Would 465cc smooth round HP xtra be too big for me? 32aa, 5'3, 117lbs (Photo)

Question

I don't care too much about the projection, i care more about the front view (no wide gap in middle cleavage & to fill out upper pole)

Brian K. Reedy, MD · Answer

Thanks for your question! I can't give you an exact answer without knowing your dimensions, seeing you in person, etc. You do have a wider gap than the patient photos you shared. That being said, you will still get improvement with an implant and an UHP will give you deeper cleavage than other projections. I might suggest a full profile rather than an ultra full, but that's a guess without seeing you. Best of luck!

Randal Haworth, MD, FACS · Answer

Determining the appropriate implant size for breast augmentation is a highly individualized decision that depends on multiple factors, including your body shape, breast tissue, and aesthetic goals. It is important to have a consultation with a board-certified plastic surgeon to determine the best implant size for you.

Based on your height, weight, and breast size, 465cc implants may be considered relatively large. However, the final result also depends on the base diameter of the implant and how it will fit your chest wall. Your surgeon will consider this along with your desired outcome to recommend the best implant size for you.

Keep in mind that the larger the implant, the more weight will be added to your chest, which may affect your comfort level and physical activity. It is also important to understand that breast implants are not lifetime devices and will eventually require replacement.

In summary, the decision to choose a specific implant size should be based on a comprehensive evaluation by a board-certified plastic surgeon who can recommend the best option for your individual needs and goals.

I hope this helps,
best of luck !

William Andrade, MD · Answer

Hello, 465cc implants are large, and oversized implants can increase the risk of rippling, palpable implants, chronic numbness or pain, sagging, etc.  It is important to ensure the implant choice matches your breast anatomy (base width, skin tone, tissue thickness, etc). Your surgeon will be the best source of advice regarding the pros/cons of this implant consideration, as they will know your anatomy and can advise about the risks and advantages.

Daniel Barrett, MD · Answer

Dear user88888,
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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Michal Brichacek, MD · Answer

The Crisalix simulation can give you an idea of size, but no simulation is completely accurate. On the simulation, the breasts tend to look further apart than they will actually be following surgery.

In terms of sizing, breast implants are not one size fits all. Some patients may desire a smaller size, where as others want something larger. 465 HP Xtra is not unreasonable, but it is on the larger end of the spectrum.

Ted Eisenberg, DO, FACOS, FAACS · Answer

After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size and style breast implants, and they choose what looks right for them. They also get to see what they would look like when the breasts have fully dropped and fluffed and in clothes. You get to see actual results and the surgeon's experience and not a virtual idea of what can be achieved. Women tell me that this process is very helpful in determining what size and style breast implant is right for them. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Ram Kalus, MD, FACS · Answer

As you undoubtedly know, a precise treatment plan or specific implant recommendation can only be determined with a careful examination and detailed discussion with your plastic surgeon. Volume (300 versus 400), is far less significant than implant width and projection. Implant width is similar to shoe size. The implant literally needs to fit into your breast and chest. The 465HP Extra may well “fit” your breast, but the volume and projection are what will determine the “look” you want, similar to the style or type of shoe you would select. Whether or not that is “too big” for you is subjective and therefore needs to be explored with your plastic surgeon using photos that you can review together.

It is true that for a given volume a high profile implant will have a narrower diameter, and it is also true that a person such as you with a petite frame will require a narrower diameter implant than a patient with a broader chest or larger frame.  Other considerations such as saline versus silicone are also important, as are "round" versus "anatomical" or "form stable" or "shaped", smooth surface versus textured, and softer versus firmer with the different levels of gel cohesivity.

The term “natural” can mean different things to different people and the profile of the implant does not necessarily determine that. You can certainly achieve a “natural” appearing result with a high profile implant if properly selected, but as a rule, the larger the implant and the higher the profile, and certainly if the implant is positioned too high, the greater the chances you will look “augmented” because of exaggerated upper pole fullness or convexity.

In my practice, besides a thorough interview process and physical examination with careful measurements, we use on lay sizers within an unpadded bra to help you understand what you are likely to look like in a bra, bathing suit, or T-shirt with a given size implant. In addition, and this is critical, we ask all of our patients to provide us with photos of their desired final look, with images of women’s breasts that most closely resemble the look they are trying to achieve. This serves as a visual guide that thankfully rarely leads us astray. The most common reason for patient disappointment after breast augmentation is size-too big or not big enough. This algorithm which we have been employing for over thirty years has proven to be very successful.

Because all of these factors can leave you quite confused, it is crucial that you select an experienced board certified plastic surgeon whose aesthetics align with your own, and with whom you feel comfortable. Don't be reluctant to seek a second or even third opinion if necessary to be sure and feel confident about moving forward with scheduling surgery. Expressing your desired cup size is notoriously inaccurate, and final breast size is the most common reason for patient disappointment after breast augmentation, either too big or not big enough.

Take your time, do your research. Best of luck to you.

Connie Hiers, MD, FACS · Answer

Yes, 465 cc will be too large and heavy for your frame and tissue. If you choose an implant that large, you will probably sag with time. Please choose something that fits your frame and tissue. Your surgeon can help guide you to the perfect size.

Camille Cash, MD · Answer

From the photos it appears you have a wider gap than the sample photos you provided.  The implants you mentioned are going to give quite a bit of projection and will increase you multiple cup sizes.  To say this is too big or too small for you really depends on your measurements and your goals for surgery. I encourage you to visit with a board certified plastic surgeon near you to discuss your goals for surgery and learn more about your options.  I've included a video on implant selection that I hope you find helpful

Kenneth R. Francis, MD, FACS · Answer

Dear user,
Although your skin does appear tight and your chest width narrow, your plastic surgeon has taken measurements and gone through the exercise of 3D imaging with you to determine a good size breast implant for your goals.  I personally don't believe that 3D imaging provides an accurate prediction of results. (maybe as reflected in your surgeon's statement that the gap on the 3D "will not be there").  At any rate, 465cc is a large implant, so be ready for it!  Good luck!

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