300 cc or 325 cc hp mentor? (photo)

Breast Size, Implants and Tuberous Breast CorrectionThere is not enough information provided to make the best assessment, please provide more details. What size bra do you wear and what are your breast measurements? How large do you want to be? You also have a tuberous breast shape that needs correcting.

It can be very confusing when three different
surgeons give you three different opinions. Unfortunately, it's quite
common because plastic surgery is just as much a form of art as it is a form of
science.

particularly when placed under the muscle, but
because we size with actual implants, to me it is the best teaching tool.

It is not uncommon in my own practice for
patient to bring a friend or family member and a variety of different blouses
and spend a good deal of time looking at the implants well before surgery.

So here's some basic thinking that may be of
help As a general rule when my patients size their implants I like them to look
at themselves with the actual implants in place in a testing bra.
This is not a perfect teaching tool because implants can lose some projection to
you:

When you look at implants on your frame don't
just think about the size of the breast, but think about how it balances with
the width of your shoulders as well as your hips. If an implant as to
wide it will make you look top heavy, if an implant is too narrow it will look
like a torpedo. In my own practice I try to focus on this relationship, and to
me the width of the implant is almost more important than the volume itself.

Once you find the width of the implant that
gives a nice overall balance with the hips then you can change the cup size by
going high, moderate or low profile.

If you're agonizing between two sizes I
generally recommend you go slightly larger, because it is very rare to hear
patients say," I wish I had gone smaller".

Sometimes a patient who needs a breast
lift is encouraged to go with a larger implant to to try and avoid the lift. I
think that this is a mistake. I personally feel that it's better to get
the size breast you want and let the lift happen if it's necessary.

Lastly, as a slender person it is
always harder to have a more natural result. Patients with less
breast tissue do not provide as much camouflage to help hide the implant.
I always prefer a submuscular implant because it adds one more layer of
tissue to help hide the implant from the outside world. In very slender
patients I prefer silicone gel implants because they tend to look more natural
as well. Even though you are slender, pick an implant that is wide enough to
fill the chest appropriately. If you go too narrow, it can sometimes
looked even less natural, smaller is not always more natural looking.

I hope these things that I've said are making
sense, I hope I've been able to add some clarification in sizing for you.
Best of luck with your upcoming surgery.

You are right that 25cc is not much of a difference.  There are two ways to look at this.  You can just go with the slightly larger implants because it's only about a 5 teaspoon difference or you could go with the smaller size because you can always wear a push up bra to make your breasts fuller for that particular occasion.  Under the muscle is a good decision.  Both are good sizes and not a large enough difference to lose sleep over because you will be happy either way!  Good luck! ac

Based upon the posted photo you have a pseudo ptosis thus a larger implant is needed in my over the internet opinion. Why not split the difference between 300 and 450 to 375 cc...

Hi,Thanks for your question and photos.  In general most patients find it takes about 30-50 cc to notice the difference in size between breast implants.  I believe it is most important to consider the shape and projection of your breast on the chest wall.  This is best determined with a consultation to consider multiple factors on exam.Based on your photos it seems as though there is some sublte difference between the shape of your breasts that may be best controlled with an implant of the appropriate width.  Your breast appears a bit narrow and they have a tendency fall slightly away from midline which is natural.  In these cases I have found that a high profile implant can accentuate the outward angle of the breast too much.  I would suggest that a moderate to moderate plus profile implant would be a nice choice for you.Again, an in person consult with an established plastic surgeon can help you make an informed decision.

That 25cc won't make a difference!In breast augmentation I have chosen to spend time reviewing
photographs with patients to fully understand their expectation of size and
shape. Many times this simply raises
more questions. I will make measurements
and use the implant guides to allow the patient to understand exactly the sizes
that are reasonable for their body type and measurements.



Please find an experienced Board Certified Plastic Surgeon
and member of the Aesthetic Society using the Smart Beauty Guide. These Plastic Surgeons can guide you on all
aspects of facial surgery, breast augmentation and body procedures including
tummy tucks or mommy makeovers!

The 325 cc will work very well,.....but if you were my patient, I would use a moderate profile instead of a high profile implant. Your breasts a bit narrow and you would benefit by a little additional width. The moderate profile are wider than the high profile at any given volume. 

Keep in mind that the difference of 25 cc of breast implant volume may not even be noticeable clinically. Generally speaking, the best online advice I can give to ladies who are considering breast augmentation surgery (regarding breast implant size/profile selection) is:1. Concentrate on choosing your plastic surgeon carefully.  Concentrate on appropriate training, certification, and the ability of the plastic surgeon to achieve the results you're looking for. Ask to see lots of examples of his/her work.2. Have a full discussion and communication regarding your desired goals  with your plastic surgeon. This communication will be critical in determining  breast implant size/type/profile will most likely help achieve your goals. In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. I have found that the use of words such as   “natural”  or “C or D cup”  etc means different things to different people and therefore prove unhelpful. Also, as you know, cup size varies depending on him who makes the bra; therefore, discussing desired cup  size may also be inaccurate. The use of computer imaging may be helpful during this communication process.3.  Once you feel you have communicated your goals clearly,  allow your plastic surgeon to use his/her years of experience/judgment to choose the breast implant size/profile that will best meet your goals.  Again, in my practice, this decision is usually made during surgery.I hope this (and the attached link) help. Best wishes with your upcoming surgery. 

Thank you for your question.  It is very important to follow your own instincts when choosing breast implant size.  450 cc is quite large and if you felt they were too large you definitely should not have them.  As a general rule if there is an option between300-325 cc most patients prefer the larger of the 2 sizes.  Specifically ask your surgeon about the fact that you have breast ptosis.  A biplanar breast augmentation may work just fine for you but be sure to ask your surgeon how he will address the slight amount of ptosis or sagging that you have.