425 cc High profile silicone implants with lift, too big? Measurements and pics attached. (photos)

Probably. The 371 requires a base diameter of 12.9 and you are 12 and 12.5 on your spec sheet, so that won't work well. Also you so seem to have a thinner torso, and there is still quite a lot breast tissue, although it is ptotic.  If you wanted to go 425, theoretically the base width of 12.0 would work.  You just have to realize that you are going to be a D cup at least.   Active life style and large implants, combined with a lift that puts stress on already stretched and weakened tissue, not a good combination.  Think smaller in these circumstances. Perhaps trying on sizers and wearing them in your bra for a week, if your doctor would permit that, would save you some headaches, down the line.

Your pictures suggest that you would be an excellent candidate for breast augmentation performed in combination with breast lift surgery. Under these circumstances, breast lift surgery is utilized to re-shape the breasts and lift the nipple areolas into normal position. This will require removal of excess skin in both the transverse and vertical dimensions. In most cases this will require either a lollipop or anchor mastopexy.The size of breast implant utilized depends upon the patient's aesthetic goals and anatomic findings. Most patients want harmony, balance and proportion with the surrounding anatomic structures. They also want a natural look with superior breast fullness. In someone with a petite frame and a relatively active lifestyle, a smaller implant is definitely a consideration. Under these circumstances, a 371cc silicone isn't an unreasonable choice.In an effort to determine breast size in a more objective manner, we utilize external silicone sizers. External silicone sizers are designed to sit on top of the patient's breasts. They can be held against the patients chest or placed inside the patient's bra. This technique helps the patient visualize what their breasts look like with a specific sized implant. It also gives them a sense of the volume that will sit on their chest wall and how it feels.The ability to visualize your projected surgical result with sizers alleviates much of the anxiety associated with this procedure. It's also important to thoroughly discuss the issue with your plastic surgeon.

Hi Cali,It sounds like you are seeing a very carful surgeon, who does good preop analysis.  A narrower base implant make sense.  This is more fully outlined below by Dr. Lowen, so see his answer.  If the implant is too wide, you end up with a "Side-boob."  So, any way, all the best, "Dr. Joe"

I personally feel that, in order to get the best result, you would need more than just the circumareolar lift. In my opinion, you need at least the lollipop scars if not more. I would highly recommend asking your surgeon to review with you photos of women with similar anatomy.  This is very much surgeon dependent.  In my experience, the circumareolar lift does very little actual 'lifting'. 

You look tall, thin and athletic by your pictures.  Bigger implants mean they may get in the way of your activities and this is an important fact to take into consideration.  It is always possible that by putting in a larger implant, that your surgeon is trying to avoid doing a mastopexy (or lift) that would have more of a scar.  Sometimes it is okay to put in a little smaller implant and doing an different mastopexy, even if it means a little more scarring. It is important to talk to your surgeon again to see what his or her thoughts are for choosing that combination of surgery. Good luck with your board certified plastic surgeon!

     I would let you pick the implant size.  I would probably differ in the lift offered.Kenneth Hughes, MDLos Angeles, CA

I would perform a lollipop lift,  not a periareoalar lift.  I also don't think I would go that large.  The combination of a periareoalar lift and an overly large implant is one I've seen many times.  Eventually the areola stretches out and the breast sags again and that problem can be difficult and expensive to correct.  The correct procedure for you is the lollipop lift with implants in the mid 300 cc range.

Thanks for your question, I think its helpful for a lot of patients.  The most important thing you need to decide is the size you would like to be.  Don't compromise on this, or you will be unhappy in the long run.  Second, the type of implant is very important.  I don't use them any longer, but saline implants were very successful with Benelli lifts because they kept the breast from getting flat with this type of lift.  Today, I only use silicone implants because the newest implants are so much safer (cohesive).  Specifically, I feel the Sientra implants are a great balance of firm but soft gel.  Finally, you need to think about shaped implant as well.  This is great for a thinner patient to give the projection you need with the Benelli lift, and a natural upper pole.  A round implant can give a fuller less natural upper pole if you prefer.  If you are active, pick your size first, even if you need a more significant mastopexy.  In the long run you will be happier, and your breast will maintain a better shape.  A slightly longer scar is better than another surgery. Most important, if you are not certain, go back and revisit with your surgeon.  It looks like he was very thorough, so be sure he understands your goals.  Good LuckDr. Schwartz

Congratulations on your decision to reconstruct your breast.  In my opinion, your plastic surgeon has given you an excellent recommendation.  Because of your height, the 425 cc implant will look like about a 325 if you were 5'3".  Also, I am glad you didn't do a moderate plus implant because mid-range implants made by both American manufacturers are underfilled, and in slender people like you, tend to show traction rippling.You show the four main problems seen in the postpartum ptotic (droopy) breasts.1.  Your breasts are hanging on your chest wall.2.  Your areola are too large.3.  Your areola are too low on the breast mound.4.  You have no fullness in the upper quadrant.The high profile implant not only gives you more fullness in the upper quadrant, but it also tends to lift the breast more.  The circumareolar mastopexy (Benelli) does a nice job of lifting your breasts, but the extra lift from the high profile will help give you the perky breasts you are looking for. 

Thank you for your question and photos.
There are several variables to be considered when answering this question. It is always difficult to make a diagnosis on photos alone, but you do appear to be a good candidate for a breast lift with implants. When you meet with a board certified plastic surgeon, they will perform a set of measurements that will help determine whether or not a lift is necessary and what approach they will take. This will determine the type of incisions you will have. Another variable that needs to be discussed is what you are wanting. If you are wanting a fuller upper pole to your breast, then an implant will be necessary.  If you are just wanting the breasts to be a little perkier and don't mind the size, then only a lift is necessary. And to have the nipple in proper position over the implant, may require a lift. I hope this is helpful