Dr Wigoda on The Incision Decision: Choosing an Incision Location for Your Breast Implants

incision decisions

The location of your incision is one of the many options you will discuss with Dr. Wigoda during your preoperative consultation. Each incision location option has its pro’s and con’s, such as scarring, and there is not one location that is considered best for everyone. Here are the options:

1) Inframammary Incision

Inframammary incisions are placed underneath the breast just slightly above where the breast meets the rib cage. Many surgeons like this incision location as it allows them easy access to create an implant pocket above or under the muscle.

This direct access allows Dr. Wigoda to use very small incisions with saline implants, generally as small as 1 to 1.5 inches wide for saline implants and slightly larger incisions for silicone. The scar is typically not visible when standing up as the breast will cover it. This is the most common incision site used.

2) Transumbilical Incision or TUBA

A Transumbilical incision is a C or J shaped incision placed in the folds of your belly button. A small camera is used to negotiated the surgery and very small instruments are then inserted to create a path to the breasts. Tissue expanders are inserted to create the implant pocket. Using a TUBA incision, implants can be placed over or under the muscle.

While TUBA incisions have the advantage of there being no scarring on the breast area, there are many potential disadvantages. Only saline implants can be used if TUBA is selected as silicone implants will not fit through the very small incision. This is the least popular incision used.

3) Transaxillary Incision (Armpit)

These incisions are created in the armpits and are generally 1 to 2 inches long. A short path is then created to the breasts where the implants will be placed. While there is no scar on the breast, a scar will be visible in the armpit with the arm is raised. There is also a risk of injury to a sensory nerve that can cause numbness on the inner arm.

4) Periareolar Incisions

The Periareolar incision is created around the areola. This incision is commonly used if other cosmetic breast procedures such as breast lift or areola reduction are being performed in conjunction with breast augmentation. Contrary to popular belief the periareolar incision does not necessarily increase the risk of losing sensation in the nipple.

There is, however, potentially a greater risk of infection as bacteria is found in milk ducts and often these ducts are cut during the procedure. If you plan to breastfeed after your surgery should make sure to discuss this with Dr. Wigoda because periareolar incisions may not be right for you.

After careful consideration, Dr. Wigoda will help you decide the right incision type for you. His extensive experience will guarantee you make the right incision decision. Dr. Paul Wigoda’s Fort Lauderdale-based plastic surgery center offers all four incision sites and we are happy to help you decide what’s best for you during a free consultation.  Call us at 954.463.7088 or visit us at www.drwigoda.com to schedule your visit!

Florida’s Popular Plastic Surgery Procedures by Age

Fort Lauderdale Plastic Surgeon Dr. Paul Wigoda reports nip and tuck for men and women trends from as early as 16 years old to their 60’s.  With recent news of Hollywood celebrities getting plastic surgery or cosmetic enhancements at various ages like Heidi Montag, Kim Kardashian and Lisa Kudrow’s reveal of a nose job at 16, plastic surgery has gone mainstream. So it makes sense to analyze who is electing for plastic surgery, and why.

While the “why” may be tougher to pin down, due to each individual’s own desires, the American Society of Plastic Surgeons Report looks at which cosmetic procedures are most popular amongst different age groups.

 

Nosey Teenage Plastic Surgery: 16-19

The nose is the body part which changes the least throughout life, meaning the nose you have now is the nose you will have for life. For this reason nose reshaping is most popular amongst teenagers.   While skin around the nose can thicken, and cartilage can lose its support, it is the least susceptible to time or changes in habit.  Adolescents looking for a fresh start often turn to rhinoplasty.

 

Busting into Twenties: 20-29

According to the report, breast augmentation is most popular among 20-29 year-olds, at a time when image is of high importance to a woman. However, Dr. Paul Wigoda counters that many women 30 and over come into his office looking to enhance their breasts.

“Many come in complaining that their breasts have deflated after having kids,” Wigoda states, “while others feel that their breasts are starting to sag and they want to be filled in more and get a small lift that a breast augmentation can provide.”

“It’s not uncommon for women over 30, who are going through a divorce to come in looking to make some changes in their body as they return to the singles scene,” he adds. Wigoda counters that liposuction is also popular with the 20-29 years olds, who also have trouble getting rid of fat in certain areas, even with a normal metabolism.

