breast augmentation before and after d cup

[speaker 1] hi, i'm dr. michael decherd, aboard certified plastic surgeon. i practice in san antonio, texas. i'd like to talk toyou now about breast augmentation. i'd like to talk to you about how i pick an implantsize. there's a lot of confusion about what size a woman wants to go with. they talk aboutcup sizes and that's helpful, but it's not that helpful because it's an imprecise system.here's the way i approach it. i want to match the width of the implant to the width of thewoman's breast. once you have the right width, everything looks better. you've seen somebodywho looks like they have tennis balls probably. part of the problem is they're not wide enoughso if there's a big gap here, then maybe they didn't get a wide enough implant.

once we have your width, then we also giveyou the following choices. you can have a low, medium or high profile implant. thatchanges the shape of the upper pole and affects how much volume there is. if you have a widewoman, you need an implant that's going to sound bigger. in other words, this implantrequires less volume than this implant to give different women a similar look. in myoffice, we'll try on some implants in a bra. we have a simulator that does a 3d simulationon a tv screen for you, it's called the vectra. that's how we approach picking the size forbreast augmentation. if i can answer any questions, please let me know.