Breast Augmentation: Q&A

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Under Muscle Gel Implants. High or Moderate Profile? 400cc or 450cc?

My only concern is size&profile. I am 36years old, breastfed 2 kids, lost volume on my breasts. Have some sagging but my nipple is still over crease. I weigh 130pounds and am very fit and toned. I am 5"4" and my breast size is a 34 Bcup. When I was breast-feeding I was a 34 Dcup. Before my kids I was a 34C cup. I want to be a D cup.

18 Doctor Answers | Asked by Bolton in Bolton, ON
+5

How to pick shape and size of breast implants.

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 of breasts you like. 4) Then your surgeon has to tell you if your chosen look is realistic for your anatomy. The most common mistake is to go too big. 5) I... more
+4

Re: Under Muscle Gel Implants. High or Moderate Profile? 400cc or 450cc?

Since you have a small amount of glandular ptosis, I'd first recommend a dual plane augmentation to fill out the inferior pole and rotate the nipple areola slightly upwards. That way, you're not just filling, but lifting a little as well. In terms of your desire to have D cup breasts, I'd bring both sizes into the operating room and see what looks best. Based on your photo and body measurements, 450cc in a moderate plus profile seems reasonably appropriate. I hope this helps -... more
+4

Not possible to answer your question responsibly

Hi there- While I would love to be able to give you the confidence you would gain from having surgeons in this community recommend an implant for you, it is VERY important to your future happiness that you understand that without a formal consultation and examination, it is simply not responsible for me to try. The appropriate choice of an implant for any individual patient depends on not only her goals and her history (children, breast feeding, etc.), but also (and most importantly)... more

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+3

Implant size

I think it will take 450cc minimum to get you to a D cup. Profile depends on how wide your breast is. Once you decide on volume, you want the widest implant that will be totally covered by your natural breast. Your surgeon should be able to tell you which profile is best. Some patients do not understand profiles, and mistakenly believe a high profile will give more fullness superiorly. Not true. A high profile has a smaller diameter for the same volume than a moderate profile does.... more
+3

Size, profile, and implant volume

In order to increase two cup sizes, you will need a high profile implant and a silicone gel-filled implant is probably a good choice because of the lack of muscle coverage over the lateral side and underside of a breast that is borderline sagging. The implant will not lift the breast but it will look lifted because it is filled out, particularly the lower pole of the breast. However, with a relatively sagging and flat breast it will become very projected with a high profile implant and... more
+3

Breast Implant Sizing

Hi Ms. Bolton- Great question...and one I see quite often here on RealSelf. Unfortunately, as I have said before, sizing of breast implants are an individualized decision. A decision that can only be reached by a team of EXPERTS : You and your Board Certified Surgeon. You, because you know your body, your wants and desires (cup size, etc) and your surgeon, because he or she will get to know you, your wants and desires as well as your anatomy and they will know the implants styles and tech more
+3

Choosing between large Silicone Gel Breast Implants

Regarding: "High or Moderate Profile? 400cc or 450cc?   My only concern is size&profile. I am 36years old, breastfed 2 kids, lost volume on my breasts. Have some sagging but my nipple is still over crease. I weigh 130pounds and am very fit and toned. I am 5"4" and my breast size is a 34 Bcup. When I was breast-feeding I was a 34 Dcup. Before my kids I was a 34C cup. I want to be a D cup." Your question or a version of it is very common and very... more
+3

Match the implant shape to your chest

with the advent of different profiles of implants patients and their doctors can better match the implant to the patient's anatomy and desires. There are no hard and fast rules.  In general the larger the implant the greater the diameter.  The ultimate diameter should fit the patients chest wall and existing breast mound.  This decision is best made between you and your surgeon.
+3

Under Muscle Gel Implants. High or Moderate Profile? 400cc or 450cc

Thanks for the posted photo. My choices are HP 450 cc implant. This is based upon the limited explanation and oner posted photo not an in person examination with measurements. Best of luck. 
+3

Implant Choice Best With Thoughtful Consultation

Based on your information and photo, it sounds like your question and thoughts are very relevant and "in the right ballpark." By way of generalization, the choice will be based upon: volume: the cup size you'd like to be. anatomy: what implant dimension (width) will fit your breast and chest shape: the amount of fullness you want in the upper chest the higher the profile, the rounder and fuller the breast shape will be None... more
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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.

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