Too small and projected - will 205cc motiva demi preserve route give a natural full look? (Photos)

Question

Im 4’11 85 lbs BWD 11.5-12 Surgeon is recommending 205cc motiva demi preserve route i want a very natural full look

Emre Guvercin, MD, FEBOPRAS · Answer

205 cc Preservé or 190 cc Mia for a Natural, Fuller Look
At 4'11" and 85 lbs, with a breast base width of approximately 11.5–12 cm, I believe 205 cc Motiva Ergonomix2 Demi using the Preservé technique could be an excellent option for a natural yet fuller breast appearance.
I would also consider 190 cc Motiva Ergonomix2 Diamond Mini with Mia Femtech, particularly if your main concern is insufficient upper-pole volume. In my practice, Mia can be a useful option when the goal is to enhance upper-pole fullness while maintaining a subtle, proportionate breast shape.
The 205 cc Demi Preservé may provide slightly more overall volume and projection, whereas 190 cc Mini Mia may be particularly suitable for selectively improving upper-pole fullness without creating an overly projected appearance.
Both approaches preserve the pectoralis muscle and aim to minimize disruption of the breast's supporting anatomy. The final choice should depend on your existing breast shape, tissue thickness, and the distribution of fullness you want to achieve. An in-person examination and 3D simulation would help determine the most appropriate option.

Mert Demirel, MD · Answer

205cc is a modest volume, and for someone who wants a natural result that is often a sensible starting point. Whether it looks "full" or only subtly enhanced depends less on the number itself and more on how it fits your chest.
The key measurements are your breast base width, how much breast tissue and skin stretch you already have, and your chest wall shape. An implant whose width matches your base usually gives the most natural transition. Going narrower with more projection to gain volume is what tends to make results look rounder and more "done".
Motiva's Demi profile is a moderate projection, sitting between their low and full options, which suits a natural goal well. The "preservation" approach is generally aimed at limiting tissue trauma and keeping the pocket precise, which can help with a softer, more natural settling over the first few months.
Photos can show general proportions, but they can't replace an exam with measurements. Sizers in a fitted bra, together with 3D imaging if your surgeon offers it, are the most reliable way to see whether 205cc gives you the fullness you're after.
My advice would be to ask your surgeon: what is my base width and how does this implant's width compare to it? How much fullness will 205cc add to the upper pole in my case? What would 225–250cc in the same profile change? And how will my result look once the implant settles at three to six months?

Ted Eisenberg, DO, FACOS, FAACS · Answer

Choosing the right size and profile breast implants for you under the muscle for a natural look. 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. 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

Suheda Cildir, MD · Answer

Based on your measurements and your goal of achieving a natural yet full look, I believe 205 cc or 220 cc could both be suitable options. The best choice will depend on your anatomy and the implant dimensions, but I would lean toward the option that provides the most natural and harmonious result for your body frame.

Randall O. Craft, MD · Answer

With a breast width of 11.5 to 12 cm on an 85-pound frame, your surgeon has sized the implant to fit your tissue, and that is the correct way to do it. A 205cc Motiva in a Demi (moderate) projection fills the width of your breast without the edges showing and without the implant sitting wider than your chest. "Too small and projected" on paper often looks proportional on the body because the implant is a larger fraction of your total breast than it would be on someone with more tissue to start with. Natural and full are somewhat opposing goals; the more you push toward full on a small frame, the more the result reads as an implant. Two things to ask before you commit: try sizers in a sports bra at the planned volume and 30 to 50cc above it, and confirm the pocket (under the muscle is usual for thin patients, to cover the upper edge). If your surgeon measured your width and chose 205, I would not second-guess the number from a photo. I would make sure you have seen it on your own chest.

Manuel Diaz, MD · Answer

Hi. Based on your photo and your very petite frame, 205 cc does not necessarily look too small. In someone who is 1,50 m and 38 kg, even a relatively small implant can create a noticeable increase in fullness.
For your goal, I would recommend silicone implants, as they can provide a soft, natural-looking result, particularly in a thin patient with limited natural breast tissue.
The most important factor is not the number of cc alone. I would want the implant width and projection to match your breast measurements and chest anatomy. Based on your photo, you already have a nice starting shape, so an appropriately selected silicone implant could add fullness while keeping the result proportional and natural. 
If you feel that the 205 cc simulation looks too projected or does not provide enough overall fullness, discuss that specifically with your surgeon before surgery. A slightly different implant dimension or profile may better match the look you want without simply choosing a much larger implant.

Too small and projected - will 205cc motiva demi preserve route give a natural full look? (Photos)

Answers (6)

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