Naturally Looking Full C Cup with 400cc Silicone Breast Implants?

There are really a couple of questions here. One is what you mean by a "natural" look. An interesting study from a few years ago found that what plastic surgeons consider natural was not the same as what patients really wanted when they said the natural look is what they were after. patients tended to select more upper fullness (and so a larger size.) However, 400 cc breasts on a woman of 105 lbs. is just not something that occurs naturally very often. If beleivability is what you want then 400 cc is too large.
The other thing is cup size, which relates to the size of the chest as much as the volume of the breasts. A C cup on one person is a different look than someone of different stature. It's a better idea to focus on the look you want without reference to cup size.

This is a very common question as one of the most common
requests in terms of end result after a breast augmentation is a “Full C”. This is helpful in initiating your discussion
about your procedure with your plastic surgeon, however breast implant cc do
not correlate with cup size. A patient’s
final result in terms of cup size will vary on several factors such as initial
cup size, bra type, body frame and chest size.




Natural appearing can vary from person to person depending
their pre-operative size and breast tissue.
No question that silicone breast implants tend to give patients a more
natural and soft appearance than saline implants. With silicone implants patients can typically
go a little bigger and still have a soft natural appearance compared saline
implants.



An average implant in the U.S. is around 375cc, so 400cc
implants are well within a very common implant size. However patients can have implants that range
from 200cc to up to 800cc depending on the their aesthetic goals from their
breast augmentation.



I would advise you to do a couple things to help yourself
decided what you implant is best for your breast augmentation. One, be open about your aesthetic goals with
our plastic surgeon, then he or she will be able to guide you in choosing the
correct implant. I typically have
patients do at least two sessions of sizing to with the Mentor Sizing
System. This system allows patients to
come into the office and try on implants with a bra and tank top. They then are able to look at themselves in
the mirror and have a realistic idea of what the implants will look like on
them as a 400cc implant will look different on different people. The reason I typically have people do this
more than once is that the first time people try on implants they tend to feel
like everything is big because they are not used to it.



Lastly I would recommend not getting too caught up in cup
size as this will vary from bra to bra.
Also patients can talk themselves out of the implant that is goal to
help them achieve their aesthetic goals form their breast augmentation because
of trying to pic a specific cup size.
Looking in the mirror and just deciding if you like the way you look in
my experience has helped patients find the implant that reaches their
goals.



Please spend time discussing your breast implant options
with your board certified plastic surgeon.

The size you should be choosing by trying on sizers.  This will give you the best estimate of what it is going to look like.  Then when you have chosen what you think to be the best size for you, the surgeon can make suggestions based on your breast dimensions.

I appreciate your questionAfter performing hundreds of breast augmentations, I have found that 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. Implants that are wider than this can be more palpable, fall more laterally overtime and also be more palpable. After that we will then choose the implant volume based on the measurements and also looking at any asymmetries you might have. You should choose a board certified plastic surgeon that you trust to help guide you in this decision. Bringing photos as well can help us to finalize, but please understand that these are of other peoples bodies and your results will probably be different.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 softer silicone (less cross-linked), if this implant should rupture, it may leak but only into the scar capsule formed. However, the newer silicone in these implants may not leak even when the implant shell is ruptured. Anatomic gummy bear implants might be a good choice to give you a more natural look. 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. Implants, indifferent projections. The easiest way to think about it is they called me in a low medium and high projection or profile. Most of the time I use the medium profile which gives people the best in terms of natural look as well as a little bit of projection. High profile implants are for someone that wants  A little bit more of a fuller look. Low profile implants are better for someone that really wants a minimal extremely natural augmentation. Depending upon the anatomic versus round implants there are also subtle differences  in terms of the amount of projection for each profile. 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. I also use a 3D imaging system to allow you to try on a variety of shapes and sizes. I prefer this method over adding volume due to implants being under the muscle.We will also discuss the possibility of needing a lift along with an implant. This will depend on the amount of ptosis (nipple position) as it relates to your breast, inframammary crease and chest wall. Needing a lift or not will also determine where to place the scar for the incision.  In some cases if the the breast and nipple is really ptotic (low) it might be best to stage the procedure by performing a lift first and then doing an implant at a second stage. This will also allow you to have a better understanding of the true size and shape of your breast.In order to limit pain from breast augmentation and speed the recovery process I offer patients Botox into their muscles as well as a long acting numbing medication called exparel. 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 SchwartzBoard Certified Plastic Surgeon #RealSelf100Surgeon#RealSelfCORESurgeon

