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

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

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

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