AA cup getting 350n - 375 CC silicone submuscular implants. Should I be concerned about sizing on my frame or asymmetry?

Hello yes you can have a like 350 cc implants with a breast augmentation surgery, but your distance between breasts little bit longer you will need also fat injection there.

After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size and style breast implants, and they choose what looks right for them. They also get to see what they would look like when the breasts have fully dropped and fluffed and in clothes. You get to see actual results and the surgeon's experience and not a virtual idea of what can be achieved. Women tell me that this process is very helpful in determining what size and style breast implant is right for them. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Hello, thank you for your question. Actually wide shoulder and ribcage can be to your benefit in this case. You already have nice natural breast tissue so once the implants are in they will look more natural and definitely will move around and as you mentioned jiggle over time. Typically recovery recommendations are 6 weeks so you would be in the clear by 8weeks. Of course everyones recovery is a bit different so just confirm with your plastic surgeon prior to anything. Hopefully you have an uneventful recovery. Happy Holidays. You can find more info and before and after photos on our webpage below.

Hello and thank you for posting. Not really. The size seems to be a good choice for your frame and asymmetry will be minimal. Basically the same asymmetries you have now, so nothing to worry about. Your breasts will behave more naturally once they drop and swelling goes down ( this can take up to 6 months), but implants under the muscle tend to “giggle’ less then implants over the muscle. On the upside, implants under the muscle tend to stay in their spot for longer which means less eventual implant sagging. And you can certainly attend a weeding at 8 weeks post op!

Best wishes,
Dr.Miguel Mota

Thank you for your inquiry and photos. An examination in person would be required to properly evaluate you and make specific treatment recommendations. That said, it appears you have an adequate amount of breast tissue to allow for a subfascial augmentation, which is my preferred method of augmentation whenever possible. Your photos do not suggest a AA size, whose we generally consider flat with virtually no apparent breast tissue or much shape.

A sub muscular placement has a greater risk of “animation deformity” which is an undesirable movement of the breasts when activating your pecs. This is less likely when the implant placement is subfascial.

While it is true that a larger breasted woman may appear visually to be a bigger gal, the determination of which size implants are optimal for you is a multi factorial process and you may easily get different recommendations from different plastic surgeons.

Volume (300 versus 400), is far less significant than implant width and projection. Implant width is similar to shoe size. The implant literally needs to fit into your breast and chest. The 350-375 cc implant you mentioned (which profile?) may well “fit” your breast width wise, but the volume and projection are what will determine the “look” you want, similar to the style or type of shoe you would select. It is true that for a given volume a high profile implant will have a narrower diameter, and it is also true that a person with a petite frame will require a narrower diameter implant than a patient with a broader chest or larger frame. Other considerations such as saline versus silicone are also important, as are "round" versus "anatomical" or "form stable" or "shaped", smooth surface versus textured, and softer versus firmer with the different levels of gel cohesivity.

The term “natural” can mean different things to different people and the profile of the implant does not necessarily determine that. You can certainly achieve a “natural” appearing result with a high profile implant if properly selected, but as a rule, the larger the implant and the higher the profile, and certainly if the implant is positioned too high, the greater the chances you will look “augmented” because of exaggerated upper pole fullness or convexity.

In my practice, besides a thorough interview process and physical examination with careful measurements, we use on lay sizers within an unpadded bra to help you understand what you are likely to look like in a bra, bathing suit, or T-shirt with a given size implant. In addition, and this is critical, we ask all of our patients to provide us with photos of their desired final look, with images of women’s breasts that most closely resemble the look they are trying to achieve. This serves as a visual guide that thankfully rarely leads us astray. The most common reason for patient disappointment after breast augmentation is size-too big or not big enough. This algorithm which we have been employing for over thirty years has proven to be very successful.

Because all of these factors can leave you quite confused, it is crucial that you select an experienced board certified plastic surgeon whose aesthetics align with your own, and with whom you feel comfortable. Don't be reluctant to seek a second or even third opinion if necessary to be sure and feel confident about moving forward with scheduling surgery. Expressing your desired cup size is notoriously inaccurate, and final breast size is the most common reason for patient disappointment after breast augmentation, either too big or not big enough.

Take your time, do your research. Best of luck to you.

Dear lwrightt96,
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

Thank you for sharing your question and photographs. Breast implant selection is an exciting, but stressful part of the breast augmentation process as there are so many choices. Unfortunately it is impossible to recommend the best implant style, size or shape without an in-person examination that allows for the measurement of key breast parameters, as well as permits an in-depth discussion as to your desired goals and outcome. I would recommend continuing to discuss your concerns with your plastic surgeon or seek additional consultations to ensure that the implants you decide upon are the right ones to meet your expectations. Best wishes!

You are an excellent candidate for surgery. Patient's often are concerned that the implants will look or feel heavy, however once the implants settle into place, they will look natural and enhance your appearance. As for attending the wedding, I typically recommend that patient's do not do any heavy lifting, exercise, or dancing for 6 weeks after surgery - and they must wear their surgical bra for 6 weeks as well. However, if there are issues after surgery, this may take longer. Please consult a Board Certified Plastic Surgeon to determine the appropriate planning.

A board-certified plastic surgeon is qualified to address your issues. Board-certified plastic surgeons have spent years of training and have the top level of experience and skill. Seek out a board-certified plastic surgeon for your cosmetic needs.

Implant selection is best done with your board certified plastic surgeon. During a consultation you will discuss your goals for surgery and measurements will be taken of your breasts. In addition to volume, you will also select type, style, and profile. Many surgeons have sample implants you can "try on" to get an idea of how you may look after surgery. I've included a video I hope you find helpful.