450 to 500 may not be large enough

William H. Huffaker, MD answers: Getting smaller implants - 700cc to 500cc feasible?

Hi. Four years ago I made the stupid choice of getting 700cc (Round smooth silicone, high profile, 14.4 x 6.2cm)breast implants. I am a tall girl, 5' 81/2" and 135 lbs. I wear a 36 band bra. My current cup size is WAY to large! My breasts look extremely fake and i am very self-conscious. Before the 700cc implants I had 400 cc anatomical implants to correct tubular A cups that were also asymetrical. I felt the 400ccs were too small. The 400cc (12.5 cm x 13 cm x 4.9cm) implants were submuscular and looked very natural, they were just small on my broad frame and seemed to be 10 miles apart. I got the 700cc implants to get a cleavage. I hate the high profile, they look really fake and I wanted a natural look. I am getting a revision soon and the doctor recommended Mentor Moderate plus profile, size 450 or 500cc smooth round silicone implants. The dimension of the 450cc implants is 13.6 x 4.2, the 500cc is 14.1 x 4.3cm. I would like a small D, right now I wear a 36D but I know it's the wrong size because the bra cups fit on the breasts like a baseball cap. I just want breasts that look "real". He said he would have to do a lift (hopefully just around the areola). Do you think going from 700cc to 450 or 500cc is feasible? Can this still produce pretty breasts that look "real"? What is your experience with downsizing?


William H. Huffaker, MD
9 months ago
By William H. Huffaker, MD - St. Louis Plastic Surgeon

You initially were unhappy with the 400 cc implants.  In my experience you must go at least 100 cc larger to see a significant difference to make surgery worth while.  Since you are unhappy with 700 cc, probably in the range of 500-550 cc will work best.  Pictures of breasts that you like should be shown to your surgeon to make sure both of you are on the same page.  You do not give your chest size.  If your 36D bra does not fit, you most likely are wearing the wrong band size.

Basically cleavage comes from a bra.  The width of your sternum determines how far apart your implants are unless you have tightness around the implants.  Your breasts should come off your chest at an angle and not straight ahead. 

A lift may or not be necessary.  A cohesive gel implant may also be helpful.  Good Luck!

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