Will 450cc gel HP be safe for my frame? I'm 5'7", 130lbs, and my breast width is 12.75R and 13L left. (photo)

Question

Hoping to achieve a small D. No kids. I tried on sizers and I like the look of 450 but I'm a bit worried the implant will be too tight for my frame or that will look too fake.Thank youuu!! Attaching some pics of me and some results that I would like.

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. You are a great candidate
for a breast augmentation.  The size, profile, and shape of the
implant is based on your desired breast size/shape, your chest wall
measurements, and soft tissue quality.  This decision should
be based on a detailed discussion with equal input from both you
and your surgeon.  This entire surgery
can be performed with a small incision technique.  Make sure you
specifically look at before and after pictures of real patients who have
had this surgery performed by your surgeon and evaluate their results.   The most important aspect is to find a
surgeon you are comfortable with. I recommend that you seek consultation with a
qualified board-certified plastic surgeon who can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D. FACS
Harvard-trained plastic surgeon

Larry Weinstein, MD · Answer

I have been using low, moderate and high profile breast implants for 20 years. The high profiles work out very well for the right candidates. Your request photos are in line with the selected high profile implants. You have tried the implants on, and they tend to be smaller looking when inserted for your breast augmentation. Good luck....

Daniel Barrett, MD · Answer

Dear Daliamac,
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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Keith Hodge, MD · Answer

Although the 450 cc implants may fit your frame, the wish pictures you posted show women with smaller breasts. None of those women have 450 cc breasts. However, if you liked the way you looked with the sizers, you should be pleased with your post-op appearance. Good luck!

Reza Momeni, MD, FACS · Answer

You appear to have very good anatomy for breast augmentation, Cup sizes are not standard across bra makers, and implant sizing is NOT based on height, weight, BMI, or desired cup size.  This is something you will need to do IN PERSON with an experienced surgeon to determine what works well for you, and to get advice about if what you like is possible and what to expect with regards to results.  Be sure to discuss your goals and concerns with your board certified plastic surgeon and consider the pros and the cons. Be certain your surgeon is properly certified.  I've attached a link where you can start your search.

Deborah Ekstrom, MD · Answer

You are pushing the limits of what your body can fit.  The ideal in a moderate plus profile would be 350 cc.  If your skin is tight and you go bigger than there is room for you risk having a tight bridge of skin between the breasts lifting up between your breasts, which I call "bridging". You can get more in with a high profile implant which has a smaller "footprint"  and more out front, but there is even more risk of a tight skin band between your breasts which shows at the cleavage and is impossible to fix.You need to decide how much risk you want to take for creating a secondary deformity that can't be fixed, but be sure you don't blame your surgeon or feel "botched" if you decide to do the high profile 450 cc and your skin isn't stretchy enough to get the result you are looking for.

Steven Wallach, MD · Answer

Choosing the right implant will depend upon your physical exam and your goals of surgery.............

David Rosenstein, MD · Answer

Hi,Based on your pre-op photos and pictures of breasts shape and size you like I would not go with a 450HP. I think a moderate plus profile implant will give you a more natural result in the 350-375 range. Best wishes!

Tom J. Pousti, MD · Answer

Thank you for the question.  Based on your photographs, I think that you are starting at a good place and should have a very nice outcome with breast augmentation surgery. I also think that your goal photograph is realistic understanding of course that goal photographs are communication tools not guarantees of exact outcome.

Ultimately, careful selection of plastic surgeon and careful communication of your goals (in my practice I prefer the use of goal pictures, direct examination/communication in front of a full-length mirror, in bra sizers, and computer imaging) as well as careful measurements (dimensional planning) will be critical.
 
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 are 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 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. For example, 
I have found that the use of words such as “natural or fake look” or "small D cup” etc means different things to different people and therefore prove unhelpful.
Also, as you know, cup size varies depending on him who makes the bra; therefore, discussing desired cup size may also be inaccurate. Again, the use of computer imaging has been very helpful during the communication process, in our practice.

Achieving  realistic expectations is an important part of the preoperative "process";  this involves very careful communication between patient and plastic surgeon when it comes to what the patient wishes to achieve and what is ACTUALLY achievable.  In my opinion, this is often best communicated with the help of visual aids such as photographs (for example previous patients). Best to communicate your goals with your plastic surgeon, preferably in front of a full-length mirror; after doing so, he/she will be able to discuss realistic expectation concerns with you.

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, after the use of temporary intraoperative sizers.

I hope this helps. Best wishes.

Vincent P. Marin, MD, FACS · Answer

There is no way to reliably pick which implant is right based upon your measurements alone and implant "CCs." Many things, such as skin quality, breast width, skin elasticity, existing breast tissue, chest wall shape, and implant size and implant fill, contribute to your ultimate "look" after augmentation. 
No physician can predict what each implant will do on your body until they are "sized in surgery." However, cup size is traditionally a very inaccurate measurement scale (you likely wear different cup sizes in different manufacturers now). 
The best way to achieve the look you want after augmentation is first consultation with a board-certified plastic surgeon and adequate communication with your surgeon. This is accomplished through the consult, exam, measurements, anatomic assessment, and then in-office sizing. We also encourage patients to bring in photos of the "look" they are trying to achieve. Once all of this has been accomplished, the patient needs to trust their physician to make the "best choice" of likely imperfect options. Then, you will get your "version" of your ideal outcome.

Will 450cc gel HP be safe for my frame? I'm 5'7", 130lbs, and my breast width is 12.75R and 13L left. (photo)

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