I Am 5'2 and 103 Lbs, Will 400cc High Profile Saline Implants Achieve the Look I Want? (photo)

Since you have a 32 chest, each 100 cc of implant will be 1 cup size change.  A 400 cc implant will take you up 4 cup sizes.  Unfortunately, you did not give us your cup size and the photograph does not tell me your exact size.  The photographs of the size you desire are quite large, DD's or possibly greater.  The problem you may have is that you may not be able to accommodate a 400 cc implant behind the muscle.  Also, if you are thin you may be better off with silicone gel implants which feel and look more natural.  Without photographs, it is impossible to tell but you may benefit from a lift.  A small implant placed high on the chest wall gives the illusion of a larger breast which is more desirable and more stable long term.  From the photographs shown, one of the women already have descent of her breasts and this will continue because of the large weight of the implant.

Best Wishes,

Gary Horndeski, M.D.

Thank you for your question.

Getting sized for breast implants is much more involved than it seems at first thought. It requires a full consultation with detailed questions to see exactly what your goals are, short and long term. It also requires precise measurements of your current breast dimensions, the dimensions of your chest wall, as well as preoperative photography, standard or 3D imaging.

To see what the best options are for you, see two or more board-certified plastic surgeons in your area for a full and complete evaluation to make sure you are a good candidate and that it is safe for you to have surgery.  I hope this helps.

One of the things I tell my patients most often is that the biggest factor in the way your breasts will look after breast implants is how they look before your breast implants.  You can, in fact, put the same sized implants in two different women and they will look completely different.  The "full" round look that you want can be achieved by the size range you are considering but it depends alot on your height, weight, and the amount of breast tissue that you are starting out with.  Generally, there is a range of sizes that "fit" a particular woman and as long as you stay within this range, you will be fine.  Your surgeon will discuss this with you and come up with a plan for the size that will look the best for you.

When asking for a certain look we can give you general recommendations but ultimately you need to speak to an experienced plastic surgeon.  The surgeon will measure your chest/breast dimensions, assess your skin thickness and elasticity and breast asymmetry.  Then, after a discussion with you and after reviewing your pictures he/she will be better able to make a recommendation on what you need.

The pictures of 'desired look' that you have posted show three different things.  First picture shows very round implants (likely above the muscle) that are too wide for her chest and thus they stick out on the sides.  Second picture is difficult to assess as she may be wearing a pushup style bra that distorts the shape.  The third pictures shows a woman with the most natural look of the three as her implants sit a little lower on her chest and have a more natural droopy shape.  The take off is smoother and her implants may be under her muscles.  The implants also look smaller and have a lower profile than the first picture.  Thus you're showing a very different 'looks' and you should discuss with your surgeon what you like about each of those pictures.

 

 

The best thing is to see a board certified plastic surgeon and try different implant sizes.  Discuss your goals with your surgeon and make sure you understand the reasoning why he/she will recommend a certain size and shape of breast implants.

In general, for a natural look, you want an implant that is about as wide as your existing breast.  Going too big will give you un-natural bubbles, while going too small will just look like small lumps on your chest.

Once you chose the right 'base diameter', you can adjust the volume by adjusting the projection.  An ultra-high profile implant will have most volume for a given implant width, but that will give you very fake looking protruding breasts.

Once again, the best thing is to go in and try out different implants.  Some surgeons offer 3D software that predicts what you would look like after the surgery but always remember it's just  a computer guessing at what you might look like, its not a 100% reliable prediction of your outcomes.  In our practice we have used these programs and stopped using them because the feedback we got from patients.

 

Sincerely,

Martin Jugenburg, MD, FRCSC

Toronto Cosmetic Surgery Institute

It is very difficult to say without a physical exam.  There are many more dimensions that would be measured during an exam and there is also implant sizing available by many surgeons to help guide your decision.  It is best to follow up with a Board Certified Plastic Surgeon.  Best wishes.For more information, please go to my website at:WirthPlasticSurgery.com