Recommend 750cc silicone ultra high profile implants for 5' 10" 145 lb frame? (photos)

Thank you for sharing your question and photographs. The most important first consideration is the need for a lift and you definitely require one to get the best, long-term results. As for sizing this may be accomplished by a 750cc implant but that does strike me as large for your frame and breast diameter as seen in your pictures and I would recommend trying on additional sizers to get a better visual idea.

750 cc implants weigh over 1 1/2 lbs each, will descend inferior and laterally and you will need a revision. Your breasts are too low for augmentation alone. You definitely need a lift using The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained. Later, fat transfers can be performed if additional volume is desired. Implants are not lifetime devices. 8% fail within the first year and 30% fail within six years. Fat transfers are permanent and incorporated into the body.

Best Wishes,

Gary Horndeski, M.D.

Hi. Based on your pictures, my thought is that you would benefit from a lift.
To appropriately discuss implant size and choice, as well as whether you do her do not need a lift, you really need an in person evaluation by a plastic surgeon with good experience with breast augmentation. Opinions and preferences will vary somewhat from one surgeon to another surgeon. Personally I start with the base width of the patient as the starting point for the footprint of the future implant. Tissue characteristics, and desired postoperative size, and patient anatomy all factor in to the proper selection of implant volume as well as profile. I go over all of that all in detail with my patients at the time of their consultation.
You may consider getting another opinion and carefully consider the before and after pictures of someone who has similar amount of drooping compared to your own pictures. I would recommend consulting with a board-certified plastic surgeon with good experience in this area. He or she can thoroughly review the options with you so that you can make a good and well-informed mutual decision.
Good luck and take care, Dr. Howell

Good afternoon,
In terms of size, I would need to measure you, but you should also try on the implant sizers which is the best way to confirm the correct size to choose. However, the biggest concern is that you need a lift- what is your surgeon thinking?!? Your nipples point down- they are going to point even more down after your augmentation- you will not be pleased, and I say that from a standpoint of performing over 500 augmentations a year for the past 20 years.

Dear ssmith1986,
breast implant type and sizing selection is a complicated process and requires a detailed consultation that includes a discussion of your goals, a detailed examination, and a lengthy discussion. But the decision will always start and end with the patient. When it comes to sizing, we have all of our patients find 3 photos of their desired breast size. We ask for naked breast photos because clothing can obscure the true size (push up bras). Next, we consult with patients and go over the photos and take detailed breast measurements during a physical exam. Next, we using a sizing algorithm to determine a range of implants that will work based on the exam and the measurements.Lastly, during the operation, we use silicone sizers in the operating room to see how the size actually looks in the breast. We sit the patient up in the operating room, while asleep of course, and compare the sizer result with their desired look photos. If it is too small, we start the process over with a slightly larger implant. We don't stop until we get the perfect match.Of all of my breast augmentation patients, every one of them has been happy with their size due to this detailed and meticulous process. You don't want to invest time and money into a result that is either too big or too small.You should discuss your concerns with a board-certified plastic surgeon and make sure that your surgeon understands your goals.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

You do need a lift and 750 c is far too big. Get other opinions. The fact that you need a lift is obvious.

The size you have chosen is way too large and heavy for your frame and tissue, and yes, you need a lift. Your nipple is below your breast fold. Otherwise, you will just have heavy large breasts that still sag. Please consider going much smaller. Too large of an implant will thin your tissue, be too heavy on your neck and shoulders, and sag over time.

Greetings thank you for your question.
Round breast implants have a tendency to make breasts appear fuller than form-stable implants. Higher profile options can achieve even more projection.Because round implants are the same shape all over, there is less concern about them rotating out of place.

Hi. Great question and thanks for the photo. The implants are too big and you definitely need a mastopexy. Make sure you are seeing a board certified plastic surgeon. The idea that placing large implants will lift the breast is a common mistake and I see many of my students make this error in judgement. Also, some surgeons will place the implant in a subglandular position ( not under the muscle) in this situation which makes a bad decision even worse. Please get another consult.

Please seek more in person opinions BT from only boarded Plastic Surgeons. In my over the Real Self internet you need full lift! with smaller implants. But if you desire larger look then a second surgery after 4 months to use larger implants would be needed. Be careful out there.