Need urgent help with size n shape

Hello I need help! Im soooo confused. I have booked in for BA on 28th april and i must admit im getting a bit anxious! Ok so im 37yrs old, 77kg, 170cm tall and currently am a small B cup. My surgeon has recommended the furry Brazilians in tear drop shape 445cc. Im scared that this is going to be too big but my friends think it will be fine. Wat size do u think i will end up D or DD? Are these types of implants hard when u feel them? Does the tear drop droop or sit up? Do the tear drop shape move and distort the shape of the breast or are they kind of velcroed in?

Cocorabana April 12th, 2016 NSW

  • Answer
    Dr. Raymond Goh

    Raymond Goh

    123 answers

    Plastic Surgeon
    Queensland, Australia

    Hi there. Thank you for posting your question.
    If you remain confused about your surgery, you should definitely be in contact with a (ideally yours) fully qualified plastic surgeon to have all your questions and concerns addressed. Breast augmentation, like any surgery, carries its risks and potential complications, and you need to be fully informed and confidently prepared leading up to the surgery.
    It is difficult to ascertain without photos or clinical examination how you will look after surgery with the stated implants or whether those implants are the right ones for you. It is important that your surgeon has explained to you the reason behind his choice of implants and that you've had a chance to "try" on various sizes to see what volume you would be happy with. Each type of implant (shape, shell type) have their pros and cons. Polyurethane implants can feel firmer and take a little longer to soften. The coating does adhere more strongly to the patient's tissue; however, this coating eventually disintegrates so rotation is still a possibility.
    I hope this information helps, and all the very best.
    Kind regards,
    Dr Ray Goh
  • Answer
     Gavin Sandercoe

    Gavin Sandercoe

    32 answers

    Plastic Surgeon
    New South Wales, Australia

    Hi
    I agree with Raymond in that if you are confused that you need to re-visit your Plastic surgeon and go through things before your surgery. Using sizers and a Vectra machine are often the best way to get real ideas of final volume.
    Furry brazilian (polyurethane) implants have their pros and cons. One of the disadvantages is that they are firmer than 'standard' silicone implants, but eventually soften to become a similar feel. The position or shape of your breast after teardrop (anatomical) implants depends mostly on the position of the implant in relationship to your breast base.
    As for sizing, that depends a lot on the pure dimensions (more than volume) of the implants. It would be reasonable to expect a change from A/B to DD cup if using a 445cc anatomical implant.
    Good Luck
    Dr Gavin Sandercoe
  • Answer
     Robert Drielsma

    Robert Drielsma

    191 answers

    Plastic Surgeon
    New South Wales, Australia

    Thanks for your question.  Photographs would have been helpful to review.  Its very normal to feel anxious in the lead up to surgery but if you have doubts have implant sizing than you should return to your surgeon for further discussions about which size and shape is best for you.  Many factors determine which implant is best for you including your individual chest measurements, existing amount of breast tissue and your level of activity.  This requires an in person consultation.  A 445cc implant looks different from patient to patient and achieves different cup sizing.  If you have a lot of exisiting breast tissue you will achieve a much fuller, larger result than a patient with little breast tissue using a 445cc implant.  In my practice, I use a sizing system that allows you to “try your implant” in front of a mirror to se what size you are most comfortable with.  I find this better than digital imaging which can a little misleading.  Brazilian implants, like all implants, have pros and cons.  Brazilian implants can be very difficult to remove if you require revision surgery.  Brazilian implants also feel much firmer and take longer to soften and feel natural.  Tear drop implants provide a natural shape that is sloped and fuller at the bottom of the breasts.  You essentially form a scar, a capsular, around your implant after surgery and this helps the implants stay in place.  More importantly though, an experienced surgeon creates the best “pocket” for your implant to sit in which minimises movement.  Return to your surgeon for another discussion to ensure you are comfortable with your decision.