Will 400cc HP Breast Implants Look Fine on Small Frame?

It’s always
difficult making decisions about breast size without performing a physical exam
or seeing preoperative pictures.In
addition, the patient’s underlying anatomy and personal preference for size and
shape must be considered, as well.It’s
important to realize that a 400 cc implant in someone who is only 4'11" would
be considered very large. For this
reason it’s very important that this issue be thoroughly discussed with your
surgeon so that a treatment plan can be developed that addresses your anatomic
concerns and hopefully achieves your aesthetic goals.Even when tremendous care is taken
preoperatively to determine breast size the final decision needs to be made in
the operating room by the surgeon. At this point an assessment can be made
regarding how the patient’s breast tissue interacts with the breast implant.
Occasionally obtaining a specific size doesn’t allow the surgeon to meet the
patients other aesthetic goals.For this
reason locking into a specific size isn’t always a good idea.Results are better when the surgeon has the
ability to make adjustments in the operating room.In your case, I think it’s important
to thoroughly discuss your aesthetic goals with your surgeon. Make sure he has
the latitude to do what’s best for you in the operating room so he can meet
your aesthetic goals.It’s important that
you have an approximate idea of the breast size that you’re considering, but
don’t become married to an absolute number.

I use a technique called dimensional breast augmentation which involves taking in a number of factors and measurements, so each patient is unique. That being said, given your height, weight, and your activity level, along with the fact you are considering a lift, I would say you are probably not that far off in choosing an implant in that range. Best thing to do is to see a qualified plastic surgeon that has good breast expertise.

Hi I strongly recommend a visit an experienced, board certified plastic surgeon to help choose your implant size.  There are a few critical meaurements and tissue characteristics that will help determine your implant size.  My biggest recommendation- IGNORE THE "size" and choose an implant that actually fits your breast!  Best Wishes!!

AS the increased use of silicone implants becomes more popular there are lessons we have learned that are distinct from saline. High profile silicone is not as high profile as saline and this can scare patients away. I have relied onuse of the sizers to assist me in this regard. However this is s larger than average implant for a smaller than average frame. 

Caution!!!  Those sound big on your frame, but ultimately I would need measurements to make the final determination.  But judging from your height and weight yes they are a bit too big and may need to down size a bit to get with in your base diameter.
Good luck.

There are several factors that plastic surgeons consider when recommending implant sizes. I consider two factors when selecting implants for my patients:1. Dimensional planning2. Gel Implant Sizing systemDimensional planning – The measurements of your chest wall are taken. Also, the breast dimensions including the height, width, and current dimensions of each breast form the basis of dimensional planning. Based on these measurements, the implant size is recommended. This will give you a unique breast implant that is suited for your body frame. However, there are some limitations of what size we can recommend. For instance, some implants may just be too big for a narrow chest wall. Your surgeon can review this with you during the consultation.Gel Implant Sizing system – During the preliminary breast implant consultation, you will be provided with an option to “try on” a variety of implant shapes and sizes. You can also visualize the possible outcomes of your surgery which helps you to get that perfect size to give you the shape that you longed for. This way your preferences are known and you can then pick a range of implants that will “fit” just right to give a soft natural fuller look. Hope this helps.Dr. BasuHouston, TX

Unfortunately, there is not a general rule of thumb or objective criteria to implant selection.

Your plastic surgeon will perform several measurements of your chest wall and breast anatomy and determine a range of implants that both fit your chest wall and reach your desired goals.

The next step is to try on this range of implants in the office with your doctor.   The key to this success is showing your surgeon the body proportion you desire with a bra sizer and allowing your surgeon to guide you to the right implant.   It will be much easier to communicate in implant cc's than cup size when determining the appropriate implant for you.

I wish you a safe recovery and fantastic result.

Dr. Gill

The more breast surgery I do the more I realize that there is no correlation between the size of implant and resulting cup size.  This may have to do with several factors including: the amount of breast volume the patient starts with, the shape of the patient's chest wall (concave or convex), the type and model of breast implant selected (saiine/silicone  and low/moderate/high profile), bra  manufacturer variance  in cup sizes, the  degree  of filling of the cup  with breast tissue,  and the subjective differences in patients perceptions of cup size. 

