450cc High Profile Recommended For A 5'8 140LB Athletic Frame with AA Cup To Be A D Cup? (photo)

I think that 400 cc implants should be about right for a D cup and is what I would recommend.  However, be aware that cup size is often subjective and different surgeons may recommend different sizes.  Look at their photos and ask what size implants were used in the patients whose photos you like.

Thank you for the question.
Assuming you have chosen your plastic surgeon carefully, the next step would be  to communicate your goals  carefully 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 “projection” or "D” 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.


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 helps.

Hello,

It is definitely not recommended that you get 450 cc HP implants. Of course, a true face to face physical exam should be performed.  However, based on your stated measurements and your photo, I can tell you that at the very least, you will have visible rippling due to the size and profile of the implant causing severe stretching of your already thin tissues.  Although I am less certain, implant malposition and/or double bubble deformity of the lower pole might occur too.

The problem is a misconception on your part, fostered by other women and 'cosmetic surgeons', that you can pick any size you want, like your decision to go from an A to a D. Unfortunately, making such a size change is unreasonable, and likely to cause problems that will lead to re-operation and regret.

Choice of implant should not be made by the patient.  A patient may have, and should express her goals, but they should only be factored into implant selection after determining the ideal implant size based on anatomic measurements made during the consultation.  A thorough understanding that nationally there is a 25% risk of complications leading to reaoperation in 3 years, almost entirely due to improper implant selection, is critical before allowing the patient to make her implant request.  Choosing the appropriate implant size will decrease the risk of complications and re-operation to 2.5%.

I recommend you have a consultation with Dr. Grant Fairbanks in Salt Lake City. He will discuss with you these things in more detail, allowing you to make more informed decisions.

Best of luck!