Would 400 CC Moderate Plus Silicone Implants Look Normal on 5'2" Woman?

In my estimation high profile implants often look artificial even in the absence of capsular contracture. I think you should consider the smooth walled gel implants in a sub glandular position. Discuss this with your surgeon.

You are an excellent candidate for a new technique called Implant Exchange with Mini Ultimate Breast Lift.  Using only a circumareola incision it is possible to exchange your implants, 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 the maximum anterior projection with a minimal size implant.  Smaller implants look and feel more natural, are less likely to ripple and are more stable long term.  400 cc’s is not a significant difference from 325 cc’s and will not generate a normal look, however this new technique will.

 

Best Wishes,

 

Gary Horndeski, M.D.

Thank you for the question on picture.  Unfortunately, online consultants will not be able to provide you with specific enough advice to be helpful.

Generally speaking, the best online advice I can give to ladies who are considering  breast augmentation  revisionary 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.








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.





For example, it will be important for you to communicate your goals regarding achieving improved cleavage ( decreased space between the breasts). Some patients  with this goal benefit from capsulorraphy ( internal suture repair of breast implant pockets.  This is especially true if their breast implants “fall to the sides" in the upright or supine position. The use of these internal sutures along with selection of appropriate size/profile breast implants will both help achieve these patients' goals. 

I hope this (and the attached link) help.