“In women in that age range, it is often fat in the love handle and bra strap areas, as well as the inner and outer thighs, that are treated through liposuction.”

 

Preventative Thirties 30’s

30 Going on 21. The study cites liposuction as the most popular procedure amongst 30-39 years olds, as many women in that age range notice their bodies retain fat easier as they get older, even if they maintain the same diet and exercise regiment.  While there are an increasing number of non-surgical options for combatting fat, liposuction is still the most popular cosmetic enhancement.

Eyeing 40’s and 50’s

Aging begins to have noticeable effects on the human body as people enter their forties, particularly around the eyes and forehead. The skin around the eyes can be prone to wrinkle or show redundancy, while the upper eyelids and forehead can often droop, making a person look unnecessarily tired or sad. So patients between the ages of 40-54 most often turn to an eyelid and/or brow lifting surgery to keep age at bay.  Removing or tightening can be used to treat the lower eyelids, as well as treating fat pockets.

Facing 55+

Lastly, the facelift has proven to be the most popular procedure for adults over the age of 55.  They may look to address several parts of the face, such as the cheeks, which can deflate. Other changes that become apparent: the corners of the mouth can turn down and jowls appear.   Also the jawline can lose its contour and the neck becomes loose and droopy at times.  The facelift can be used to address any of of these ailments, and bring back the youthful appearance the 55 and over crowd seek.

 

Contact us today to schedule a free consultation with Dr. Wigoda.

 

 

 

Dr. Wigoda Says Plastic Surgery Gave Julie Chen’s Career and Confidence Boost

julie chen plastic surgery

Plastic surgery can be a career changer and confidence booster notes Fort Lauderdale plastic surgeon Dr. Paul Wigoda.

Let’s take the case of The Talk’s co-host Julie Chen, who recently admitted undergoing cosmetic surgery based on criticism from former executives who threatened her career. Chen said in an interview she was informed repeatedly that she’d never work on the big stage since her Asian heritage didn’t resonate with the audience. She was told her Chinese eyes were too small, heavy and evoked a “disinterested and bored” impression.

After years of deliberation and being traumatized by such comments, Chen went ahead with a surgical eye procedure that made her eyes seem bigger and more alert and expressive in front of the camera. In retrospect, it was the right thing to do for Chen. Opportunities started rolling in, her career took off, she achieved her dream of anchoring in New York City, and most importantly, she felt great about her new look and exuded a confidence that bolstered her already dynamic personality and inner beauty.

With a dramatic increase in cosmetic surgery over the past few decades, more women (and men) are contemplating procedures to ultimately help them look better and grow old more gracefully. The decision to undergo cosmetic surgery should evaluate everything from:

  • cost

  • pain and recovery

  • physician selection

  • authentic and realistic results desired by an individual.

Whether striving to look younger or change an unwanted feature, today’s numerous cosmetic surgery electives are advanced and safer than ever with injectables such as Botox and minimally invasive techniques that optimize results and speed up patient’s recovery.

“It worked for Chen, but it’s important to understand your motivation and ultimately make this decision for yourself, not based on a reaction to society, your spouse or your social scene,” said Wigoda.

However, whatever sparks someone to ultimately go for it and endure cosmetic surgery or non-invasive procedures, the appreciation and satisfaction factor post-procedure are almost always positive and carry no regret.

This trend bodes true across the world today. Often times, women may get push back from themselves, their spouse, or family and friends when considering plastic surgery, whether breast augmentation, face lifts and enhancements, or body contouring procedures.

“When someone makes the decision and commits to go forward with a plastic surgery procedure, there is usually an overwhelming response of happiness, self-confidence and positive feedback,” said Wigoda.

Ft Lauderdale Plastic Surgery specialist Dr. Wigoda puts enormous emphasis on educating and comforting his patients every step of the way.

According to the American Society of Aesthetic Plastic Surgery, cosmetic surgery rises significantly every year and 2012 accounted for a whopping 14.6 million procedures in the US. Of course, each case is different and there are exceptions, but statistics show that most patients are thrilled and pain-free and never second-guess.

