is two and a half pounds per breast. Disproportionately large breast implant size carries certain drawbacks and risks. Besides causing excessive strain on your neck and upper back, excessively-sized breast implants which exceed the normal dimensions of the breast could produce irreversible tissue thinning, implant drop out or bottoming out, sagging, visible and palpable rippling and even Symastia, a condition where both breasts join each other in a single pocket due to the loss of the cleavage fold. An attempt to treat these requires further surgery and additional expenses.

During your consultation with Dr. Younai he reviews your options for Different Implant Sizes and Shapes, including pros and cons of each one, potential risks and complications, recovery course, pre and post operative instructions, and esthetic outcomes. You will also have an opportunity to "try on" different size saline or silicone breast implants in order to see which breast implant size would look the best on you. There are also many before-and-after pictures and high resolution images of breast augmentations with different implant sizes available in our photo gallery.

Dr. Younai is a board certified plastic surgeon who receives patients at the California Center for Plastic Surgery from the Northern as well as the Southern California region. Some of these cities include Beverly Hills, Los Angeles, Santa Monica, Hollywood, Burbank, Sherman Oaks, Encino, Calabasas, Woodland Hills, Thousand Oaks, Westlake Village, Pasadena, Glendale, Valencia, Palmdale, Fresno, and Oxnard.

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Dr. Sean Younai
is a Board Certified Cosmetic Plastic Surgeon, who practices in Encino, Los Angeles, Southern California.
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