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
Is 450 Cc Too Large - Will They End Up Droopy and Weird if I Go High Profile Silicone? (photo)
Doctor Answers 17
High profile is NOT recommended! 450cc is on the high side, but could be just fine at 5'7" tall!
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
How to choose breast implant size? - make it fit your existing breasts and lifestyle
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.
Martin Jugenburg, MD, FRCSC
Toronto Cosmetic Surgery Institute
Best Breast Implants For Me?
Thank you for the question and picture.
Although I think this is an excellent forum for patients to receive general advice regarding plastic surgical procedures, for more specific advice pertaining to your situation you will be best off communicating with your chosen plastic surgeon.
I suggest that you choose your plastic surgeon based on appropriate training, certification, and (most importantly) the ability to demonstrate significant numbers of “results” that appear to be aesthetically pleasing to you. Ask to see lots of examples of his/her work ( preferably in person).
You will find that you will be bombarded with information online; this information will be probably conflicting and/or confusing.
Communication with your plastic surgeon will be key to achieving the results you are looking for. Unfortunately, the use of words such as “fake or natural” means different things to different people. .
Also, as you know, cup size varies depending on who makes the bra; therefore, discussing desired cup size may also be inaccurate.
In my practice I use goal pictures to communicate with patients. With this technique patients are able to demonstrate what they are trying to achieve and what type of looks they do not like as well. I also use intraoperative sizers and place the patient in the upright position to evaluate breast size. Use of these sizers also allow me to select the breast implant profile (low, moderate, moderate plus, high-profile) that would most likely achieve the patient's goals. The patient's goal pictures are hanging on the wall, and allow for direct comparison. I have found that this system is very helpful in improving the chances of achieving the patient's goals as consistently as possible.
By the way, the most common regret after this operation, is “I wish I was bigger”.
I hope this helps.
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Consider your ultimate goals
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.
Best Breast Implant Size
Thank you for your question and photograph. From your photograph you appear to have very naturally shaped normal appearing breasts. You should be able to achieve your desired shape and size with breast augmentation.
I concur with Dr. Pousti that your decision about the size of breast implants is best made after consulting with and choosing your plastic surgeon who will perform your operation.
There are many options available to help you make this important decision. If you visit the Mentor and Allergan breast implant manufacturer's websites you can see before and after pictures of patients who have had various sizes of breast implants placed and try to find ones with your pre surgery breast size. In addition Mentor makes a breast sizing system which allows for the placement of various sized properly shaped implants into your bra to give you an idea of what different sized breast implants will look like on you. In addition if you check the link to the article at the end of this answer it describes a home test called the Rice test which you can do privately in your own home.
You state that you are concerned that 450 may be too big and that you are very active in sports. It is always important to trust your instincts and generally speaking women who are very active in sports are often more more comfortable with implants below the 400 to 450cc range.
Most importantly consult a plastic surgeons who are certified by the American Board of Plastic Surgery, experienced in cosmetic breast surgery, and to have an excellent reputation in your local community.
Best of luck to you.
I consider two factors when selecting implants for my patients:
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.
Implant Selection Process
In order to make an accurate size recommendation, I would need to assess your chest wall and breast mound measurements and characteristics. Unfortunately, there is not a general rule of thumb or objective criteria to implant selection.
Your plastic surgeon will perform several measurements of your chest wall and breast anatomy and determine a range of implants that both fit your chest wall and reach your desired goals.
The next step is to try on this range of implants in the office with your doctor. The key to this success is showing your surgeon the body proportion you desire with a bra sizer and allowing your surgeon to guide you to the right implant. It will be much easier to communicate in implant cc's than cup size when determining the appropriate implant for you.
I wish you a safe recovery and fantastic result.
Picking your implant size
There are several variables in determining implant size. When recommending implant size for my patients, I consider the followings: 1) patients' anatomy (height, weight, chest width, chest height, amount of breast tissue) and 2) patients' desired look/goal. Without knowing your chest measurement and breast tissue amount, I cannot give you any recommendation. You should visit with board-certified plastic surgeon who will examine you. Try implant sizers to get a rough estimate of the size you may want. As you know, bra/cup size will vary depending on the brand. Good luck with you.
Dr. Sugene Kim
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.