Will 250cc Silicone Moderate Plus Implants Be Too Big?

I don't think you will be too big.  250cc moderate plus, under the muscle might not get you to a C cup however.  "Natural" is not only dependent on the size but also on making a preper pocket for the implant.  I suggest you bring pictures of your desired results to your PS to make sure you areboth on the same page.

Though it is not possible to determine this without an examination, the information you have provided is very helpfull. A 250 cc implant is fairly conservative and with a base width of 11.0 cm, I would expect an increase from a 34A to a conservative 34C, for someone of your height and weight. That said, I never know exactly what size is best until the implant is placed at surgery. However, it is very infrequent that I use implants smaller than 250 cc and most of my patients  are looking for a natural result. You should discuss your goals and concerns with your surgeon. Good luck.

At size 34 A each 100 cc’s of implant corresponds to 1 cup size change.  To go to a size C would require 200 cc implants.  I always recommend silicone gel implants placed retro-pectoral since they look and feel more natural, are less likely to ripple and are more stable long term.  In the retro-pectoral position, the profile of the implant is irrelevant since the muscle compresses it.  Unfortunately, you have not provided any photographs but you may also benefit from a simultaneous Mini Ultimate Breast Lift.  This technique only uses a circumareola incision to place the implant, reshape your breast tissue creating upper pole fullness, elevate them higher on the chest wall and more medial to increase your cleavage.  Aligning the areola, breast tissue and implant over the bony prominence of the chest wall gives maximum anterior projection with a minimal size implant.  Breast Augmentation with Mini Ultimate Breast Lift will give you the natural look with the smallest implant possible and least amount of scarring. 

 

Best Wishes,

Gary Horndeski, M.D.

    The average volume for a breast augmentation is 350 cc in the US.  250 cc is well below that volume and would be considered a conservative augmentation at best. 

 

 

Kenneth Hughes, MD Los Angeles, CA

Thank
you for the question. As I stress with my patients, the choice of implant
size and type would best be done through an in-person examination. There
are a lot of factors that can affect your choice like the desired end result,
breast tissue, body measurements, and the like. Bra sizes can be better
determined once all of these information have been gathered. It would
always be best to visit your board-certified plastic surgeon and get a full
evaluation for your concerns. Best of luck, Dr. Michael Omidi.

An
in-person exam with a board-certified plastic surgeon is the best way to assess
your needs and provide true medical advice.

I do not think 250cc will be too big.  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

You can size at home with a cup of rice in a knee high nylon stocking and put that into your unpadded bra.. is that good enough?  If not, you have to consider going larger.  And as for naturalness, there is nothing natural about implants but the proponents of shaped implants are sure pushing hard that their results look more natural down the road.  I'm not convinced myself as we had considerable experience with the shaped saline implants and those were not better then the smooth round implants.

Hard to definitively say without photos but judging from your specs, I would say 250ccs should be about right. Staying in the moderate plus profile will keep it more natural plus placement under the muscle.

Did you try in implants with the doctor? If not, you may want to ask to do so. Best of luck. 

How did you arrive at your conclusion?  Imaging software?  There is no way to directly answer your question without examining you.  I might suggest that you utilize the Mentor sizing system. You can slip various sizers into a bra and see what you look like in clothes.  It might help you get a sense of what a 250 cc implant might look like.  Best wishes

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!