435cc high profile Silicone Implants Under Muscle will it be too big for me?

Unfortunately, you have not told us your bra size. If you are a 32 or 34 each 100 cc’s of implant corresponds to 1 cup size change. If you are a 36 or 38 each 200 cc’s of implant corresponds to 1 cup size change. From this, you can compute the volume required to achieve your desired goal. However, it is highly unlikely that 435 cc implants will fit retro-pectoral, will extrude inferiorly and laterally requiring revision. The best implants are small silicone gel placed retro-pectoral since they look and feel more natural, are more stable, less likely to ripple or have complications needing revision. Implant profile is irrelevant in the retro-pectoral position since the muscle compresses it. You need to consider more appropriate size implants.

Best Wishes,

Gary Horndeski, M.D.

What
implant size should I chose is a very commonly asked question and of course
very important. In general, size is best
be determined during an in person consultation.
The factors included in this determination can be chest size, amount of
breast tissue initially present, skin elasticity, and of course, a patient’s
expectations.I
will say that in general, one year post op, when women are asked if they like
their size, do they wish they went larger or smaller, more than 50% of women
will wish they went bigger. Just keep
this in mind.

There is no way to really answer this question with the info provided. Can you post a picture and your breast width measurement, if possible? What kind a of a look are you looking for? Can you post some pics of the look you are going for? I will say that that size is rather large for what you are describing.Best,

At 47kg, 162cm, A cup size, adding a 435cc can make you a C, a D, or a DD cup size. First, the same exact implant will always look different on different people, depending on the size of their chest, existing breast size and composition, the size and strength of their pec muscles (if you are going under the muscle). Second, each bra company measures their bras differently, so you may end up a C with one company and D with another.There is a tremendous amount of information out there for patients to read, and it seems like it is little overwhelming and confusing for most. Most patients get stuck focusing on implant measurements, or profiles. Some look up pictures on the internet for guidance on what size and type they should get.Ultimately, there comes a point where you have to trust your plastic surgeon. Make sure that you had a good and detailed discussion of what you want, that you reviewed pictures showing the size and appearance of breasts that you want. Once you have done your part, all you can do is trust your surgeon to deliver on those results.Focusing on cc's, width, projection, over or under the muscle, cup sizes will only make you more anxious.Visit your plastic surgeon for another consultation, try on various implants, have them measure you to tell you what cup size you will be (in our office we have a Victoria Secret-trained bra fitting expert) and after that trust your surgeon.

Without seeing you in person it is difficult to say what volume implant is right for you. Remember though, volume of implants do not approximate cup size exactly.

Thank you for the question. Despite good intentions, online consultants will not be able to provide you with meaningful specific advice. Ultimately, in person consultation with well experienced board-certified plastic surgeons will be necessary. Careful measurements, dimensional planning, and careful communication will be key.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 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” 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.Regardless of what you might hear, there is no reliable correlation between volume of breast implant used and increase in breast size (or cup size) achieved.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, helps.

Hello. Thank you for your inquiry. It is important to have an in-person assessment regarding your concerns as it is difficult to determine virtually.

Exact end results and cup sizes are usually quite difficult to calculate as everyone has a different starting point.

There are many different factors that go into choosing a breast implant size which will correspond with your body dimensions while concurrently achieving your aesthetic results. Some of these factors are: Implant size (CC's), Implant profile (Low, Moderate, High), Placement of the implant (Subglandular vs. Dual Plane) etc. We utilize smooth round cohesive silicone gel 'gummy bear' implants for the best results.

During a consultation your aesthetic goals are heard and taken into account with the measurements of your breasts and the integrity of your tissue, as well as level of ptosis (sag). From here we collectively can find your 'perfect fit'. You are able to try out sizers and different implants in our office such that you can get an idea of what size you would be post-operation. We also offer Crisalix 3D plastic surgery virtual simulator during our in-person and virtual consultations to preview potential results. After your consultation, you will receive your very own implant sizers to take home with you (at a small cost) whether or not you decide to go forward with your procedure.

I usually recommend that my patients stop smoking, take vitamin C daily, and avoid aspirin/ibuprofen and vitamin E 3 weeks prior to surgery. I specialize in the 24-hour Recovery method which minimizes trauma to the breast and decreases pain post-operatively.

We encourage you to look at our website and Instagram (drkaraplasticsurgery) for lots of before and after pictures!
Please note that this response does not substitute patient-doctor relationship. We welcome any and all patients seeking advice to come in for a complimentary consultation available for limited time only.

During the COVID-19, we are offering complimentary online consultations as well as in-office consultation with social distancing and masks. Procedure done in-hospital private surgical facility while taking covid-19 precautions. We utilize UV-light to clean the air of viruses and bacteria during our consultations and surgery.

We invite you to come in to discuss your options more thoroughly. Please send us an email at info@drkaraplasticsurgery.com with the subject line: "Attention Meagan" and we will be happy to coordinate your appointment!

M.Kara,MD,FRCSC (27+ years experience) - Specializing in 24 hour recovery/ out to dinner breast augmentation in-hospital private surgical facility for your added safety and peace of mind
Hello. Thank you for your inquiry and congratulations on your surgery! It is important to have an in-person medical assessment regarding this issue as it is difficult to determine virtually. Continue to update your doctor in the matter and follow their post-op protocol.

Please note that this response does not substitute patient-doctor relationship. We welcome any and all patients seeking advice to come in for a complimentary consultation available for limited time only.

During the COVID-19, we are offering complimentary online consultations as well as in-office consultation with social distancing and masks. Procedure done in-hospital private surgical facility while taking covid-19 precautions. We utilize UV-light to clean the air of viruses and bacteria during our consultations and surgery. We invite you to come in to discuss your options more thoroughly. Please send us an email at info@drkaraplasticsurgery.com with the subject line: "Attention Meagan" and we will be happy to coordinate your appointment!

M.Kara,MD,FRCSC (27+ years experience) - Specializing in 24 hour recovery/ out to dinner breast augmentation in-hospital private surgical facility for your added safety and peace of mind