Friday, January 22, 2010

Ask Dr. Man- Implant Size

Dear Dr. Man, I have a consultation scheduled next month with a plastic surgeon to get breast implants. I’m a 32AA and I’ve always wanted implants. I obviously want larger breasts, but I’m unsure of what size to get. I want a D-cup, but my boyfriend and my family thinks I’m crazy for going so big since I have a tiny body. Do you have any advice?

The decision of what size implant you should get is not one to take lightly. I’m glad to hear you’re considering all of your options. The first thing to remember is that one size does not fit all. For example, while a D-cup may look great on a tall, medium-framed woman, it may be too big on a petite, small-framed woman.
There are two main factors to consider when it comes to the size of your implants, namely: the size of the breast in proportion to the size of your body and the characteristics of your breast tissue. Every individual differs in these areas. The ideal breast size should balance with your height and weight measurements. The size also largely depends upon how much natural breast tissue you have. For example, a woman with more breast tissue will need her implants filled with fewer cc’s (volume) in order to get the size she desires.

Many women believe that an augmented breast will not sag, which is not true. If you choose an implant that is too large, it can actually cause the tissue to stretch and, thus, cause more sagging to occur.The tendency of the breast to sag is related to the loss of skin elasticity and how thin the tissue is surrounding the breast.
Another decision you will have to make when it comes to getting implants is whether to get silicone or saline implants. There are benefits and tradeoffs for both. Studies have shown both saline and silicone implants to be safe and effective. Before the FDA banned the use of silicone implants in the U.S. about 13 years ago, over 90% of surgeons preferred silicone over saline. The reason is because silicone implants feel and look more natural, can be more predictable and are considered safe. In 2006, the FDA lifted the ban on silicone breast implants.
Silicone implants have been reported by patients to feel softer and more natural than saline. They also have the ability to naturally adjust as you move. This does not mean, however, that they are the right choice for every woman. Saline implants can feel more firm than natural breast tissue. They have been known to ripple, and this can be felt if the breast tissue covering the implant is insufficient. However, adjustable saline implants can be useful in some women, whose breasts are very asymmetrical, or in women who have had massive weight loss and whose skin has stretched a great deal. Adjustable saline implants also allow the surgeon to fill the implant after surgery, in attempt to achieve the desirable size and fullness the patient is looking for. .
The type and size of the implants that are best for you depends upon what you want and what your breast tissue will allow you to have. When you meet with a board-certified plastic surgeon for a consultation, he or she will be able to talk to you about your various options.

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Dr. Man

Dr. Daniel Man is a board-certified plastic surgeon who has dedicated his life’s work to helping people look younger and improve their appearance through cosmetic surgery. He is a noted author, artist, inventor and educator. Dr. Man has been featured on major television networks, as well as national and local magazines and newspapers for his work as both a plastic surgeon and an artist. He has a successful private practice in Boca Raton, FL. For more information about Dr. Man, visit

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