400, 425, 450cc - Silicone Implants? 5'8, 155, Curvy, Atheltic Build

Question

Hello I am 5'8, 155 with a Curvy, but Athletic build. I carry my weight in my lower body, I have broad shoulder, long legs, full hips and bottom. I want the fullness I had in my breast before having two kids, and because I'm having surgey, maybe a little extra :,). I am a professional in a conservative work environment and have two small children, but I appreciate feminity and feeling sexy... Struggling with choosing the right size. Currently a 36 B/C. Appreciate doctor or community feedback.

Earl Stephenson, Jr., MD, DDS, MBA · Answer

Thank you for your photograph.  You need to consult with a BC PS to get a more accurate determination of size.  Size can be determined by your chest width.  In my experience a woman of your height an implant in the 400's would be appropriate

	Dr. ES

Gary M. Horndeski, MD · Answer

You are focusing on implant size when your bigger problem is your breasts have descended.  A simultaneous lift is essential.  There is a new technique called Breast Augmentation with Mini Ultimate Breast Lift.  Using only a circumareola incision it is possible to reshape the breast tissue to create upper pole fullness, elevate them higher on the chest wall and more medial to increase cleavage.  Through the same incision, an implant can be placed.  Aligning the areola, breast tissue and implant over the bony prominence of the chest wall will give maximum anterior projection with a minimal size implant.  Smaller implants are more stable long term and look and feel more natural.  At size 36 each 200 cc's of implant corresponds to 1 cup size change.  From this, you can calculate the implant required to achieve your desired goal.

	Best Wishes,

	Gary Horndeski, M.D.

James E. Murphy, MD, FACS · Answer

Pictures are a great tool when deciding what size implant you would like. There are website where you can plug in your height and weight and current cup size. Then you can chose implants in various sizes on women with you similar physique. This will give you an idea of sizing. Remember to keep your goals in mind, such as cleavage, upper pole fullness etc. Discuss this with your surgeon. Together you will be able to make the decision together.

James N. Romanelli, MD, FACS · Answer

Congratulations on being fit after having 2 children! From your photo and dimensions I think you can probably carry any of the 3 sizes you mention. When I size patients in the office we use sizers and really emphasize the balance between breasts and hips. It is really helpful to look in a full-length mirror, holding the sizers to your chest and turning side to side to see what is most pleasing. I am also a fan of 3D imaging as one more tool to help you visualize a result. But if I could only use one way of sizing, I would use the sizers held up to the chest. Good luck!

Kenneth Hughes, MD · Answer

There is not a great deal of visual difference in 50 cc. I would recommend trying on sizers in the office and then add 50 cc to the volume you like to account for the submuscular placement. Find a plastic surgeon with ELITE credentials 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

400, 425, 450cc - Silicone Implants? 5'8, 155, Curvy, Atheltic Build

Answers (9)