Under Muscle Gel Implants. High or Moderate Profile? 400cc or 450cc?
- Asked by Bolton in Bolton, ON
- 3 years ago
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.
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 recommend that the surgeon NOT make a final implant choice in advance, because this is just an educated guess.
6) The surgeon should have a large inventory of different size and shape implants available in the operating room.
7) Then the surgeon can put sterile disposable implant SIZERS in your breasts during surgery, to see what a particular implant really looks like inside you. This is how to make the best choice. A sizer costs only $45, and takes all the guess work out.
8) Finally, the sizer is discarded, and the correct breast implants (based on what you want and on your anatomy) are opened from the operating roon inventory, and put in your breasts to complete the operation
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 - good luck with whatever decision you make!
Not possible to answer your question responsibly
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) on measurements of skin quality, quantity, and chest/breast dimensions.
My personal belief is that because this decision is so complex, and because fundamentally what you are hoping to achieve is a particular appearance (and not a particular implant), it is a mistake to commit to an implant before surgery.
Visit with a Board Certified Plastic Surgeon for a consultation- discuss your goals with them, and then trust them to guide you in the process.
Recent Breast Augmentation Reviews
Breast Augmentation Photos
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. If you have a wide base to your breast, you may need a moderate profile. If your breast is not as wide, then moderate plus or high profile may be needed.
Again, your surgeon should help you with this.
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 this doesn't look as natural as it looked in the past even though the volume is increased. A better choice might be a middle profile implant which would increase the breast size by 1 1/2 cups to a C/D size.
The volume of the implant is determined by measuring the width of your breast in the upright position with arms down and subtracting 3/4 to 1 cm. This would be the diameter of the implant and would be looked up under high profile gel-filled implants (Mentor or Allergan). Whatever volume this is will fit, look good, and increase your size by about 2 cup sizes.
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 technical specifics. For a surgeon to take you out of the equation and say they will give you the result they know will make you happiest is short-sighted.
I have recently implemented new 3 Dimensional technology (that I am sure other surgeons will have a negative opinion on because it is new and they don't have it) for a couple of reasons. First, so that each individual patient has the ability to see what their post-augmentation results MAY look like (they can switch between sizes....you can see the small difference between a 400 and a 450cc implant as well as what effects different projections (High Profile, Moderate Profile Plus and Moderate Profile) will have on your final results. And Second, it has allowed me added time to more efficiently talk to patients about sizing....the 4th Dimension, time! Patients have really been excited about the exercise of seeing their results before surgery and I like spending the time with them.
I hope this helps...my recommendation would be based on your anatomy and my measurements of your breast/chest...but I think you would be very happy with Moderate Profile PLUS 450cc implants; they will fill out the skin envelope and volumetric needs, enhance the upper and lower breast poles and may even elevate your NAC (nipple areolar complex) a touch.
I hope this helps!
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 frustrating to us who really want to answer it truthfully, ethically and without patronizing you.
If there was a website devoted to building homes where Civil engineers answered questions, can you visualize the shoulder shrugs you would generate by asking these professionals to tell you how much concrete or lumber would produce your dream home if you only posted a single photograph of your present home without a photograph or engineering plan of your dream home? Can you imagine the raised brows, and uneasy grimacing you may be causing by further stating: "my ONLY concern is Size and profile" ?
The Internet has deluded many women into believing that Plastic Surgery is rather simple and that a good and permanent Breast Augmentation is only predicated on picking the largest implant and having any doctor regardless of his/her training put it in a woman's breasts. Obviously, this is not the case.
The choice of the ideal breast implant for any particular woman is based on a multifactorial analysis including, available breast tissue coverage, available breast skin stretchiness, breast asymmetry, breast skin condition, chest wall symmetry among others.
If all these factors have been considered and addressed and your choice then is between High Profile Gel 400 cc VS 450 cc, I would pick the implants which are best covered by the breast tissue and which would sag at a lesser speed - all other things being equal it would be the 400cc implants.
Make sure your surgeon educates you on all of your options.
Dr. Peter Aldea
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.
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.
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 of the experts can give you THE specifics on-line, because the best choice will be a product of a detailed discussion with your surgeon and examination.
The determination of the best implant choice should come out of that unique and individual process with a caring professional who can take your goals and anatomy into account and provide you with a thorough understanding of any relevant trade-offs.
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.