Allergen Natrelle 375-400cc High Projection Right for my Frame? (photo)

To test for size, bring a bra in your preferred size to your next consultation and try on implant sizers (they should have them in your desired volumes). This will give you a better idea of how your body will look after surgery. Then, if you think that the size your surgeon recommended is too big, you can always request something smaller. However, just a note: in my experience, rarely do patients regret having gone too big. They usually regret having gone too small!

The most important thing is selecting implants is to get the correct base with.  Putting implants in your  bra is not very accurate as the implants will look different depending if you put them above or below the muscle.  also, if you go below the muscle, it appears that you may need a lift as well.

It appears as though you can get an excellent result with breast implants.  However, it's hard to tell you exactly what size is good for you without examining you in person.  I have my patients bring in a bra that they want to fill out and then have them place different size implants into the bra to see how they like them.  Also, it appears as though you might need a small lift to ensure that the nipple/areola is in the right position after the breast augmentation.  Good luck!  Dr. Schreiber, Baltimore plastic surgeon

While 375 or 400cc breast implants are reasonable recommendations, you will need in person consultation and examinations for the best size for you. The size of the implants are based on a combination of a patient's goals
and objectives and her anatomy. In order to provide a natural looking
augmentation, the surgeon needs to evaluate many factors including soft
tissue coverage, skin laxity, chest wall width, breast imprint width,
the shape of the breasts and relative level of constriction to ensure
that the breast implants are appropriate for your body. Consult in
person with 3 experienced and expert board certified plastic surgeons to
understand your options.

Without an exam, I would recommend the high profile/Style 20 400cc.   In order to make an accurate size recommendation, I would need to assess your chest wall and breast mound measurements and characteristics.  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

You have narrow breast base width and would likely benefit from an Allergan high profile or ultra high profile implant.  I consider two factors when selecting implants for my patients:

1.Dimensional planning
2.Gel Implant Sizing system

Dimensional 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.  If you have decided on saline implants, then based on the gel sizer you select, we can guide you to the saline implant that achieves a similar look.
Hope this helps.
Dr. Basu
Houston, TX

Hi.  You do not need to struggle with the difference between a 375 or a 405 cc implant.  15 cc's is a tablespoon and that is all you are talking about.  Add the implant to your breast size and you can see that the difference will be even more diluted.  If you are wanting the look that your "wishlist" pictures show, you will need to go larger in my opinion.  You want to be in the C-D cup range and this means choosing an implant that will give you the full look esp. seen in the far picture to the right.  You also need to talk to your doctor about the double bubble effect that can happen when you give a full look in the central breast mound and do not do a lift.  I think you need a lift to get the results you want.  You must discuss the options you will have if you are not happy with the lower positioned nipples on a higher positioned implant. 

Thank you for the question and pictures. Some general thoughts regarding breast implants may be helpful to you but also make sure that you will not benefit from breast lifting as well. Whether or not a breast lift will be helpful to you will depend on your physical examination but your frontal view picture does suggest that this operation should at least be discussed.

  In regards to the best breast implant size/profile to help achieve your goals, online consultants are not in a position to provide you with precise enough advice. I would certainly not base any decisions you make  on specific advice received online.


The best (general) online advice I can give to ladies who are considering breast augmentation surgery is:





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 communication will be critical in determining  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”  or “full C, small D cup” or " top-heavy” etc means different things to different people and therefore prove unhelpful.
 Also, as you know, cup size varies depending on him 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 (and the attached link) help.

You seem to be all over the place as to size. And looking at your posted frontal photo the thought of a lift enters my mind. Best to seek more IN PERSON evaluations!