Is 450cc HP Too Big? (photo)

Hello,

All the other nice surgeons were either giving you a cut and paste answer or just dancing around your question telling you how to size a patient for an implant. The fact of the matter is that you have posted a photo of yourself showing your breast shape and size, and you are asking very specifically would a 450HP or a 371MP be ok.

Although a physical exam would confirm this, I will venture to say that you are unequivocally NOT a good candidate for either implant, as they are both too projecting and wide. The one parameter that is the crucial limiting factor for large implants in you is your short distance between your nipple and your inframammary fold.  Those implants will either rest way too high above your nipples, or your surgeon will give you a double bubble trying to get them to sit low enough on your chest wall so that they will be properly aligned with your nipples.  If you love your PS, then ask him to 'dimensionally size' you to determine the maximum size implant that your anatomy will tolerate without complications.  You will have to accept the fact that you can't always get what you want in the world of breast augmentation.

Aside from your specific question about those implants, no one can tell you what size bra size you will be with any given implant for two reasons:  it is very unpredictable how a given implant will affect a change in your breast size and shape, and bra sizes are non-standardized and very variable.  I have seen two women of similar breast size get similar implants and end up with very different bra sizes.

I hope this has been helpful to you and that you heed my advice.

Best of luck!

   Any patient with a small chest wall width who wants a large increase in size will need high profile implants.  In general, 450 ml will probably increase your cup size by 2 cup sizes.

The determination of breast implant size begins with what you want.  However, it is important to realize that compromises are often necessary.  These decisions are based on the quality of your skin and tissues, the amount of available skin, and your own genetically determined skin elasticity.  The best advice is to go to an experienced and reputable board-certified plastic surgeon who can take you through the implant site selection process.  This involves a clear discussion of expectations and wishes as well as a realistic decision based on your own tissue characteristics.

Somehow, by pictures or trial implants or video imaging, you and your plastic surgeon should connect on the appearance you want.  The size and projection will be determined from that.

This is always a difficult decision for some. In my opinion, the best thing to do is have a thorough sizing session. I provide my patients with a range of about 3-4 implants that are appropriate for their specific measurements. I then have them try these implants on in a special sizing bra. With this process, my patients have been able to choose their own implants. I have found this to be the best method for implant sizing. Be sure to see a board certified PS in your area. They should be willing to spend the time with you doing this. Best of luck!