Three Different Recommendations From 3 Surgeons. What Do You Think? 250cc Mod+ Versus 350cc HP

I've had consults with 3 surgeons with 3 different recommendations. 339 mid range allergan 250 mentor moderate plus 350 high profile mentor all silicone. 12.5 bwd 115lbs 5'5"...will need a full anchor lift. Currently a 34A/32B. Told I will need at least 25cc of skin removed. 1st degree ptosis. Very little body fat. I want a natural look, and I prefer to err on the small side rather than the large. I am confused. Any recommendations?

Doctor Answers 14

What size implants for a lift/aug.?

If you are getting a lift as well as an augmentation, given the info provided by you, I would go with the smallest of the implants recommended.  This will not only look more natural, but should be more comfortable.

Bellevue Plastic Surgeon
5.0 out of 5 stars 7 reviews

1600 116th Ave. NE
Bellevue, WA 98004

Breast Implant Sizing?

Thank you for the question.

Unfortunately, I do not think my opinion ( or that of other online consultants)  will be precise enough to help you.

What I suggest instead is that you take the plastic surgeon who you feel will be most likely able to achieve your goals ( after doing your own due diligence). Make this decision carefully based on training, experience, and ability to achieve your goals.

Once you have made this decision, communicate your goals clearly with him/her. In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. I have found that the use of words such as “natural”  etc means different things to different people and therefore prove unhelpful.
Also, as you know, cup size varies depending on who makes the bra; therefore, discussing desired cup  size may also be inaccurate.

I use  intraoperative sizers and place the patient in the upright position to evaluate breast size. Use of these sizers also allow me to select the breast implant profile (low, moderate, moderate plus, high-profile) that would most likely achieve the patient's goals. The patient's goal pictures are hanging on the wall, and allow for direct comparison.
I have found that this system is very helpful in improving the chances of achieving the patient's goals as consistently as possible.

Best wishes.


Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 1,051 reviews

8851 Center Drive
San Diego, CA 91942

I disagree with the full anchor lift part.

With the "full anchor lift," and implants at the same time there is a high risk for loss of nipple and the extensive scar is usually unnecessary.   I would consider additional surgical consults if I were you, and go with the "lollipop lift," or vertical mastopexy with or without implant.  This is a smaller scar and better lift for the majority of breasts.    Whether or not you want 250 to 350 depends on the final size you want, and whether or not you use high profile implants or moderate plus implants depends on the width of your breast and the desired cleavage.    Good luck.  Dr. Smith 

Lane Smith, MD
Las Vegas Plastic Surgeon
4.5 out of 5 stars 52 reviews

8871 West Sahara Avenue
Las Vegas, NV 89117

Breast implant size

It's difficult to help you without a photo or consultation. All the implant sizes you mentioned seem reasonable, but the total volumes are different. The 350 will put you about 1/2 to 1 cup size larger than the 250 for example. I don't think I've ever done an anchor lift on someone your size, however, and with implants being placed I would be truly supprised if a lollipop or circumvertical scar wouldn't be possible and leave you with less visible scars. Good luck, Dr K

Mahlon Kerr, MD, FACS
Austin Plastic Surgeon
5.0 out of 5 stars 152 reviews

7700 Cat Hollow Drive
Round Rock, TX 78681

You Should Decide On Implant Size

Since you have received three opinions differing as much as 100cc in their recommendations, you should decide on the most appropriate size for your wishes.  I always approach patients this way (by having them try on different sizes of implants).  In over 25 years, I have had very few patients who were unhappy with the size using this approach.

John Whitt, MD (retired)
Louisville Plastic Surgeon
5.0 out of 5 stars 2 reviews

4001 Kresge Way
Louisville, KY 40207

Lift with implants?

I never do implants with an Anchor Lift, because each operation interfers with the healing of the other. Have the lift first then try sizers on to choose the volume of the implants 3 months later. The profile of the imlants is decided by your measurements and I mean width. The width of the implants has to match the width of your breast/chest and the projection is chosen by you during the sizer try on. What's the mystery?  Dr Foster 

Lawrence Foster, MD (retired)
Sacramento Plastic Surgeon
3.5 out of 5 stars 15 reviews

589 Tahoe Keys Blvd.
South Lake Tahoe, CA 96150

Recommendations for implants

Without an exam it is difficult to say what would be best for you. If you go to other surgeons you may get other opinions as well.  

Steven Wallach, MD
New York Plastic Surgeon
4.5 out of 5 stars 20 reviews

1049 Fifth Ave
New York, NY 10028

Breast Augmentation

In general, if you are thin, you will like the feel of the silicone implant better than saline. And high profile looks more like surgery than nature so keep that in mind. As to size, no possible wayy to comment without an exam, it's a 3 dimensional decision. Even photos would not help much. But with grade 1 ptosis I'm not sure I would consider any type of lift. Photos would help with that.

Ronald V. DeMars, MD
Portland Plastic Surgeon
5.0 out of 5 stars 17 reviews

10201 SE Main
Portland, OR 97216

Breast lift with implants

Breast augmentation with a lift is one of the more challenging procedures in plastic surgery.  There is no way that you can decide on what profile or size of implant to use.  You first need to find a Board Certified Plastic Surgeon that has experience with this procedure and look at photos of results.  Then you need to convey to the surgeon what size of breast you are wanting.  You can check out bra's at stores and look at patient photos.  Once you have decided on the size of breast the surgeon will need to discuss the type of lift recommended.  Once this has been all settled the surgeon will select the implant size and profile that will give you the result you are wanting and that fits your chest wall.  To do this most experienced surgeons will use a temporary sizer in the operating room.  Especially in a breast lift case I believe this is the only good way to do it.  Trying on sizers on top of a sagging breast before surgery is a waste of time in my experience.  After doing many hundreds of augmentation mastopexy procedures I have found the above technique to be very effective.  I would also advise you to see at least 2 different surgeons as opinions can vary quite a bit on lifting techniques.

Gary Hall,MD

Gary Hall, MD
Kansas City Plastic Surgeon
4.5 out of 5 stars 32 reviews

14340 Metcalf Avenue
Overland Park, KS 66223

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.