Will 385cc gummy bear HP be a good look? (Photo)

Question

I want them to be big but not too big. I also fear of being too small as well for what I am paying. I am currently a b cup. I want to be a big D cup. I like the way the 350cc looked but they have to order a little bigger because they are going under the muscle so they gave me 385cc. I just want to know what everyone thinks and get some opinions.

Jaime S. Schwartz, MD, FACS · Answer

I appreciate your question.
  
The size of implant best for you is dictated by your chest wall measurements.  Once we determine that we can choose the profile based on what you want or need to achieve.  If you are seeking a natural look, then the diameter of the implant should be equal to or, more ideally, smaller than the width of your breast. The breast width is a measurement of how wide your breast is at the base, which should be measured at the level of the nipple. Choosing an implant that is smaller in diameter than your breast width will avoid the "side breast" fullness that is often associated with a more artificial appearance.  Other than that, you should choose the implant based on volume, not on the dimensions of the implant. You should choose a board certified plastic surgeon that you trust to help guide you in this decision.  
  
Silicone will give you a fullness at the top (upper pole fullness).
  
Silicone implants come pre-filled with a silicone gel and are the softest implant available. They feel more natural, which makes them a good option for women with less natural breast tissue; but they require a larger incision. It may be more difficult to realize if this type of implant has ruptured, so it is important to monitor them with annual follow-up visits. Additionally, because this implant contains a more liquid silicone (less cross-linked), if this implant should rupture, it will leak only into the scar capsule formed around the implant but may cause some discomfort or implant distortion.
  
Anatomic gummy bear implants might be a good choice to give you volume.
  
These highly-sought-after, anatomic implants offer a look that more closely resembles the natural silhouette of a breast, and, therefore, are a very attractive option for individuals seeking a natural-looking, aesthetic primary breast augmentation. Additionally, these implants are an especially excellent option for patients undergoing restorative or corrective breast surgery because they provide more stability, shape, and reduced incidence of capsular contracture. Compared to other types of silicone gel implants, the silicone in the cohesive gel implant is more cross-linked; therefore, should the implant shell “rupture,” it maintains its shape and silicone does not leak.
  
During your breast augmentation consultation, you should feel the different types of implants available, and try on various implant sizers in front of a mirror to help you to get an idea of how you will look following the surgery. You should also bring pictures of the look you would like to achieve, as well as a favorite top to wear when trying on implant sizers.
  
The best way to assess and give true advice would be an in-person exam.
  
Please see a board-certified plastic surgeon that specializes in aesthetic and restorative breast surgery.
  
Best of luck!
  
Dr. Schwartz
  
Board Certified Plastic Surgeon
  
#RealSelf100Surgeon
  
#RealSelfCORESurgeon

Farah Naz Khan, MD · Answer

Hard to answer this just based upon your photos and without an in person exam and specific breast measurements. In general, high profile implants tend to give a more rounded, shelf look while moderate plus profile will give you a more natural look. Remember also that there is no direct correlation between implant size (cc's) and cup size. Best option is to choose a board certified plastic surgeon who actually takes the time to measure you and examine your breast pocket. Sizers will only give you a rough estimate. The goal of breast augmentation is to optimally fill your breast pocket, not to overstuff or understuff it. At my practice, we utilize a series of 5 breast measurements that help me determine the ideal implant size, which in turn helps me deliver a 24 hour recovery. Do your research and choose a surgeon who takes the time to sit down with you and discuss your goals/expectations to determine the best size for you. Good luck!!

Shaun Parson, MD · Answer

Thanks so much for your question.  I think it's reasonable to go up at least two cup sizes with the size you are mentioning.  I would say that you would be in the full C/small D range.  I think it's always a useful exercise to try on implant sizers prior to surgery.  I like to have my patients do this and then take photos with their own tops back on.  It gives them a realistic view of what they can expect following surgery.  Hope this helps.  Good luck.

Tom J. Pousti, MD · Answer

Thank you for the question.  Based on your photographs, I think that you are starting at a good place and should have a very nice outcome with breast augmentation surgery. Ultimately, careful selection of plastic surgeon and careful communication of your goals (in my practice I prefer the use of goal pictures, direct examination/communication in front of a full-length mirror, in bra sizers, and computer imaging) as well as careful measurements (dimensional planning) will be critical.
 Generally speaking, the best online advice I can give to ladies who are considering breast augmentation surgery ( regarding breast implant size/profile selection) 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 are 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. For example, 
I have found that the use of words such as “natural” or "big D cup” 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. Again, the use of computer imaging has been very helpful during the communication process, in our practice.
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, after the use of temporary intraoperative sizers.
I hope this (and the attached link, dedicated to breast augmentation surgery concerns) helps. Best wishes for an outcome that you will be very pleased with.

Renee Burke, MD · Answer

Hello. There are many factors that go in to selecting the 'ideal' implant for a patient. First, it depends on your size goals. A bra cup size is approximately 150-200cc, so you have selected an appropriate sized implant for your goals. Next, the implant must fit your anatomy. Your doctor should measure your breast width (base diameter) in addition to other measurements that help guide an implant that will fit you best. In addition to measurements and sizers, I use a 3D imaging device (Vectra) to help my patients visualize how the breasts will appear with the implants we select. This helps to show different sized implants as well as different projection. If you do select an implant with a high projection, it is important it fits your base diameter. Best of luck with your journey!

Jon A. Perlman, MD (retired) · Answer

HP implants tend to look less natural but do give greater projection and size relative to the diameter of your breast.  If a less natural look is what you seek then you probably will be happy.  A 385 mL cohesive implant is above average size but probably will be close to the range that you seek.  I preference is to select the implant among several different sizes during the surgery when I can use my aesthetic judgment based on the appearance of temporarily placed test implants called "sizers."  I feel it is best to take responsibility for the ultimate selection of the implant rather than to burden the patient with that choice but others disagree.  Be careful to avoid being excessively augmented since size is not the only matter of importance but so is contour and shape.  Please watch the video above for additional useful information and good luck.Jon A Perlman M.D., FACSDiplomate, American Board of Plastic SurgeryMember, American Society for Aesthetic Plastic Surgery (ASAPS)ABC-TV Extreme Makeover SurgeonBeverly Hills, CaliforniaIG: jonperlmanmd

Will 385cc gummy bear HP be a good look? (Photo)

Answers (6)

More Breast Implants Questions

WE SEND PRETTY
EMAILS

Answers (6)

More Breast Implants Questions

Trying to decide between 350cc & 400cc. (Photo)

Do I need a revision on my left breast?

Air bubble in the right breast, 4 weeks post-op, under muscle silicon.

My surgeon suggested a 260cc but I think it's too small...? Is it?

Breast implants: Can I have an implant with excess skin? (photo)

Should I get over or under the muscle with 345 cc mods to correct mild drooping? (Photo)

WE SEND PRETTY EMAILS

WE SEND PRETTY
EMAILS