Breast Implants: Q&A

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A Fitness Model Torn Between 371 Cc and 450 Cc

I have seen my ps two times now and can't decide on the implant. I am already a 34c but compete nationally in bikini fitness comps and loose my boobs. I'm scared of being too big but would love to be a dd. I want the fullness on top but not fake round and to have cleavage again. I'm 5"6 120 pounds and very athletic. I know it's hard to recommend an implant when you haven't seen me but if you could what would you recommend, 371 moderate plus silicone or 450 high profile silicone? Thank you!

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13 Doctor Answers | Asked by Reyrey731 in Denver, CO

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Implant choices

In general I use HP implants for patients that are narrow and want large implants. Larger volume implants are obviously heavier and can lead to earlier skin fatigue.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Breast Augmentation for Fitness Models

I regularly perform breast augmentation surgery for patients who participate in body building, fitness and figure competitions. While many are initially concerned about sub-pectoral placement and the potential for distortion of the appearance of augmented breasts when the pec major contracts, I am absolutely confident that the aesthetic outcome for these patients will be far superior with implants placed under the muscle. A pre-pectoral implant in a slender patient, especially one with... more

Michael Law, MD

17 reviews

Raleigh-Durham Plastic Surgeon

michaellawmd.com

The choice is entirely your but be aware of the implications

There is no right or wrong answer to what size you should pick. The final choice is of course entirely up to you and your preferences and tastes. Having said that, there are some considerations that you should be aware of. The larger the implant the more like an implant and the less natural the appearance becomes. By definition the most natural looking breast is one that has no implant. If you have an adequate amount of breast tissue over the implant then you can increase the implant size... more

Breast Implant Sizes As Judged by Percent Volume Differences

The reality is that the difference between a 371cc and 450cc implants is 79cc. On a percentage basis that amounts to a difference of only 17% in size between these two implants. This is a relatively small difference that would not even amount to a 1/2 cup size change in visible breast volume increase. As a general rule, really visible breast size differences require 30% or more increases. I would go with the 450cc high profile because many women regret not going big enough and... more

Breast implant size

I think you need some direct advice: Reality is not all of your wish list is likely to be achievable. If you're lean, you might well look fake. The coverage over the implants is the key determinant of naturalness of appearance. To assist you: Decide how important naturalness is for you vs how important size is for you. If you need to be more natural, go for the smaller size. If looking implanted doesn't matter for what you do, then reading... more

Picking an implant that fits you. Start with base diameter, then determine projection.

Provided you have a breast width (base diameter) that will accept either of these implants, you have a decision to make. If you are an athletic 5'6", 120 lb and you want to be a DD, then they will look fake if you go with the 450 cc. It would be hard to go to a double D and not look fake given your level of fitness. You must also take into account that you are adding this volume to an already C cup breast. If you have hips, then maybe you can easily accept the larger implant in... more

371cc or 450cc implants, which are best for me?

Breast implant size and volume is based on your breast and chest wall measurements. If your anatomy can accomodate both, go with the bigger ones. Most women say I wish I would've gone bigger NOT smaller. Realistically, there is only a 79cc difference in volume which is less than 1/2 cup size! Good luck.

Implant size and type depends on individual measurements

The most important determination for choosing a size is the base diameter of the breast, which I presume your surgeon measured and told you that either of the sizes will fit. In general, the high profile implant will have more of the fake round look that you specifically said you don't want. The bigger implants are also more likely to sag and stretch the skin over time. Be very certain you are aware also of how placement of the implants under or over the muscle will affect your fitness... more

Breast augmentation for bikini competition

Your breast augmentation goals are different than most and 'natural' may not be your need or standard. National bikini competition says a lot and you should use what you see as you compete and you model for the 'best' result. Bring your photos of the 'look' so your surgeon can see, for my bet is the bigger high profile. Best of luck, peterejohnsonmd

What size implant should I choose?

It is very difficult to determine which implant is best for you, but in my opinion I think the Allergan style 20 high profile implant is the best device. Based on your height and weight I would think an implant around 425 would be perfect. Remember, this is my opinion based only on your height and weight and my experience with my patients. The style 20 implant provides for more upper pole fullness and stll maintains a natural look for most patients. Good luck! Work closely with your... more

Implant sizing

Decision making on implant size is complex and should be collaborative between you and your plastic surgeon. First decide on implant placement and silicone versus saline to have closure on those issues. Given your desire for volume in the upper poles of the breasts, a high profile implant may be an intelligent choice. I would have concern over too large an augmentation in terms of the risk of ptosis, or sagging, which could later require a breast lift. Don't hesitate to buy and stuff a... more

Breast Implant decisions

There are 4 decisions that need to be made once you choose to have breast implants placed: Type of implant (Saline or Silicone) Incision location (In the fold under the breast, in the color change around the areola, in the armpit, in the belly button) Above or below the muscle Size of the implant The most difficult decision to make is definitely the size. Looking at a lot of before and after pictures, trying on sizers, talking to your PS and talking to... more

Breast Implant Size?

Thank you for the question and congratulations on your decision to proceed with breast augmentation surgery. You're right in that it is not possible to give you specific advice without examining you. How are some general words of advice may be helpful.... The more breast surgery I do the more I realize that there is no correlation between the size or model (profile) of implant used and resulting cup size. This may have to do with several factors including: the amount of... more