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

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

Thank you for the question and pictures.

Although I cannot give you precise advice without direct examination and a full communication of your goals, I can provide some general advice that may be helpful to you:

 
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 if 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 “natural”  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.


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 helps.