Husbands often may advise to their wives that surgery is not necessary and advise they shouldn’t go through with it for various reasons (cost, content with existing appeal, nervousness about the surgery or recovery time, or whatever they may voice).

“The truth of the matter is that after a procedure, husbands are  the ones most thrilled with the results,” said Wigoda.

The famous cliché holds true – “A Happy Wife = Happy Life!”

To take it one step further, more and more men are undergoing cosmetic surgical procedures alongside their spouse generating a more youthful, confident appeal for the road ahead together.

In today’s society, the key is to be yourself, trust your instinct and compile all the necessary research and advice. Dr. Wigoda advises his patients to realistic expectations and make an educated decision as you plastic surgery options.

Dr. Wigoda Shares Aesthetics Plastic Surgery Stats and Trends

Women say breast augmentation is “in”, men are loving liposuction this year and social media is making us all take a second look at those sags and wrinkles. Dr. Paul Wigoda’s Fort Lauderdale plastic surgery office shares some of the latest trends in plastic surgery and cosmetic surgery.

Originally reported by via 2012 National Totals for Cosmetic Procedures, hot off the plastic surgery press from the American Society for Aesthetic Plastic Surgery (ASAPS), tells you exactly which facial features and body parts Americans spent their hard-earned dollars on last year.

The winner and champion of all surgical procedures, breast augmentation, has regained its status as the leading surgical procedure in the US (second place last year).

There were 330,631 breast augmentations performed in 2012 compared with 316,848 in 2011. Last year’s frontrunner, liposuction, had 313,011 procedures in 2012 compared with 325,332 procedures in 2011.

The omnipresence of social media in our personal and professional lives has put “the face” on full display.

The tried and true facelift increased 2.5% from 2011. This is especially significant when you consider all of the facial noninvasive injectable, laser, and other skin tightening procedures available to women, including the king: Botulinum Toxin Type A (Botox, Dysport, Xeomin), which skyrocketed 24% in 2012.

Men and women had their own big jumps. Male breast reduction or gynecomastia had a very healthy growth from 17,645 procedures in 2011 to 22,736 in 2012 (29%). The vagina is also gaining some surgical notoriety. Vaginal rejuvenation grew from 2,142 procedures in 2011 to 3,521 last year (64%).

A Cut Above For Cosmetic Surgery

Out of the 10 Million surgical and nonsurgical cosmetic procedures performed in 2012:

  • 17 percent were surgical

  • 83 percent were nonsurgical

The top 5 surgical procedures for women were:

  • Breast augmentation

  • Liposuction

  • Tummy Tuck

  • Eyelid Surgery

  • Rhinoplasty

The top 5 surgical procedures for men were:

  • Liposuction

  • Tummy Tuck

  • Eyelid Surgery

  • Breast Reduction

  • Otoplasty (ear surgery)

The top 5 overall nonsurgical procedures were:

  • Botulinum Toxin Type A

  • Hyaluronic Acid

  • Laser Hair Removal

  • Microdermabrasion

  • Chemical Peel

 

Breast Augmentation Inflates Again

Breast augmentation took the top spot as the most popular surgical procedure for women, surpassing liposuction in 2012. Breast surgery accounted for 17 percent of all surgical procedures in 2012.

 

Silicone implants have made a comeback since their return in 2006. In fact, the FDA just recently approved two new silicone-gel based breast implants.

 

According to the ASAPS statistics:

In 2006:

  • 383,886 breast augmentation procedures were performed.

  • 81 percent saline

  • 19 percent silicone

In 2012:

  • 330,631 breast augmentation procedures were performed.

  • 28 percent saline

  • 72 percent silicone

From 1997 to 2012:

  • There has been a 226.8 percent change in the total number of breast augmentations. 4.4 percent of the boost was from 2011 to 2012.

  • Most procedures were done on two age groups.

    • 37.8 percent (of total) were age 35-50

    • 52.2 percent (of total) were age 19-34

 

Breast Augmentation has a 93 percent RealSelf “Worth It” rating.

Facial Procedures Show Their Best Side

Between 2011 and 2012:

  • +24.4% Botulinum Toxin Type A

  • +14.0% Rhinoplasty

  • +25.1% Laser Skin Resurfacing

  • +15.5% Chemical Peels

57.9 percent of all 2012 nonsurgical procedures were injectables.

