Are 400 cc Implants Too Big for Someone with AA Cup? (photo)

I am a competitive cyclist, 54 y/o, 5'-9"-145 lbs. I have minimal breast tissue (AA) and my skin is firm but not tight. My ideal size is C to Full C. Recently I had my first (of 4) consultation with a Board Certified Plastic Surgeon. He suggested a sub muscular placement using a Moderate Profile Plus Silicone implant. After one measurement horizontally across the breast, he suggested using a 300 to 325cc implant. After bra gel sizers I looked too small. Could 400cc + work without looking "fake".

Tags:

AA to C cup 400-449cc

Comment on this

10 Doctor Answers | Asked by Christy12 in New Jersey

Doctor Answers (10)
Community Comments (0)

Natural appearing breasts in athletic women

Judging by your pictures, you could certainly tolerate bigger implants, but I would strongly suggest two things: 1.) Get true subfascial placement not submuscular and 2.) get low profile implants. As a cyclist, any augmentation involving the muscle will be strange looking and feeling when you cycle or do anything involving arm movement. I use a unique technique called cold-subfascial augmentation that preserves complete fascial support without involving the muscle... more

Implant choices

Without a formal exam it is diffiuclt to say what would be best for you. If your skin is a bit loose and the dimensions are appropriate, a 400 cc implant may be OK. Hard to say without the exam. To get a rough idea in your mind, it may be beneficial to perform a "baggy test."

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Implant sizing

Thanks for your question. Thanks also for the excellent photos including your base width. I am concerned you do not have much skin or stretch. 400 cc may be hard to pull off even with a high profile device. Also, larger implants could interfere with your cycling. Good luck.

Implant size

Implant size is subjective as to which size is best for you. I, however tend to agree with the recommendation of something in the low 300's. They mat be a little smaller than you might ideally want, but given the fact that you are very thin and athletic, they will be less of a problem interfering with exercise and wearing a sports bra. Try finding photos of other women similar to you on the internet where the size implant used is designated and you will become more... more

What size breast implant is too big

A good plastic surgeon can grow skin on your breast to any size you want. Implants under the muscle need 50+ more cc's to look the same size as sizers in your bra. They will not look fake. The commonest reason for re-operation is going bigger. Don't let the doctor tell you what size you should have. Find a surgeon who'll give you what you want. Dr Foster

Bigger implants will look fake

Your question is a good one. Generally, the larger the implant, especially in a woman with little native breast tissue, the more artificial the result will look. This has to do with too much upper fullness, as well as proportion with the rest of your body.

Are 400 cc Implants Too Big for Someone with AA Cup?

Make sure you have shown the photos of the finished look you like to your surgeon. During surgery he should be able to try test sizers under the muscle until finding the volume that most looks like what you want. If he plans to go to the OR with just the one predetermined preop size you might want to try a different surgeon. It is the surgeon's job, not yours, to pick the volume that gives your preferred look. And you never really know what the look will be until you try that volume in... more

How to pick breast implants.

Hi. I hope you find this article helpful. Very large implants would look fake and also interfere with your competitive cycling. 1) This is the most common type of question on RealSelf. 2) It is the surgeon's job to pick the right breast implants, not the patient's. Implant selection is really pretty technical. 3) Make sure your surgeon REALLY understands the look you want. Mentioning a cup size is not enough. Show your surgeon pictures... more

Size is relative

One of the most important -- and difficult -- decisions with breast augmentation is what size implants to use. At the outset you should know that there is no perfect size. Rather, there is a range of sizes that can work. We have found that working with sizers really helps to understand what size will be in proportion for a given person, and what the desires of that individual are. You are fairly tall, and from your photos, you have a relatively broad chest. This... more

Best Breast Implant for Me?

Thank you for the question and pictures. Unfortunately, it is not possible to give you precise advice without a full consultation; this would involve direct examination and a thorough discussion of your goals. I would suggest that you do the following: 1. Concentrate on choosing your plastic surgeon carefully. Concentrate on appropriate training, certification, and the ability of the plastic surgeon to achieve the results you're looking for. Ask to see lots of... more