Should I get 300cc or 350cc Mentor rounded, smooth, behind the muscle implants with my lift? (photos)

Thanks for your question and the photos. It appears that you are a good candidate for a lift. The benefit of an implant will be more fullness at the top of the breast and of course larger size. If you are looking at the same style of implant then a 350 would be wider than a 300.  I would recommend that you try on implant sizers with your PS. I focus on diameter of the implant so that the outer curve of  the breast balances with the curve of the hip. Too wide can look top heavy, too narrow can look torpedo like.Once we hone in on the width, the patients can choose how much projection they want, by choosing a low, moderate or high profile implant in that width.I have included a link below that I hope will help you with sizing as well.Best wishes.

A breast augmentation and a breast lift work hand and hand to enhance the overall shape and size of a woman’s breasts. These procedures are ideal for increasing the size of the breasts while restoring balance and youthfulness to a woman’s bust.
The augmentation lift can help eliminate the sagging skin and excess fat causing your breasts to develop a droopy look. It will give your breasts an uplifted appearance and a more desirable sloping shape.If you have not tried on a profile bra with Mentor 300 and 350 cc sizers under a tailored blouse, tight sweater, swimsuit, workout clothes, tank tops, and other garments you typically wear, request that you have another consultation do you can verify that you have the best idea of whether the garments fit as desired with the implant selected.   I would recommend that you go with the size that boosts your self-esteem, and fits your anatomy.

The more important question for you to be asking is what type of lift you should get.  The technique I recommend is The Bellesoma Method.  This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage.  Vertical scars are avoided, nipple sensation and the ability to breast feed are maintained.  At the same time or later, fat transfers can be performed if additional volume is desired.  Implants are not lifetime devices.  Fat transfers are permanent and incorporated into the body.Best Wishes,Gary Horndeski, M.D.

Dear Gorgeous6856,
Breast implant type and sizing selection is a complicated process and requires a detailed consultation that includes a discussion of your goals, a detailed examination, and a lengthy discussion. But the decision will always start and end with the patient. When it comes to sizing, we have all of our patients find 3 photos of their desired breast size. We ask for naked breast photos because clothing can obscure the true size (push up bras). Next, we consult with patients and go over the photos and take detailed breast measurements during a physical exam. Next, we using a sizing algorithm to determine a range of implants that will work based on the exam and the measurements.Lastly, during the operation, we use silicone sizers in the operating room to see how the size actually looks in the breast. We sit the patient up in the operating room, while asleep of course, and compare the sizer result with their desired look photos. If it is too small, we start the process over with a slightly larger implant. We don't stop until we get the perfect match.Of all of my breast augmentation patients, every one of them has been happy with their size due to this detailed and meticulous process. You don't want to invest time and money into a result that is either too big or too small.You should discuss your concerns with a board-certified plastic surgeon and make sure that your surgeon understands your goals.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Congratulations on your weight loss!  From the appearance of your photos I would definitely recommend a lift, and smooth round implants will likely be your best option to help restore some of the fullness to the upper pole of your breasts.  This can be done in a way that is very natural.  The size of your implant should be based upon in-person discussions with your board-certified Plastic Surgeon, so that you feel comfortable with the volume that you are choosing to have added to your breasts.  Best of luck to you!

Hello!There is not a huge difference between 300 and 350cc implants. Is the difference in volume related to width or fullness of the implant? A fuller implant will recruit loose skin better if there is more projection. You should size the implant with your surgeon. We typically try on implants in a bra with our patients. There are also virtual computer imaging simulations that some offices use. You should be comfortable with your choice and understand the likely outcome.Also, it looks as if your breasts have deflated with the weight loss. It looks like you might benefit from a breastlift. This topic should be discussed with your plastic surgeon as well - the pros/cons of undergoing or not undergoing a lift with the augmentation. Best of luck! Be sure you see a board certified plastic surgeon. You can find one at plasticsurgery.org.

Hello and thank you for your question.  Congratulations on your weight loss.  The best advice you can receive is from an in-person consultation.   A breast lift with an implant can result in a very nice shape if good technique is used.  The size, profile, and shape of the implant is based on your desired breast size/shape, your chest wall measurements, and soft tissue quality.  This decision should be based on a detailed discussion with equal input from both you and your surgeon.   Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and evaluate their results. 

Best wishes and good luck.


Richard G. Reish, M.D.  FACS

Harvard-trained plastic surgeon
 

What supports your breast is your own tissue which is stretched and saggy. Going smaller will be less weight and may hold up better. You could go with the size in between, the 325 cc implants. An internal bra might be helpful for you as well.

Thank you for the question.   
It is definitely worth spending more time (prior to the date of surgery) with your plastic surgeon to discuss further.  Show your plastic surgeon what you wish to achieve using as many visual aids as possible.   This additional communication will go a  long way when it comes to helping alleviate your anxiety prior to proceeding.
 Some general thoughts regarding this combination procedure may be helpful to you:
 Generally speaking, patients undergoing the breast augmentation/lifting combination operation should understand that it is significantly more complex than breast augmentation surgery only and that it is associated with a significantly higher risk of complications and need for additional surgery. 
Also, patients undergoing the combination breast augmentation/lifting surgery should understand that there are limits as to how large of an outcome can be achieved, given that breast lifting surgery does involve breast skin removal. On the one hand, breast augmentation surgery is expanding the breast skin “envelope” while breast lifting is (by definition) tightening up the breast skin envelope. These 2 forces are counteracting each other. 
Therefore, it becomes important to remove the appropriate amount of breast skin and to use the appropriate size/profile of breast implants to balance these 2 forces appropriately and to allow for achievement of the patient's goals while minimizing risks of complications. 
In my practice, "tailor tacking" is an important part of the mastopexy and mastopexy/augmentation procedure. It involves TEMPORARY  closure of the skin (for example with temporary skin staples)  to double check the amount of skin that is to be excised during the procedure. This maneuver is done to ensure that enough skin, but not too much, is removed. On the one hand, it is important that enough skin be removed to achieve the aesthetic breast lifting results the patient is looking for; on the other hand, is important not to move too much skin creating tension upon closure and potential wide scars.
 
Also, generally speaking, the best online advice I can give to ladies who are considering breast augmentation/lifting 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 are looking for. Ask to see lots of examples of his/her work. 
2. Again, have a full discussion and communication regarding your desired goals with your plastic surgeon. This communication will be critical in determining which operation and/or 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 breasts” 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 who makes the bra; therefore, discussing desired cup size may also be inaccurate. The use of computer imaging may be very helpful during this communication phase.
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. The use of temporary intraoperative sizers with the patient in the upright position makes selection of the best breast implant size/profile relatively easy.
Best wishes.

Thank you for your questions and pictures! Because it is very common after breast augmentation for patients to want to go back to the OR for a bigger size, I usually recommend patients between two sizes to pick the larger size. Especially considering that 50 cc is not a very noticeable difference (only about a 5th of a cup size). Sizing is a very personal decision though, if you are unsure you could see if you can go back to the office before the surgery and try on sizers with a nurse or medical assistant to make sure you are getting the size you want. Either 300 or 350 cc implants, I think you will be happy! As always, choose a board certified plastic surgeon who you feel comfortable with, good luck!