Skin rejuvenation accounted for 25.0 percent of all 2012 nonsurgical procedures.

Everyone Likes to Look Good

  • Men accounted for 10.0 percent of all cosmetic procedures at almost 1 million performed.

  • Cosmetic procedures for men have increased 106.0 percent from 1997 to 2012.

  • Plastic surgery in males increased 19.8 percent from 2011 to 2012.

Mommy Makeovers became even more popular this past year. A combination of surgeries, which includes breast augmentation, tummy tuck and liposuction, and represents the top 3 procedures of 2012.

Vaginal rejuvenation had the least amount of procedures performed, but has increased 64 percent over the last year.

Ages 35-50 received 40 percent of all the surgical procedures in 2012 and the majority of the Mommy Makeover procedures in total:

  • 40.0& Breast Augmentation

  • 55.8% Tummy Tucks

  • 47.0% Liposuction

Where do you fit in? Schedule a plastic surgery consultation with Dr. Paul Wigoda today.

Plastic Surgeon Dr. Paul Wigoda Reports Mommy Makeovers Trending

Considering 86% of women say they feel less attractive post-pregnancy it’s makes sense more women are undergoing mommy makeovers — plastic surgery procedures that restore their post-pregnancy bodies, reports Fort Lauderdale Plastic Surgeon Dr. Paul Wigoda.

“The Mommy Makeover is a trending plastic surgery solution for many women because they can save time and money by blending procedures into one package, in fact combining a tummy tuck and breast augmentation can shave as many as six weeks off your recovery time,” says Ft. Lauderdale plastic surgeon Dr. Paul Wigoda. “A Mommy Makeover is a great post-birth day present to yourself!”

The term “Mommy Makeover” was coined in 2005 and has quickly become a hot plastic surgery trend amongst today’s hot moms, especially celebrities, who are less and less willing to sacrifice the bodies they’ve work so hard for after baby has come.

Mommy Makeovers are a combination of two or more plastic procedures after giving birth including: 

·      Breast Augmentation

·      Breast Lift

·      Tummy Tuck

·      Liposuction

·      Arm Lift

 One of the most popular combinations is breast lift, tummy tuck and liposuction, also known as the “Triple Threat.”

 “After baby, I have many patients complain about the effects of pregnancy that don’t go away with time including loss of volume in breasts, weight gain especially in the tummy area and loose abdominal muscles, and how those effects have negatively impacted their love life.” says Ft. Lauderdale plastic surgeon Dr. Paul Wigoda. “Many women find that although pregnancy was one of the most beautiful and exciting times in their lives they are unhappy with the toll motherhood has taken on their bodies and self esteem.”

In fact a recent studies report:

·      86% of women say they feel less attractive post-pregnancy

·      15% of married couples report they haven’t had sex with their spouse in the last year

·      62% of moms now say they would consider a “Mommy Makeover” if costs were not an issue, and

·      68% of female body contouring patients noticed an improved sex life after their procedure

Is a Mommy Makeover right for you? Dr. Wigoda says candidates should be sure they are finished growing their families, be able to take two weeks off for downtime and must be 100% recovered from their pregnancy.  If this sounds like you we invite you to come in for a plastic surgery free consultation for a mommy makeover.


Mommy Makeover Cost, Facts, and Figures

Bride and Groom Say I DO to Plastic Surgery by Dr. Wigoda in Fort Lauderdale

Wedding planning and plastic surgery is IN! It’s that time of year for brides and plastic surgery by Dr. Paul Wigoda. The bride gets a breast augmentation, the groom wants a nose job, the mother-of-the-bride will take a facelift and the father-of-the bride needs botox. The wedding registry calls for a secret list that might include plastic surgery, a growing trend reports Fort Lauderdale-based plastic surgeon Dr. Wigoda.

“First comes the bride, then comes the wedding entourage; this time of year I see dozens of wedding parties making their way to my office to see what they can sneak in cosmetic procedure-wise in time for their big day” says Dr. Paul Wigoda. “The good news is that Spring is the perfect time to do practically any cosmetic procedure and be good to go in time for wedding season.”

