Will a 175/200 Cc Silicone High Profile Implant Look Good on Me? (photo)

I agree with the other docs, this is conervative which is great but I would suggest getting some photos online of breasts you like to show your surgeon

Dimensional planning may be performed by your surgeon, based on a variety of measurements such as breast width, your height, weight and etc. This would give you a better idea of which would be more suitable for you.

From your pictures, the size you have chosen will work but seems a little conservative. When you consult with your PS, ask to try on sizers. This will help you select the right size implant. I would go with silicone as you are very thin. Don't worry about the profile, this is something you should discuss with the PS. Either way I think you will be happy with your look.

Dear Lauren,

Thank you for your questions and posting picture. Based on your description, you have a narrow chestwall and don't need an overly wide breast implants. However, it seems that you are going with a smaller implants overall which will have a narrower base width. For this reason I will not recommend the high-profile implant.  Additionally, you should consider the TUBA procedure which is ideal for patients undergoing small volume augmentation obviating the need for any visible scars.

You are tall (5'7") and slim (115 lbs.) with B-cup breast volume of your own. I agree with your request for a modest implant size to increase your breasts by one cup size, but disagree with your surgeon's recommendation for high profile implants, as well as recommended size in the 175-200cc range.

I would estimate that your breast base dimension is at least 13-14cm in diameter (or more accurately, your planned submuscular implant pocket dimension). 175-200cc high profile silicone gel implants have a diameter of 9.3-9.7cm, nearly two inches narrower than what I would anticipate your base dimension to be. This would lead to a cleavage gap between your breasts of almost 4 inches! Even a push-up bra cannot overcome that wide of a intermammary distance! In short, too-narrow (high profile) implants would look silly, and I also believe they would fall short of adding the requested full cup size.

Though the exact implant volume roughly equivalent to one cup size varies among plastic surgeons who make this estimation, I believe that for a woman with your tall petite anatomy, it will take about 225-250cc per side to add one cup size to the breast volume you presently have. Fortunately, implants in this size range are also slightly wider, though even moderate profile silicone implants are 11.7-12.2cm wide, much more suited to your breast base dimension to give you an appropriate narrower cleavage without the wide, flat cleavage look!

If you want higher, rounder, wide-cleavage "Baywatch coconut" breasts that are a bit smaller than your stated goal, then go with the 175cc high profile implants. I believe these will look unnatural, and obviously augmented (poorly, IMHO).

If you prefer a softer, more natural look that gives you a nice C-cup, you should ask your surgeon to use 250cc moderate profile silicone gel implants. Trust me, you won't be "too big," and your cleavage area will be much more narrow and attractive-looking nude, or in a bra or swim top!

For numerous examples of my patients with accurate implant volumes stated with their before and after photographs (along with their stated pre- and post- cup sizes), click on the web reference link below. Best wishes! Dr. Tholen

         High profile implants can be utilized in patients with a smaller chest wall width to give adequate volume without being noticeable laterally, or at the sides of your chest wall.  However, with an implant volume that small (175 to 200) the implant width difference is minimal. 

           I would say that the average implant placed in the US is 350 ml with higher volumes in select places.  The implant you are considering is about half of that size.  I suspect that you will want something larger to meet your goal judging from your picture. 

             Also, consider that if you do not fill a B cup now but want a full C cup you will need more like 300 ml or so to achieve your goal. Your chest wall width looks to be about 11 cm, and a high profile Mentor 300 ml silicone smooth round implant would fit your dimensions. 

             However, these are just estimates, and I am sure that you and your doctor will arrive at what is right for you.  Also, consider that any implant placed under the muscle reduces the apparent size by about 50 ml or so.

           

 

Good luck with your procedure.

 This is a good question and the most important decision you will make prior to your breast surgery.  You have a great figure and a long torso so implant size is even more important to make you look proportionate. I would bring photos of breasts that you find attractive and discuss this with your plastic surgeon. You want a surgeon who understands what you are really trying to achieve and then you have to trust them to make the final decision in the operating room.  Without examining you in person, I would suggest a moderate profile silicone implant in the 215-250cc range.  Good luck.

At first glance and without an exam I would say you are conservative but the final result is really created in the operating room. Rather than focusing on the type of implant profile or the number of cc's or bra cup size (with is inaccurate and manufacturer dependent), I would recommend you communicate very clearly your expectations and desires. Your plastic surgeon will decide with you on the profile of the implant based on the breast width, your body shape, skin elasticity and thickness and native breast tissue present. Based on the limited information you have given your results are achievable. In my practice I usually explain the implant types, profile and rationale for using different implants/ profiles. I also use the a special sizing system pre-op and have patients try them inside a bra so they can get a sense of their look. I never tell them what size I have picked until they show me the "look" they REALLY desire by trying on the sizing system in our office. Then we sit down and evaluate "the look" they have chosen and see if it matches what I have chosen by measurements and physical exam.  It does make it both fun and is a healthier partnership between patients and the PS.  Speak with your plastic surgeon. Good luck on your surgery!

Your plastic surgeon will do his best to get you the result that you desire.  Picking implant sizes can be a daunting challenge for the patient but an experienced plastic surgeon should be your most valuable tool.  For every choice there is a pro and con. This is an operation that you want to do once, do right and not have to do it over again.  All of the implants that you have selected are in the objective range for your body shape.  It becomes a matter of preference at this point as to the size.  50 cc difference will not make an incredible difference one way or the other.

Thanks very much for your question.  I would recommend thinking about size of your breast augmentation in terms of your breast width.  In other words, you surgeon may be correct and based on the width of your breast a high profile implant might be the best fit.  But it might not if the implant width and your chest width don't match up.  It's like shopping for shoes.  Your foot can only fit into certain sizes of shoes.  If they are too big or too small your foot won't fit in the shoe as well as if the person selling you the shoes brings you the right sizes to choose from.  Hope this helps