Breast implants 385 cc are not to big for full C ? (photos)

I appreciate your question.From your photos, you do not appear to need a lift.Regarding implants, The size of implant best for 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

I always encourage my patients to focus on the look that they want to achieve with their implants not the cup size. The latter can vary so much between bra manufacturers that it is not a good indicator of actual breast volume. If you are worried about the 385 cc, try them out with either gel inserts or the at home rice method and see if you like the way they look. Best, Dr. Nazarian

Thank you for your question and photos. Hopefully you've discussed the look you wish to achieve with your Plastic Surgeon. Choosing the right implant size is one of the most important parts of the breast augmentation procedure. Using a scientific formula known as Dimensional Breast Augmentation, your Plastic Surgeon can combine your desired results with a careful assessment of your body type to select the most appropriate implants to use in your surgery. The implant should be picked in accordance with your figure and the natural limits of your chest size in order to create an aesthetically pleasing outcome that appears as natural as possible. Without knowing your measurements I cannot tell you if 385 fits properly, but I recommend that you try on the implant sizers in office with a form-fitting top so that you can see the look of the volume on your body. Base your decision on the look you like, not a prediction of cup size as this cannot be guaranteed.

It is very difficult to determine the exact size and shape implant you will require to best match your ideal breast image without an examination by a board certified plastic surgeon. Not just any board certified plastic surgeon, but one with many years of frequently performing breast augmentation surgery including different approaches, techniques and implant choices. This is because several measurements not to mention your breast characteristics are needed to determine the optimal implant size to obtain your goals. Without knowing these dimensions it would be difficult to make this determination. For example, the existing base width of your breast will determine, in many cases, the maximal volume per implant profile that you can accommodate. To illustrate; a 100 cc difference may make a significant difference with a narrow base width breast, but much less of a difference if you have a wide chest wall and wide breast “foot print”. Therefore, just because your friend may have a great result with let’s say a 385 cc implant to make her go from a “B” cup to a  full “C” cup size does not mean that you will have the same result with the same size implant. . Further simply placing implants in a bra to determine the size best for you is not always accurate as the bra often distorts the size, is dependent on the pressure the bra places plus the implant is outside your breast and not under it among other variables. Computer software morphing programs that automatically determine the best implant size can be helpful in some but not all cases (e.g. doesn’t work well in my experience with existing implants, sagging or asymmetric breasts). Using “want to be” photos however are useful if simply provided to the surgeon as I will further explain in  the link below.#BreastLiftWithImplants#BreastLiftWithFatTransfer

Spending a lot of time thinking about cc's and cup size is extremely common among women undergoing breast augmentation.  Rather than fixating on the number, focus on conveying the "look" you are trying to achieve.  You can bring in photos off breasts you think are attractive.  You can also use the external sizing system or 3D imaging to help.  From there, your surgeon will need to examine certain aspects of your anatomy including breast width, skin laxity, nipple to fold distance etc, to determine not only what implant size and style would best give you the look that you want but also if a lift would also be required.  It is important that you feel comfortable moving forward so see your surgeon as many times as you feel necessary. 

Thank you for your question and photos.  Please keep in mind that it is nearly impossible to predict cup size prior to undergoing breast augmentation surgery.  I do not think that you need a breast lift as your nipples are above your inframammary folds.  Implants alone will be able to fill in your breasts.  All the best,Dr. ResultsMiami, FL

Hello katerob and thanks for your question. Being online, there are limitations for answer to your questions because I cannot perform a physical examination of your breasts. As far as size, bigger breast implants are more likely to make you look fake. Volume sizing in the office is a key for you to see how different implant sizes affect your breast and how they look on your body. I do encourage patients to choose the breast implant volume which looks the best and forget about bra sizes because if you choose based simply on bra sizes, then you're limiting how beautiful you could be in the end! This is how I do sizing and shape in my office and patients find these tips to be reliable:1) Guiding patients to explore reasonable options for breast implant size, usually two to three similar sizes, which allows the patient to visualize how different volumes affect their breast cup. 2) The best guide for a final breast implant size recommendation is derived using measurements from the patient’s own breasts and chest. 3) When measurements are considered then options for sizes can be presented. 4) I use the Mentor Volume Sizing System of breast sizers to demonstrate how these different volumes will look on a patient’s body. 5) This methods offers good reliability and is simple to use, but is not perfect.When patients feel unsure about a size and shape, we ask them back to the office to try sizing until they're very confident with the choice they're making. I recommend you don't have surgery until positive about your chosen size and doctor. Best wishes, Dr. ALDO

It looks like you will likely get a great result from breast
augmentation. In terms of picking the right implants to achieve your
goals, generally speaking, I consider two
factors when selecting implants for my patients:1. Dimensional planning2. Gel Implant Sizing systemDimensional
planning – The measurements of your chest wall are taken. Also, the
breast dimensions including the height, width, and current dimensions of
each breast form the basis of dimensional planning. Based on these
measurements, the implant size is recommended. This will give you a
unique breast implant that is suited for your body frame. However, there
are some limitations of what size we can recommend. For instance, some
implants may just be too big for a narrow chest wall. Your surgeon can
review this with you during the consultation.Gel Implant Sizing
system – During the preliminary breast implant consultation, you will
be provided with an option to “try on” a variety of implant shapes and
sizes. You can also visualize the possible outcomes of your surgery
which helps you to get that perfect size to give you the shape that you
longed for. This way your preferences are known and you can then pick a
range of implants that will “fit” just right to give a soft natural
fuller look. Hope this helps.Dr. BasuHouston, TX

I think you have chosen a good size. However when you go bra shopping I think you will find a range of bras that will fit you. If you tried the implants on an you like the size then I think it is appropriate. As far as needing a lift, from your pictures it does not appear as though you need one. I think you'll do great with an augmentation alone.Good luck!

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. There is no accurate/reliable/predictable correlation between size/profile breast implant utilized and cup size achieved.   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 know words such as “natural” or "full C 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.