 Here are Dr. Wigoda’s top 5 most popular plastic surgery for soon to be brides to time it right:

  1. Painless Breast Implants – Say “I do” to that strapless gown that will knock ‘em dead when you come down that aisle! Plan at least 3-6 months in advance.

  2. Liposculpture – It’s a fact that most brides gain rather than lose weight in the months leading up to their weddings. All that stress, and the cake tasting! What’s a girl to do? One word – Liposculpture  Plan at least 3-6 months in advance.

  3. Botox and Fillers – Guys need this to! Despite tradition “something old” has no place at your perfect wedding! Make sure to book a double appointment so your groom can get in on this quick fix too! He’ll thank you when he sees how fabulous you both look. 3-4 weeks ahead and your smooth to go!

  4. Facelift – Gone are the days of 20 year old brides. At least brides that are actually in their 20’s (and don’t just look like they are)! Allow 3-6 months before lights, camera and wedding action.

  5. Browlift – All those sleepless nights you spent worrying about your wedding don’t need to leave you looking tired! Allow 3-6 months.

 If you are getting married and would like to see what you can achieve before your big day we invite you to come in for a free consultation. Remember, sure it’s just one day but those pictures are f-o-r-e-v-e-r!

Dr. Paul Wigoda Reports Silicone Breast Implants Grow 72% in 2012

Faces are lifting, silicone breast implants are IN, skin is smoothing, Botox is booming and tummy tucking is far from flat, growing 70% in the last 12 years. The biggest bump Dr. Paul Wigoda noticed was the fact that 72% of breast implant surgeries in the United States used silicone implants; 28% used saline or sterile salt water implants.

The American Society of Plastic Surgeons has just released their 2012 annual statistics reporting the number and variety of plastic surgery procedures that were performed last year. The report, a virtual “state of the union” for plastic surgery profession, provides us with several interesting insights into trends in plastic surgery for the year.

“The fact that total U.S. cosmetic procedures were up last year is not surprising given that the economy is beginning to bounce back and these procedures are high on many people’s list of things to do with the extra income they are seeing.” says Dr. Paul Wigoda. Check the infographic below for increases in cosmetic procedures in relation to other important economic indicators, also on the rise.


Overall, cosmetic procedures in total were up a whopping 5%! The most popular procedures by volume were breast augmentation with 286,274 performed in 2012, followed by nose reshaping (242,684), eyelid surgery (204,015), liposuction (202,128), facelift (126,320) and tummy tuck (106,628).

Faces Lifting!

The biggest bump last year came in the form of facial rejuvenation procedures.

Here are some highlights:

 

  • Facelifts up by 6% from 2011

  • Eyelid Surgery up 4%

  • Microdermabrasion up 8% with 973,556 performed

  • Soft Tissue Fillers up by 5% with 1,988,767 performed

  • Botox and Dysport up 8% with 6,134,631 performed

Why so much focus on the face? The ASPS suggests “one has to assume that economic recovery and consumer confidence plays an important role… Another factor is people entering or re-entering the workforce at an older age, needing to compete with younger applicants. Having our appearance look as good as our experience and resumes… is a strong motivation.”

Other Notable Performers Include:

  • Breast Augmentation, up 35% from 2000

  • Calf Augmentation up 8% from 2011

  • Pectoral Implants up 6%

  • Upper Arm Lift up 3%

  • Tummy Tuck up 70% from 2000

Male Surgeries on the Rise

A clear indicator of the increase in male surgeries is in the treatment of male breast development or gynecomastia with an increase of 5% over last year. Says Dr. Paul Wigoda, “We have seen a marked increase in male procedures over the past several years, especially last year. Not just for gynecomastia but for facelift, eyelid lifts, pectoral augmentation, dermabrasion and nose reshaping. Plastic surgery is definitely no longer just for women.”

All in all, the ASPS reports prove that the state of the plastic surgery profession is very promising with further increases projected for next year. So, if you’ve been waiting for an economic turnaround to plan a cosmetic procedure, the time to schedule it is officially now. Come in for a free consultation with Dr. Wigoda and celebrate our improved economy!



Breast Implant Position – Over or Under the Pectoralis Muscle? Which is right for you?

