Is 450 Cc Too Large - Will They End Up Droopy and Weird if I Go High Profile Silicone? (photo)

Question

Hi - Am planning for implants and am starting to wonder if 450 are too large and will look fake or droopy. I also do a lot of sports so am not sure if they will drive me insane. Was thinking high profile silicone under the muscle but not sure if moderate plus would be better. Any thoughts based on the photo would be so appreciated. Height 5'7" Weight 135 Age 35

Martin Jugenburg, MD · Answer

450 implants weigh about 450g.  Get a ziplock bag and fill it with rice worth 450g.  put one bag into each bra cup.  Now jump around.  See how it feels.  If you really are a very physically active person this is certainly a factor you want to consider.  The other thing to consider is that higher profile = more fake look.

The best thing is to see a board certified plastic surgeon and try different implant sizes.  Discuss your goals with your surgeon and make sure you understand the reasoning why he/she will recommend a certain size and shape of breast implants.

In general, for a natural look, you want an implant that is about as wide as your existing breast.  Going too big will give you un-natural bubbles, while going too small will just look like small lumps on your chest.

Once you chose the right 'base diameter', you can adjust the volume by adjusting the projection.  An ultra-high profile implant will have most volume for a given implant width, but that will give you very fake looking protruding breasts.

Once again, the best thing is to go in and try out different implants.  Some surgeons offer 3D software that predicts what you would look like after the surgery but always remember it's just  a computer guessing at what you might look like, its not a 100% reliable prediction of your outcomes.  In our practice we have used these programs and stopped using them because the feedback we got from patients.

Sincerely,

Martin Jugenburg, MD, FRCSC

Toronto Cosmetic Surgery Institute

Ali Sajjadian, MD, FACS · Answer

Hello,

	
	Sizing for implants before undergoing breast augmentation is a little tricky when you confine yourself to the "cup-size" method especially that bras of same cup size differ and there is not a constant rubric to follow.

	
	Therefore, the best bet is to try on different sizes during your consultation with your surgeon. Wearing a tight shirts is important as it helps showing a fair approximation of how your breasts size will look like after surgery.

	Taking into consideration your active lifestyle, trying out different sizes (especially the 450cc) will be sufficient for you to make a decision in terms of weight how the implants will feel on you while being active.

	
	That being said, please remember that commendable results require an exceptionally skilled surgeon to perform the surgery and settling for anything less than that increases the chances of additional corrective surgeries dramatically.

	 

	I hope this helps and please feel free to check the website below. 
	Thank you for your inquiry.
	The best of luck to you. 

	Dr. Sajjadian

Ryan Neinstein, MD, FRCSC · Answer

I dont think the weight makes a difference because women with large implants never complain of them being heavy, I would suggest a smaller implant above the muscle for a quick recovery and less interference with your muscle especially since you are active

Richard H. Tholen, MD, FACS · Answer

You have very pretty breasts with a natural teardrop shape, and submuscular silicone gel implants will give you a fabulous result because you look that way now. But high profile implants will look high, round, and with an unnaturally-wide cleavage ("Baywatch coconuts"), especially if you go slightly smaller than 450cc.

Based on your photograph alone, 450cc may be a bit on the big side of "best choice," especially since you are active in sports, but I would reserve that recommendation until an in-person examination was possible, and would even base my final decision on the actual skin and muscle tone found at the time of surgery.

Regardless of the final implant volume chosen in accordance with your pre-operative photographic goals, sizing with implants in a bra and stretchy top, and discussion with you, I would choose the widest, lowest-profile implants possible to give you the most natural look, normal (not wide) cleavage, and "fit" to your pocket base diameter. I suspect that will be moderate or perhaps moderate plus implants, but NOT high profile!

Lots of plastic surgeons seem to prefer HP implants for the upper pole fullness they provide, but the increased projection and narrower base give an unnaturally-projecting, round, and wide-cleavage look (with LESS upper pole fullness--HP implants are shorter vertically the same way they are narrower horizontally, since they are round!) that to me is decidedly "fake" looking. If that is what you prefer, then OK, go for it! But if you want soft, natural, and aesthetically-beautiful breasts that mirror your pre-operative breasts (only larger), then follow my recommendations above. Best wishes! Dr. Tholen

Gary M. Horndeski, MD · Answer

Silicone gel implants appear more natural on thin people.  I also recommend under the muscle placement.  However, you may not be able to accommodate a large implant of 450 cc.  Attempts to put too large of an implant will result in the implant dislocating inferiorly and laterally with loss of projection.  You may be better off with a smaller implant higher and perhaps a mastopexy (Mini Ultimate Breast Lift) at the same time.  You are active with sports and the added weight of a large implant may be a problem.

	Best Wishes,

	Gary Horndeski, M.D.

J. Jason Wendel, MD, FACS · Answer

Getting sized for breast implants is much more involved than it seems at first thought. It requires a full consultation with detailed questions to see exactly what your goals are, short and long term. It also requires precise measurements of your current breast dimensions, the dimensions of your chest wall, as well as preoperative photography, standard or 3D imaging.

	To see what the best options are for you, see two or more board-certified plastic surgeons in your area for a full and complete evaluation to make sure you are a good candidate and that it is safe for you to have surgery.  I hope this helps.

Vishnu Rumalla, MD · Answer

Thanks for your question. Without exact measurments of you breast width it is hard to advise with certainty. In my practice I would advise you that that is too big given that you you sound like you are going for a leaner, fit look that suits your lifestyle. Please see your surgeon again to discuss.

Ronald Levine, MD · Answer

450cc on your body type probably won't look over done if the treatment is performed correctly. However, you might want to consider moderate plus rather than high profile for a more natural looking change.Larger implants tend to sag at a faster rate. If you are particularly concerned about that over the long run, and are physically active, you may want to go with a smaller implant.

Jacob Freiman, MD, FACS · Answer

It is impossible to tell what would look good without a discussion and examination. I would suggest bringing in some "wish pictures" since this gives the best idea of what you think is attractive. I have patient who would be happy going from an A to a B and others that want to go from an A to a DD. It must be individualized to the patient.

C. Bob Basu, MD, MPH, FACS · Answer

I consider two factors when selecting implants for my patients:

	1.Dimensional planning
	2.Gel Implant Sizing system

	Dimensional planning – The measurements of your chest wall are taken. Also, the breast dimensions including the height, width, and current dimensions of each breast form the basis of dimensional planning. Based on these measurements, the implant size is recommended. This will give you a unique breast implant that is suited for your body frame. However, there are some limitations of what size we can recommend. For instance, some implants may just be too big for a narrow chest wall. Your surgeon can review this with you during the consultation.

	Gel Implant Sizing system – During the preliminary breast implant consultation, you will be provided with an option to “try on” a variety of implant shapes and sizes. You can also visualize the possible outcomes of your surgery which helps you to get that perfect size to give you the shape that you longed for. This way your preferences are known and you can then pick a range of implants that will “fit” just right to give a soft natural fuller look.  If you have decided on saline implants, then based on the gel sizer you select, we can guide you to the saline implant that achieves a similar look.
	Hope this helps.
	Dr. Basu
	Houston, TX

Is 450 Cc Too Large - Will They End Up Droopy and Weird if I Go High Profile Silicone? (photo)

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