150cc HP For My Frame?

I agree with Dr. Feldman's answer, who succinctly described what I feel you will find with these implants--you will have a gaping wide-cleavage unnatural look with globular "Baywatch coconut" breasts that look decidedly "fake." (They won't be too big, which is one definition of "fake," but they will still be terrible-looking!)

150cc will add less than 1 cup size to whatever breast volume you presently have (by your description that is not much), and the extremely narrow base diameter of these HP implants is too narrow even for your petite frame and naturally smaller breasts.

I also wholeheartedly recommend a second or third consultation with other ABPS-certified plastic surgeons who do lots of breast surgery. You should also bring goal photographs (look at the before and after photographs of many of our websites) of breast "looks" that you find attractive, and you should also try on various implant sizes in a bra and stretchy top to see what looks good. Don't even look at the implant sizes until you decide what looks good to you. Then trust your surgeon to add about 10% more than the selected volume to account for the submuscular compression of the implants that make them look "smaller" than your sizing choice. The profile should be based on your breast base measurements (we all do this somewhat differently, since the breast does not have a "sharp" beginning and end), and should be the lowest profile (widest appropriate width) to give you the nicest cleavage. At this small end of the implant size scale, you will require moderate profile implants for the best "fit."

Truly, size choice is critical, since you really only want to do this once! I rarely use implants below 250cc (even in tiny patients such as you who want a "natural look"), and in this small of implant volume would need to use moderate profile to get adequate width to properly fill the breast base and avoid Grand Canyon cleavage. 150cc HP implants are way too narrow, even for you! I think they may be too small as well, but this is only speculation without a physical examination and personal consultation. Many plastic surgeons do this at no charge, as I do.

Surgeons who "always" use HP implants (usually because they say HP gives better upper pole fullness) are NOT selecting implants on the basis of individual patient goals and anatomy, but simply using a "formula" or following a "habit" or routine. NOT GOOD.

HP is not "fake" in and of itself. But HP implants are very narrow, especially the 150cc ones, and you will likely not like the look they provide. Get more opinions in person, please! Best wishes! Dr. Tholen

Without actually seeing pictures of your frame or examining you in-person, there is really no way to give you a solid recommendation on style or size of a breast implant.  I can say that this is a tremendously small implant and so I would most likely recommend that you go bigger.  150 cc implants are around the size of an eye patch and will do very little to increase your cup size. My suggestion is to meet with a Board Certified Plastic Surgeon who specializes in breast enhancement surgery and bring in photos of a volumetric look that you are trying to accomplish.  From there, you can try on sizers and identify a volume range that will help you achieve your goals. I hope that helps and wish you the very best!Warmest regards,-Gregory A Buford MD FACS PCEOBoard Certified Plastic Surgeon and Published Author

I strongly recommend that you try the breast implant sizes on in your plastic surgeon's office.  150 cc is a very small implant and even in a petite woman is unlikely to make most patients happy with the result.  Good luck.

Hello there 

Selection of implant size and shape is a complex process and takes up much of your first consultation . You are petite and 150cc is a smaller size and should get the conservative increase in size that you requested , but your surgeon is in the best position to decide this as he/she has examined you and spoken with you .

The final breast shape is a combination of your shape and a contribution from the implant . Generally the implant has more influence when you are petite and the implant is large . Anatomical implants tend to look a bit more natural and round implants look more round . Higher projection round implants in particular look more round , but it may be you have a narrow breast diameter or a breast shape that will suit this implant . In any event an implant of 150cc size is unlikely to look dramatically round even in a slim lass like your self .

If you are in doubt return for further discussion with your surgeon or get a second opinion .

All the best 

Terrence Scamp 

Breast implants are manufactured in different profiles. The highest profile as the shortest diameter relative to the volume. In my opinion, they can sometimes look somewhat globular relative to the other profiles. I would emphasize that this is only personal opinion.

Hello and thanks for your post. You have raised some important concerns about how breast implant size and shape can affect the outcome in terms of cup and appearance. In actually, any implant regardless of shape can make someone look "fake" under certain circumstances. The most likely scenario is when the breast implant is MUCH larger than what the patient can actually accept. The bigger the volume, the more fake you will look. An HP breast implant increases projection and may enhance the fake look on certain patients. I have not seen a 150 cc breast implant look fake in my 12 years. On the other hand, without seeing you and examining you myself, I cannot give you a recommendation. The best thing to do is to discuss your concerns with your PS. Best wishes, Dr. Aldo.

A high profile only looks fake if it is placed over the muscle or too wide for a given base diameter.   In order to make an accurate size recommendation, I would need to assess your chest wall and breast mound measurements and characteristics.  Unfortunately, there is not a general rule of thumb or objective criteria to implant selection.

Your plastic surgeon will perform several measurements of your chest wall and breast anatomy and determine a range of implants that both fit your chest wall and reach your desired goals.
The next step is to try on this range of implants in the office with your doctor.   The key to this success is showing your surgeon the body proportion you desire with a bra sizer and allowing your surgeon to guide you to the right implant.   It will be much easier to communicate in implant cc's than cup size when determining the appropriate implant for you.
I wish you a safe recovery and fantastic result.
Dr. Gill

When you have very little breast tissue as is the case when your a AA, your breast will take on the shape of the implant.  This means your breasts will appear round.  Another option is the Natrelle 410 anatomic form-stable gel implants.  It is difficult to provide specific recommendations without photos, measurements and an examination.

Even at 5' 1" the HP in such a small volume as the 150cc is rather narrow and round. Our guess is that a moderate profile implant in a larger volume will give a better match to the skin envelope and give a more natural breast. But augmentation is art and science, so opinions will vary. Make sure your surgeon knows what your 'B' is to look like.

Thank you for this great question. There are criteria that should be followed when choosing breast implants. With regard to the profile of the implant, an important consideration is the laxity of the skin envelope. One way to assess this is to measure the distance from the nipple to the inframammary fold under no stretch versus under maximal stretch. If this difference is great (i.e. the skin is very lax), then a high profile implant may be appropriate to fill out the skin envelope and give a nice shape. If this difference is short (i.e. the skin is tight), then a high profile implant will give a very unnatural shape and look. Best of luck.