Is 450cc HP Too Big? (photo)

Question

I'm 5'8" , 120lbs and wear a size 34AA bra after breastfeeding. I am trying to decide between (after PS recommendations) a 450 HP 12.4 or 371 MP 12.9 silicone under. I want to be a full C...not really anything larger. I'm very torn between which implant would be best. I love my PS - he has been great...but I guess I just want someone to say...this will probably make you a big B vs this one will make you a big D. Can I please get other expert opinion on expected result for someone my size? Thanks

Gerald Minniti, MD, FACS · Answer

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!

Kenneth Hughes, MD · Answer

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.

George H. Landis, MD · Answer

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.

Vincent N. Zubowicz, MD · Answer

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.

Tom J. Pousti, MD · Answer

As you can imagine, despite your good description of body type and goals, it is not possible to give you precise  advice online.  The best online advice I can give to ladies ( in regards to best breast implant size/profile) who are considering revisionary breast augmentation surgery 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're 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. I have found that the use of words such as “ natural”  or “full C 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.   
	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.
	 I hope this (and the attached link) help.

Is 450cc HP Too Big? (photo)

Answers (9)

Answer: Implant size is determined by the patient's wishes.

Answer: Implant size is determined by the patient's wishes.

Answer: Best Breast Implant Size/Profile for Me?

Answer: Best Breast Implant Size/Profile for Me?

Recommended reading

Everything you need to know about Breast Implants

Our mission is to create a world where every investment in modern beauty is Worth It.

Is 450cc HP Too Big? (photo)

Answers (9)

Answer: Implant size is determined by the patient's wishes.

Answer: Implant size is determined by the patient's wishes.

Answer: Best Breast Implant Size/Profile for Me?

Answer: Best Breast Implant Size/Profile for Me?

Browse related questions

Recommended reading

Everything you need to know about Breast Implants

Our mission is to create a world where every investment in modern beauty is Worth It.