It's a great question and it's difficult to say whether you will have a natural look. The definition of a natural look varies between every person. It's important to have close communication with your plastic surgeon. They should take the time to speak with you about your goals and they will try to get a sense of what a "natural"  look is to you.

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 350 cc implant to make her go from a “A” cup to a “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 below link.#breastaugmentation#findingtherightsize#BA

It’s always difficult making decisions about breast size
without performing a physical exam or seeing pre-operative pictures. In
addition, it’s important to understand the patient’s aesthetic goals. Each
patient has specific anatomic findings and unique aesthetic goals regarding
size and shape of the breasts. All of these factors should be considered when
choosing the size of breast implants.Even when tremendous care is taken pre-operatively to
determine breast size, the final decision needs to be made in the operating
room by the surgeon. At this point, an assessment can be made regarding how the
patient’s breast tissue interacts with the breast implant. In some cases when
larger implants are utilized patients can lose a natural look and appear
artificial. Occasionally, obtaining a specific size doesn’t allow the surgeon
to meet the patient’s other aesthetic goals. For this reason, locking into a
specific size isn’t always a good idea. Results are often better when a surgeon
has the ability to make adjustments in the operating room.In your case, it’s important to thoroughly discuss your
aesthetic goals with your surgeon. Make sure he has the latitude to do what’s
best for you in the operating room so he can meet your aesthetic goals. It’s
important that you have an approximate idea of the breast implant size that
you’re considering but don’t become married to an absolute number. It’s
important to remember that going with an implant that’s too large can result in
an artificial appearance.

I use a technique called dimensional breast augmentation which involves taking in a number of factors and measurements, so each patient is unique. That being said, given your height, weight, and your activity level, along with the fact you are considering a lift, I would say you are probably not that far off in choosing an implant in that range. Best thing to do is to see a qualified plastic surgeon that has good breast expertise.

Hello! Thank you for your question! Given your description and wishes, an implant to fit your chest may be the right one for you. The most important determination for the correct implant size is the width of of your breast. Choosing one that fits your breast perfectly would be the ideal one for you. Although there are a few smaller sized implants available, an evaluation and examination by a plastic surgeon of your breast characteristics, breast width, and skin/soft tissue laxity are very important in picking the right implant to meet your desires. Consideration for the gummy bear implant is also a thought. Photographs of what you envision for yourself may be helpful during your consultation. Consult with a surgeon who will discuss the various options, implants, incision location, implant placement, etc. it is difficult to give you recommendations without an examination and measurements. Good luck and best wishes for a terrific result!

I prefer the Moderate Plus for any patient who is focused on a "natural" look as opposed to a High Profile implant.  Another implant to consider is a shaped, cohesive gel implant from Allergan.  From a volume perspective, 400cc would theoretically give you a C cup, if not more.  My first recommendation for patients is to schedule a consultation with an experienced, board certified plastic surgeon.  He or she will review the critical measurements and tissue characteristics that will help determine your best implant to match your goals.  Best Wishes!!!

It would be best to meet  with an experienced surgeon in your area to determine your chest width dimensions and skin envelope prior to selecting an approrpitate implant. Generally the larger the implant,especially on a thin frame the less natural they will appear. 


Dr. Pedy Ganchi/ Village Plastic Surgery

Ridgewood, New Jersey