Follow Up: Undecided between 400 cc & 420 cc (possibly 450) High Profile silicone implants. Will it work for me?

Thanks for the question.I recommend you Cohesive Gel - Silicone Breast Implants with textured cover ("gummy bear implants".They are quite safe and aesthetically best as they give a firmer consistency, better projection and most natural appearance than Saline implants.Respectfully,Dr. Emmanuel Mallol Cotes.-

I would recommend you try the different sizes on under a bra to see how they feel and look.  If you like the larger size, then I would recommend that size as frequently patients express a desire to go larger.  However you do have a tight lower pole and this may limit the size that would look good in you.  This would be determined by measuring your lower pole and choosing an implant with the appropriate dimensions.  I would recommend a dual plan submuscular positioning to avoid the rounded upper pole appearance you appear to dislike.  

As you may be aware, choosing the right implant for a natural look depends on a whole host of factors. Most important ones are however,  breat measurements and quality and quantity of breast tissue present. And I agree that it should be consistent with your frame.in my experience, on a smaller frame, a smaller HP implant may give a more natural enhancement. Best.

Thank you for your question and photographs.  The choice of implant for your goal appearance and frame will depend more on your chest measurements than a total cc amount within it.  High profile implants can lead to a less natural shape but are best in women with a more narrow chest.  Assuming these sizes fit your breast dimensions, try them on in your surgeon's office to have a better representation as to their final appearance. If you are trying to decide between 20cc difference implants, most patients find the larger size to be a better fit after the swelling from surgery resolves.  Hope this helps.

Thank you for your question and photos.  I would consider seeing a surgeon who uses Vectra 3D imaging in their practice during breast augmentation consultations.  You'll be able to "try on" different implant sizes and see what they would look like for you specifically.  There are so many implant options available these days, and it's likely that a high profile implant won't give you that natural look you want (although your wish photos show breasts that are quite large).Your skin quality helps to determine final breast shape, and that's something best determined in person.Best wishes,Dr. Kavali

The best way to reach your goal is to discuss what you want carefully with your surgeon. Your photos show a spectrum of what you like but are each unique in their own way. The 400-420 is a size difference very few us us could even see, so worry less about the number, and have a careful discussion about how you want to look. Some clues can be found in "before" pics that look just like you, and a review of the "afters" to predice how things work out.

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. You have also done a nice job, both in your description and with your goal photographs, communicating your goals here.

Ultimately, 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 “very natural”, "C or D cup" or "tear drop shape" 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) helps. Best wishes for an outcome that you will be very pleased with.

Your best bet when you are trying to decide on implants is to try on sizers of the exact implant you are considering inside a very tight sports bra. This will give you a close idea of what you will look like. More importantly the dimensions or width of the implants need to match and fit your frame and body. If you are working with a board certified plastic surgeon with an expertise in breast augmentation he or she should be able to help you with this in their office. Good luck! Dean Vistnes, M.D.Vistnes Plastic SurgerySan Francisco Bay Area#drdeanvistnes #breastaugmentation