Wanting a full result, would 415cc, HP, be good size implants for me, or shall I go with 450cc? (Photos)

Question

I am wanting a full result that isn't 'fake looking' or 'stuck on'. Currently a B/C. I am thinking high profile to hopefully help project my nipples upwards slightly as I am not wanting a lift yet. Would 415 cc HP be a good decision? Or shall I go for 450? I have had all my measurements taken and these were given as size options.

Daniel Barrett, MD · Answer

Dear Newme1806,
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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Donovan Rosas, MD · Answer

Choosing an implant size/style is an important decision which is best made in concert with your surgeon. Ultimately, options are based on a number of factors including:
-Chest dimensions: This point is crucial as the width of your breasts defines the available "real estate" on which the foundation of your augmentation is built. This "foot print" is the absolute limit with which you are dealing.  Too "large" is not so much the risk as too "wide." You cannot build a 3 acre mansion on a half acre plot. An implant which is too wide (exceeding the available space on your chest) will generally over hang laterally making it more noticeable and occasionally contributing to discomfort and nerve symptoms (numbness or tingling). This will also contribute to a more unnatural look.
-Tissue quality: This relates to size in the sense that the implant will be suspended by your tissue. Too large an implant may place took large a stress on these suspending tissues leading to healing problems in the short term and bottoming out in the long term.
-Patient desire (what is the look you are hoping to achieve?)
My role as a surgeon is to manage expectations and guide you towards a prudent choice which can satisfy these reasonable goals. Often times, a surgeon can guide a patient toward a size/cc range and patients will make determinations on implant style/profile. Patient seeking more or less projection, or seeking a more pronounced or subtle upper pole volume increase can be guided toward an implant which will help them best achieve their goals. Additionally, technique variations (sub muscular vs. sub glandular) can also aid in obtaining the look you desire.  
There are a number of tools available to help guide patient/surgeon decision making including sizers, 3D imaging and goal photos. Each modality can help better communicate your goals to your surgeon and vice versa.
Ultimately, it is important to not marry oneself to a particular "cc" as oppose to a particular "look." 
With regards to your specific question, I would not struggle over small variations in size. A 50 ml differential is slightly more than a shot glass. This is unlikely to make or break a result.
Communication is key as you and your surgeon create your custom surgical plan. 
As always, discuss your concerns with a board certified plastic surgeon.

Carlos Marciales, MD · Answer

Helo, thanks for asking, I think for your frame and for help you with the nipples, not doing a breast lift you will need 450 cc

Camille Cash, MD · Answer

It's difficult to recommend one implant over the other without examining you and discussing your goals.  You do appear to be a good candidate for breast augmentation.  You do have some asymmetry which will still be present after augmentation if not addressed during surgery.  I encourage you to visit with your surgeon to discuss your concerns.  Many have sample implants you can "try on" to give you an idea of how you may look after surgery.

John L. Burns Jr., MD · Answer

I'd suggest 3D breast implant imaging so you can view both options.  The technology allows you to control for both implant volume and profile.

Wanting a full result, would 415cc, HP, be good size implants for me, or shall I go with 450cc? (Photos)

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Answer: Implant selection

Answer: Implant selection

Answer: Breast augmentation

Answer: Breast augmentation

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Everything you need to know about Breast Implants

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Wanting a full result, would 415cc, HP, be good size implants for me, or shall I go with 450cc? (Photos)

Answers (9)

Answer: Implant selection

Answer: Implant selection

Answer: Breast augmentation

Answer: Breast augmentation

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Recommended reading

Everything you need to know about Breast Implants

Our mission is to create a world where every investment in modern beauty is Worth It.