I'm 5'5 100lbsis 300cc Too Big? I'm a 32 AA. (photo)

A cup size of bra is considered approximately 200 cc's in an implant.  This is an estimation.  Therefore a 300 cc implant may add 1 1/2 cup sizes.  You are probably an exception to this rule because you are a petite individual.  I do agree with your doctor and would highly recommend silicone, high profile to fit your small diameter of breast.  You cannot judge by bra size but a 300 or 350 cc HP may give you a C cup, since you are so small around the chest (30).  I agree with submuscular placement.  I discourage the use of saline in a small framed person as you.  The implants will more than likely, simulate a ballish look and be firm.  This will give you more of a "fake" look, which most women to not wish to have.  SInce you are so small framed, even with silicone, you may be able to feel the edges of the implant but much less likely with silicone.  I agree with the recommendations of your doctor. 

Good Luck!

 

Ok...so there is not correct answer.  Here are my recommendations.  You are very small chested but without you exact measurements it is difficult to say what size will work.  Just by look a 300 seems reasonable.  I am not a big fan of high profile implants but its a matter of taste.  No one can tell you what size you will be for sure because you may get one bra to say C and another to say D.  Generally very small chests like 30 will have a ridiculous size when you buy a bra so dont put too much emphasis on the Bra size.  Pay more attention to how you look....natural. 

I ask patients to bring picture of Before and Afters they like and use lots of sizers to get my patients the size they want.  Finally I am not a fan of Saline for a number of reasons but that again is a matter of taste. 

Hope that helps and good luck

Dr R

There are different ways to establish the preferred volume for breast augmentation. Based on the photograph I think that a 300 mL implant would be suitable choice. You need to take time to figure out precisely what size you want to be

At size 32 each 100 cc's of implant corresponds to 1 cup size change.  A 300 cc implant will take you up 3 cup sizes to a C or possibly a D.  However, from your photographs your breasts appear too low.  If you implants are centered under your areola they will extrude underneath the pectoralis major muscle and you will need revisions.  I recommend a new technique called Breast Augmentation with Mini Ultimate Breast Lift.  Using only a circumareola incision it is possible to place the implant, reshape your breast tissue to increase upper pole fullness and elevate your breast higher and more medial to increase your cleavage.  Aligning the areola, breast tisuse and implant over the bony prominence of the chest wall will achieve maximum anterior projection with a minimal size implant.  The profile of the implant is irrelevant when placed subpectorally because the muscle will compress it.  I believe if you place a 300 cc implant through an inframammary incision your implants will bottom out and you will need a revision in a short period of time.

Best Wishes,

Gary Horndeski, M.D.

    300 cc in a high profile implant will not be too large.  Silicone implants would create less rippling.  Kenneth Hughes, MD Los Angeles, CA

I do not think your volume range of 300-350 cc is too aggressive, however silicone implants would be better in my opinion given your extremely little breast tissue.  Even under the muscle you will experience significant rippling laterally.  Good luck. 

The width of the implant selected should be based upon breast base width and amount of breast tissue already present, not your chest wall circumference.  Filling saline implants to the upper limit of what is recommended by the manufacturer will decrease the chances of visible rippling.  With high profile saline implants, however, this will significantly increase projection, and as these implants are all round, the more projection the implant has the rounder the final breast will appear.   If your skin envelope is very tight, a larger volume high profile implant may also increase the risk of creating stretch marks.

Placing implants behind the muscle provides camouflage and will decrease the chances of visible rippling in the upper / inner area of the breast (the region exposed when wearing a bra / bathing suit, etc.)

I would recommend reviewing your desires and concerns in detail with your surgeon.

To address your comment, silicone implants can be placed in women under the age of 22, but their use would be considered "off label", as the FDA has only approved the cosmetic use of silicone implants for women age 22 and older.

 

The decision as to choose saline or silicone should be yours.  Yes there can be some rippling, but it will be less with smaller implants and also with high profile implants.  I always use high profile when using saline specifically because that rippling less.  I also prefer saline implants and feel there are fewer problems in the long run especially with regard to capsular contracture.

Thank you for your posts.  Breast Implant sizing is a very difficult question to answer online,  in particular to what cup size you will be after the surgery.  Your first goal is to find a board certified plastic surgeon that you feel comfortable with, which it appears you have.  You will have to trust his/her judgement.  The best measurement that is needed is the base diameter.  This will tell your plastics surgeon how wide of an implant can be placed safely for your frame.  Next, you should try out sizers in the office to see the look you are trying to achieve.  I use the Mentor Sizing System, which I feel works extremely well and better than actual sizers.  Once a cc has been determined then the focus can be made whether a moderate, moderate plus or high profile is needed to fill the chest area.  Problem can be that if a narrower implant than needed is placed, you will lack cleavage and the breast will not be filled out.  It gets to be complicated but that is the job of your plastic surgeon, to help you make a well informed decision.  Hope that helps, and good luck and congratulations on your new breasts. 

Based on your photographs, I do not think 300 cc is too large.  The best way to decide this in my opinion is to try the implants on in your surgeon's office.  Rippling of the implants is rare.  It is most common however in very slender women like yourself who have saline implants.  Good luck.

Thank you for your photographs.  Where they are too big depends on what you are trying to achieve.  Based on what you like (300 cc) the choice of 350s sounds reasonable. Saline should be fine but if there is some wrinkling saline will show that more than silicone.  The choice of implant is yours also.

Dr. ES