Suggestions for Silicone Breast Implant Size, 5'6" & 130 lbs. with saline 375 mentors

asked 2 years ago by niccinoodle in phoenix
Latest answer by Tom J. Pousti, MD
Question viewed 3,524 times
Tags: age 18-24, 130-149 lbs, 5 ft 4 in to 5 ft 7 in, 400-449cc, fake look, implant size, Mentor

I am a 24,5'6" & 130 lbs. with saline 375 mentors filled with 425cc & 435cc which makes me a 34D. I would like to be a bit smaller due to the fact that I feel a little "top heavy" and fake. I do know that I would like a little less projection so I am stuck between a 339 and a 371 silicone. I am afraid of going too small.

Fitting into a C cup would be great but I can't rely on that to make a decision. Any suggestions?

10 answers to Suggestions for Silicone Breast Implant Size, 5'6" & 130 lbs. with saline 375 mentors

Breast implant sizing

It is very important to communicate your size goals with your surgeon. 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” or “C cup” or "fake looking" 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... more

Tom J. Pousti, MD
San Diego Plastic Surgeon

Smaller implants

With a revison placing smaller implants, you may need a lift. It is hard to say without an exam. Sometimes the decision is made after the exchange to see how the breasts respond.

Steven Wallach, MD
Manhattan Plastic Surgeon

With smaller breast implants, you will likely need a lift

Either implant will look nice on you. Discuss your goals in general terms with your plastic surgeon, and he or she can help you decide. I do think that, with downsizing, you will probably need a mastopexy (breast lift). This will require more scars, but will provide an improved shape, and will also allow correction of your minor asymmetry. If your implants are above the muscle, then you might wish to consider placing the new implants below the muscle. This will disguise the implants... more

Michael D. Yates, MD
Huntsville Plastic Surgeon

Breast revision

I haven't seen what you looked like before surgery, of course, but there are some issues with the result shown here. Your implants are asymmetrical in position which might be your body or might be a capsular contracture. It also looks like if you downsize, there might need to be a lift considered to remove loose skin and level the areolas. These are almost more important to address than the size of the new implants.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon

Downsizing implants and switching to silicone

From the photo you've provided I think you would to really well with a "modest" downsize and switching to silicone gel. I wouldn't get too hung up on the numbers as far as 339 vs. 371 cc, and that is usually a decision I make with sterile breast sizers at the time of surgery. It is important for you ton know that saline actually "looks larger" cc per cc than silicone. So your 425 cc saline augmentation may equilibrate most similarly to a silicone gel augmentation of... more

James F. Boynton, MD
Houston Plastic Surgeon

Silicone Breast implant size

I would even go slightly larger in your implant size. Also are you having any lifting to even out the appearance? These are issues that you should discuss with the operating surgeon. Regards.

Darryl J. Blinski, MD
Miami Plastic Surgeon

Downsizing breast implants

IT appears that you need a smaller impant on your lefdt breast in comparison to your right breast but this is a limited view. In my opinion, you would barely notice the change down to a 375 and I would therefore be inclined to advise the use of the 339.

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Silicone Breast Implant size

You have the classic appearance of someone who has too large an implant for her body. This is a frequent problem. There is a happy median in breast size. When you are too large, you are like women who were born with large breasts and eventually seek reduction. In order to achieve what you desire, you need to talk at length about your specific desires to a Plastic Surgeon who has had significant experience with breast reduction as well as augmentation. You will most likely need reduction of... more

Robert T. Buchanan, MD
Highlands Plastic Surgeon

Advice on downsizing implants

One of the more difficult judgments about implant size is downsizing. For the original decision, you can try on implants, but when making an incremental change with implants already in, there isn't much to go on. One thing we have learned from experience is that in order to make a noticable change - whether going up in size or down - the increment should be at least 100 cc. But obviously going from 600 to 500 isn't as significant as 300 to 200. In your case it appears that you may end up... more

Richard Baxter, MD
Seattle Plastic Surgeon

Downsizing breast implants

I agree that you could use a downsizing. A surgeon would need to do some measurements on you and get a better feel for what end result you desire. In general if you have thin tissues and have your implants over the muscle, an under muscle siicone implant might give you a less obviously augmented appearance. This coupled with a change in width and projection might do the trick but only a face-to-face examination can determine the change required.