Much of the final “look” achieved after breast augmentation surgery  depends on several factors:
1. The initial shape, size (volume of breast tissue), symmetry of the patient's breasts. In general, the better the  preoperative breast appearance the more likely the breast augmentation “look” will be optimal.
2. The experience/skill level of the surgeon is important in determining the final outcome. For example, the accurate and gentle dissection of the breast implant pockets are critical in producing  long-term  well-placed breast implants. I personally think that these 2 factors are more important than any others, including type (saline or silicone)  or model (low/moderate/high profile)  of implant.
3. The type of implant used may  determine the final outcome, especially if the patient does not have significant covering breast or adipose tissue. For example, some surgeons feel that silicone implants have a more natural look and feel than saline implants because silicone gel has a texture that is similar to breast tissue. Each patient differs in the amount of breast tissue that they have.  If a patient has enough breast tissue to cover the implant, the final result will be similar when comparing saline implants versus silicone gel implants.  If a patient has very low body fat and/or very little breast tissue, the silicone gel implants may provide a more "natural" result.
On the other hand, saline implants have some advantages over silicone implants. Silicone implant ruptures are harder to detect. When saline implants rupture, they deflate and the results are seen almost immediately. When silicone implants rupture, the breast often looks and feels the same because the silicone gel may leak into surrounding areas of the breast without a visible difference.  Patients may need an MRI to diagnose a silicone gel rupture.   Saline implants are also less expensive than the silicone gel implants.
Other differences involve how the breast implants are filled. Saline implants are filled after they’re implanted, so saline implants require a smaller incision than prefilled silicone breast implants.
On May 10, 2000, the FDA granted approval of saline-filled breast implants manufactured by Mentor Corporation and McGhan Medical. To date, all other manufacturers’ saline-filled breast implants are considered investigational.
As of 2006, the FDA has approved the use of silicone gel implants manufactured by the Mentor Corporation and Allergan (formerly McGhan) for breast augmentation surgery for patients over the age of 22.
4. The size and model of breast implant used may  make a  significant difference in the final outcome. Therefore, it is very important to communicate your size goals with your surgeon.  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 “C cup” or "fake looking" 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.
I use  intraoperative sizers and place the patient in the upright position to evaluate breast size. Use of these sizers also allow me to select the press implant profile (low, moderate, moderate plus, high-profile) that would most likely achieve the patient's goals. The patient's goal pictures are hanging on the wall, and allow for direct comparison.
I have found that this system is very helpful in improving the chances of achieving the patient's goals as consistently as possible.
By the way, the most common regret after this operation, is “I wish I was bigger”.
I hope this helps.

RE - "Do you think that will be okay on my frame?"
It all depends how YOU see and define "Okay" and "fine".
I happen to like the Mentor silicone high profile implants because they are actually smaller than the Mentor 2000 Moderate Plus Saline implants (Which are smaller than the Mentor AND Allergan High Profile Saline implants). BUT - THE question here should not be how many fraternity brothers can one squeeze into a VW beetle or a phone booth (1950's stuff) OR what size implant 300, 400 or 800 CAN BE squeezed into YOUR chest.
For the result to look good (the word "NATURAL" can describe a naturally flat or droopy breast as well...), your present breast diameter (which needs to cover the implant) and your chest wall space (on which the implant will need to sit) - need to be measured and checked against the list of implants that would fit those parameters.
IF the 400 HP gel implant is TOO big and exceeds your measurements, the augmented breasts will look "done", they will fall sideways, you will bump into them when moving your arms forward, the ripples in the implant shell may be visible through the breast skin and they will sag rapidly.
If on the other hand, your measurements ARE in compliance with the implant diameter - the results will be attractive.
If asked to guess, without measurements, how would 400 cc implants would look in you based on the thousands of women I have seen and operated on, I would guess your result would be unattractive and artificial as well as short lasting.
I hope this was helpful.

Depends on how much breast tissue/skin you have. Might be too big on your frame. High profile impants would probably the type your surgeon will choose as they are narrower.