Small Frame with Silicone High Profile 275cc, 280cc, 300cc?

Question

I am 4'11 95lbs and currently a 30AA/small padded 32A. I want to be a C but do not want to go any large in fears of making me looking shorter and heavier. I have searched many before and after pictures and the ranges of size used on these patients are throwing me off. I have seen the flat A to C from anywear from 239-325. I understand in person consultations are best, but please let me know if this helps.

Kenneth Hughes, MD · Answer

For an average sized woman, 200 cc may be one cup size. For a smaller woman, this is probably closer to 150 cc per cup size. Thus, two cup sizes would be 300 cc. So you are probably in the right range. Trying sizers in the office is probably the best approach. Find a plastic surgeon who performs hundreds of breast augmentations each year. Then look at the plastic surgeon's website before and after photo galleries to get a sense of who can deliver the results. Kenneth Hughes, MD Los Angeles, CA

Ronald Schuster, MD · Answer

I think 250-325 is the right ballpark for what you are seeking. The exact profile might be either moderate plus or high, depending upon your dimensions and goals. Discuss your goals with your surgeon. Often, sizers will be used at the time of surgery which helps with the final determination. Go for it.

Richard H. Tholen, MD, FACS · Answer

As other have stated, personal examination is critical, as each of us may make our measurements of your breast anatomy slightly differently, but have made our surgical decision-making in line with out own particular way of assessing things. Experience plays a role here, as ABPS-certified plastic surgeons who have years of experience doing well over 100 breast augmentations per year have a high degree of expertise, and will usually have a better track record than even a well-trained colleague who only does a few dozen breast augmentations a year.

	One thing that has only been obliquely addressed in some of the answers is the choice of profile. Smaller implants in the size range you are considering will have a narrow, high projection (as others have said, 15cc = one tablespoon, an undetectable difference--so let's just assume 300cc implants are the "perfect" size for you).

	Mentor smooth round silicone 300cc implants (HIGH PROFILE) have a diameter of 11.1cm, which is pretty narrow. Allergan Natrelle smooth round silicone 300cc HIGH PROFILE implants are even narrower (10.9cm). Slightly smaller implants will be narrower still!  If you have a wider breast base dimension than is appropriate for these implants, you will have an unnaturally wide and unattractive cleavage and a "fake" Baywatch coconut look; perhaps moderate plus profile implants may be a better choice.

	You are petite, however, so this may indeed be the profile for you. The point I am trying to make is that you do not choose size and profile based on surgeon's "preference" or "habit" or even that you might have "heard" that HP  implants look this way or that--you should choose desired size first, and if that fits your anatomy, then profile is selected to "fit" your breast base dimension so you don't end up with wide gaping "Grand Canyon" cleavage!

	This is, of course, why you should select ABPS-certified plastic surgeons who do lots of breast surgery! For more information, click on the web reference link below for my Comprehensive Guide to Breast Augmentation. Best wishes! Dr. Tholen

Steve Laverson, MD, FACS · Answer

Your question reflects "size anxiety" that is unjustified by your situation. You will have an excellent result if you find a good surgeon. Your body will not look heavy because of your skin situation and nulligravid status with a low breast surface to volume ratio. Breast implant dimensions are more important than volume. Based on your photos and expressed desire, you will be pleased with a mid range or high profile implant that matches your pre-existing breast base width. It's a matter of personal taste which you prefer. A mid-range profile will look very nice and natural, sexy in swimsuit or snugly fitting tops. A high profile will get more attention, and present a more obviously augmented look on your very delicate frame.

Sacha Obaid, MD · Answer

You need to try all of these sizes on in a bra in your surgeons office before you pick. I would not go off pictures of other patients because differences in height, weight, chest circumference, etc will make the same breast implant size look very different on two different women. Good luck.

Jed H. Horowitz, MD, FACS · Answer

please see my previous posts

	for a  30 or 32 bra,  very little volume is needed to change from an a to c    you should most likely be in the low 200 range.. ,  remember  15 cc is a tablespoon ,,  not very much as you increase from one size to the next..   check the diameters of the implants compared to your breast

Kris M. Reddy, MD, FACS · Answer

Breast Implant Size is a combination of subjective and objective criteria.There is not a direct correlation between the cc's of a breast implant and the corresponding cup size, as cup size is an inexact measurement that varies considerably among companies and even within the same company. Online consultants will not be able to guide you as well as surgeons who perform in person consultation.The size of the implants are based on a combination of a patient's goals and objectives and her anatomy. In order to provide a natural looking augmentation, the surgeon needs to evaluate many factors including soft tissue coverage, skin laxity, chest wall width, breast imprint width, the shape of the breasts and relative level of constriction to ensure that the breast implants are appropriate for your body.Consult in person with 3 experienced and expert board certified plastic surgeons to understand your options.

Paul Gill, MD · Answer

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

Richard J. Brown, MD · Answer

In my opinion sizing a patient for imlants can be simplified. Sizing is not about a number. In fact, I do not even discuss numbers with my patients. If a patient walks through the door and says they want x-cc implants I have to educate them about how sizing works. The best analogy I can relate this to is buying shoes. When you go to buy shoes how do you do that? First you start with the size your foot is right? So if your foot is a 6.5 you try on all kinds of 6.5 size shoes. Some may be tall, some might be flat, and some might be somewhere in between. You would never try to buy a size 8 shoe because it would be too big for your foot right? Breast sizing is the exact same way. Implants come in several different profiles that are like different heights of shoes. Implants can be low profile, moderate profile, or high profile. There are even implants that are higher than high. That would be your high platform shoe. Each implant style give you a different look. Now, your breast has a defined width that we call the base diameter of the breast. This would be analogous to the show size. Your breast base diameter never changes. It is what it is. So now, you can choose several different style of implants that fit the number of your breast base diameter. That really narrows down what implant is best for you. So once you know your breast base diameter you can try the low, moderate, high or really high implants on. The only think you have to decide is which look you are going for. You would never put an implant that is 13 centimeters wide in a patient whose base diameter is 10 centimeters. Half the implant would be in the armpit. So, this is very simple to me. My patients get a few choices that fit their breast and that is it. I will not put an implant in a patient that is too wide for their body because it will harm them over time. Hope this helps.

Yvelise Bello Paredes, MD · Answer

Hello, to achieve the size c cup you want the implants that be placed are 350 cc super high-profile. Of course it will depend on your breast condition. It is necessary to evaluate you in person to see if it is possible

Small Frame with Silicone High Profile 275cc, 280cc, 300cc?

Answers (20)

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