“The placement of the breast implant is one of the key decisions to discuss with your plastic surgeon. While most patients in my practice have the implant placed under the muscle, there are cases where over the muscle may be beneficial,” says Dr. Paul Wigoda.

Take a moment to look at the diagram below to see the size and location of the muscles that make up your chest wall. You will notice that the pectoralis major muscle is a large fan-shaped muscle that does not cover the lower, outer aspect of your chest wall. Generally in breast augmentation surgery the pectoralis major muscle will be detached from its lower origin along the ribs and the implant will be placed under it leaving only about half the implant covered by the muscle. The bigger the implant, the less of it that is covered by the muscle.

 

The pectoralis minor muscle is much smaller and lies under the outer edge of the pectoralis major. The serratus muscle lies along the sides of your chest wall. The main sensory nerves to your breast come up between the slips of this muscle to enter the back of your breast tissue and from there to the rest of your breast. Generally surgeons place the implants on top of the pectoralis minor and serratus muscles, but below the pectoralis major muscles.

There are pro’s and con’s to having your implants placed over or below the muscle. Here are some things to consider:

Over the Muscle (Subglandular) Breast Implant Placement:

  • Pros: When textured implants are used, the capsular contracture rate is only 5–10%. If you have a moderate amount of breast tissue (a B cup or larger), this can be an excellent choice and produce very natural-looking breasts that age very well. Also, recovery is usually easier than when the implants are placed in a submuscular position.

  • Cons: The use of smooth implants in a subglandular position have an increased rate of capsular contracture compared to other options. Additionally, when textured implants are used in thinner women with small breasts rippling may be visible in the upper and inner areas. It is also easier to see the upper edges of the implants when they are placed over the muscle.

Under the Muscle (Subpectoral) Breast Implant Placement:

  • Pros: Using smooth implants under the pectoralis muscles reduces the capsular contracture rate to less than 10%. In thinner women, the added bulk of the muscle over the upper and inner aspects of the implants will make the edges less visible and the curve of the breast more natural. When textured implants are used, the rippling in the areas under the muscle is usually invisible.

  • Cons: The recovery is typically thought to be more uncomfortable. However, with Dr. Wigoda’s painless breast implant procedure, patients most often have implants placed below the muscle and have little or no pain. It can take several months to see your end results because the implant tends to start out high before it settles into its final position, lower on the chest. When the pectoralis muscle is contracted during exercise or in some daily movements, the muscle may flatten the implants and push them outward. This can change the shape of the breast. However, this does not happen in all patients. Occasionally, an indentation over the implant can be seen along the edge of the muscle but again, this is not typical. When there is a moderate amount of breast tissue that is lax or becomes lax in time, it may sag below the position of the implant that is held in place by the muscle.

Dr. Paul Wigoda’s Fort Lauderdale-based plastic surgery center offers both subglandular and subpectoral procedures and we are happy to help you decide what’s best for you during a free consultation.  Call us at 954.463.7088 to schedule your visit! www.drwigoda.com

What’s Your Breast Implant Profile: Low, Moderate or High?

Identifying Ruptured Breast Implants

Selecting the ideal width and amount of implant projection is another decision Dr. Paul Wigoda helps you to make prior to your procedure.  Here are some things to consider:

Small, Moderate or Large?

Every round breast implant has two basic dimensions: diameter and projection. Diameter is the distance across the base of the implant, that is the surface that rests against the chest wall. Projection is the distance the implant protrudes from the chest wall. Implants are available with a small amount of projection (low profile), a moderate amount of projection (moderate profile) and a large amount of projection (high profile).

When deciding which profile is right for you, your age is a factor. If you are middle-aged (or older) or if the confidentiality of your procedure is important to you, you may want to choose implants with a small projection as these give the most natural appearance.

If you are younger, you may prefer a more aggressive take-off at the upper part of the breast, so moderate plus profile implants may be right for you. Moderate plus profile implants will give you a more dramatic impact and are currently “in vogue”.  Yes, they will look less “natural” but these days there is no stigma attached to having undergone breast augmentation so a completely “natural” look is not as much a concern as it may have been years ago. Also, the natural shape of your natural breast is a factor here.  If your natural breast has very little or no superior (upper) volume, you might benefit more from implants that provide more superior volume.  Implants with more projection do this.

If you have narrow chest you are also a good candidate for implants with moderate plus profile. To achieve a significant amount of volume, you may want to choose implants with more projection but less diameter. Finally, implants with more projection tend to ripple less than those with less projection. If you are very thin you are at greater risk for rippling and should consider moderate plus as your profile choice.

If you’ve undergone a mastectomy high profile implants could be right for you because you have no projection to start with. Also, if you like the look of round, projecting breasts with upper pole fullness (high cleavage) high profile could be the wise choice. Every plastic surgeon has a certain aesthetic style they prefer (re: some aim for the most natural looking shape and size possible while other find the ‘high and round’ look more attractive), but at the end of the day, it’s all up to you!

Dr. Wigoda can help you determine your best profile choice during your free consultation at his  Fort Lauderdale-based plastic surgery center. Call us at 954.463.7088 to schedule your visit!

See our next blog post in this series: Choosing Breast Implant Shapes and Textures With Dr. Paul Wigoda

Breast Implants and Size: Making the Right Choice by Dr. Wigoda

The reason why a vast majority of women (and men) have breast augmentation is SIZE, says Fort Lauderdale plastic surgeon Dr. Paul Wigoda.

We want to increase our size and/or have our breasts more proportionate to the rest of our bodies. Some women worry about going too big, while others worry about not going big enough. Having realistic expectations regarding size is imperative. Here are some ways you can figure out what size is right for you.

A Picture’s Worth 1,000 Words

When consulting with a plastic surgeon, it helps to bring pictures depicting how you want to look after surgery. Also, bring photos of what you consider too small or too large as this will help your surgeon immensely. Celebrity magazines are a great resource for photos of women with various size breasts. Keep in mind that everyone’s anatomy is different, so you will not look exactly like the photos you show your surgeon; however, these photos will give the surgeon a very good idea of the SIZE you want to be. You may have a good idea of what cup size you would like but photos can further inform your surgeon of your desired results.

Dr. Wigoda Talks About The Rice Test

Surgeons generally do not talk in “cup” sizes they talk in cc’s. So “trying on for size” in cc’s prior to your plastic surgery consultation is a very good idea. And, it’s fun! If you’re very flat-chested, almost anything may seem big but you’ll be amazed at how quickly you adjust to your new, larger size. The Rice Test will give you an idea of what you’ll like to look like after your surgery, as well as a rough idea of how many cc’s it may take get that result. It’s not 100% accurate, but it’s pretty close.

How to Perform the Rice Test

Use knee-high hose or cut-off pantyhose, and, using rice (or oatmeal or grits), fill them with the desired amount of cc’s. Once you have them filled, try them on under a sports bra.  Here are some conversions below:

  • 1 cup = 236cc
  • 3/4 cup = 177cc
  • 2/3 cup = 156cc
  • 1/2 cup = 118cc
  • 1/3 cup = 78cc
  • 1/4 cup = 59cc
  • 1/8 cup = 30cc

Some guidelines: An average of 189 cc is needed to go up one bra cup size. Increasing an A cup to a C cup generally requires a total of 391 cc, or 196 cc per cup. Moving from a B cup to a D cup generally requires a total of 448 cc, or 224 cc per cup. The largest change, an A cup increasing to a D cup, generally requires 437cc, or 145 cc per cup.

The amounts above can be used in different combinations to achieve the cc amount you desire. It’s important to remember that you should not solely rely on cc amounts of friends whose size you like. 400cc can look completely different on different women. This is due to several things, including, but not limited to: amount of breast tissue, shape of the chest wall, deformities of the chest wall (such as pectus excavatum and pectus carinatum), and weight, just to name a few. Basically, your existing breast tissue, and anatomy dictate how many cc’s you will need. Therefore, you should do the rice test to give you an idea of how many cc’s you may need to get the size you want. Keep in mind the “rice test” is just an estimate, it is not an exact science!

Now that you have a good idea of what size implants you think you want and some photos to share you are better prepared for a consultation with Dr. Wigoda. Dr. Wigoda offers free consultations at his  Fort Lauderdale-based plastic surgery center. Call us at 954.463.7088 to schedule your visit!

See our next blog post in this series: What’s Your Breast Implant Profile: Low, Moderate or High?