What is the largest cc size I can go in moderate plus implant if my diameter is 12.5? (photo)

The best way
to determine the size that fits your personal perception of the perfect breast
is to try on sizers. This way you can see how they fit on you, how they add to
your current volume, and whether they fit your frame. Although the surgeon can
guide you, only you will be able to tell what is the right size. Try on sizers.
HP implants, which are a more modern shape than moderate profile
implants, fit most women better. They have a more appropriate base diameter for
the average women's chest. Mentor HP profile saline implants have base
diameters that range from 8.8 cm (very narrow) to 13.8 cm (moderately wide).
The majority of women in my practice have base diameters in the 11 to 13
cm range. The HP implants fit them well. The moderate implants have
much wider base diameters for the same volume (often in the 14 to 15.6 cm
range). These implants are too wide for most women that I treat. So
when the base diameter is measured and correlated with the diameter of the
implant, it is most often necessary to use HP implants to achieve the volume
the patient is requesting. At the volume selected, my patient's base
diameters are too small for moderate profile implants. Measuring a diameter and
then telling the patient what volume they can have (in high, moderate or
moderate plus implants) in my mind is backwards. The patients should be
allowed to choose the volume. Then the surgeon carefully considers the
base diameter, projection, profile, manufacturer, and fill material that will
achieve the patients goals of size as well as qualitative look (natural,
intermediate, or bold upper pole fullness or projection), all the while taking
into consideration the patient's anatomic features that will affect the
outcome. HP implants can be made to look very natural or very augmented,
depending on where in the range the implants are filled to achieve a particular
volume. At the low end of the fill range, HP implants do not have the upper
pole fullness that most people associate with the fake look. On the other hand,
a fake over-augmented look can be created with a moderate profile implant if it
is overfilled (a common practice for surgeons that commonly use moderate
profile implants). In addition, too wide an implant will put the volume past
the anterior axillary fold, which in my opinion, looks more fake than upper
pole fullness. So there are many factors that need to be considered.
The experience of the surgeon and the degree to which they explain the
options to you is of utmost importance. Obviously all of my patients look
at photographs and we evaluate the look they are desiring in great detail.
For me, high profile implants are the first choice. I rarely find an
indication to use moderate or moderate plus implants. This does not make me a
better surgeon, or a worse surgeon. Look at the outcomes and judge for
yourself. The outcomes should stand on their own. The subtlety in
the final outcome is not achieved by which profile implant is used, it is
determined by the skill in the creation of the pocket, the choice of volume,
and where in the range the implant is filled. Don't let the doctor tell
you what would look good on you. They cannot tell what you perceive to be
the best size.HP
implants, which are a more modern shape than moderate profile implants, fit
most women better. They have a more appropriate base diameter and can be
made to look very natural or very augmented, depending on where in the range
the implants are filled to achieve a particular volume. High profile
implants are the first choice in my opinion. I rarely find an indication
to use moderate or moderate plus implants. The subtlety in the final
outcome is not achieved by which profile implant is used, it is determined by
the skill in the creation of the pocket, the choice of volume, and where in the
range the implant is filled.

Thank you for your picture and question. Since you reference "moderate plus" profile, I am going to assume you are talking about Mentor implants, although there are other manufacturers out there. In a smooth round silicone implant, Mentor, moderate plus profile, the cc size that would correspond to a diameter of 12.5 cm would be 350 cc. You could go larger or smaller within the same diameter by changing the profile of the implant, but it is advisable to not exceed the width of your natural breasts.Hope this helps!

Hard to answer this question without specific breast measurements (and not just your breast width/diameter) AND an in person exam. Remember to choose a board certified plastic surgeon who actually takes the time to measure you and examine your breast pocket. Remember that sizers will only give you a rough estimate. The goal of breast augmentation is to optimally fill your breast pocket, not to overstuff or understuff it. At my practice, we utilize a series of 5 breast measurements that help me determine the implant size, which in turn helps me deliver a 24 hour recovery. Do your research and choose a surgeon who takes the time to sit down with you and discuss your goals/expectations to determine the best size for you. Good luck!!

Thank you for your question and photo.  There are several factors that will contribute to your final implant size:  breast width, tissue laxity/looseness, breast skin thickness, pocket location, patient desire, and type of implant to name a few.  If your breast diameter is 12.5cm, you are going to be in the 350-400cc range for the largest size.  If you have more tissue laxity, you may need to go larger to fill up the loose skin envelope (think of a balloon that is not completely full of air).  Also, you may try on different size implants and want to go bigger or smaller than that range. The base diameter of your breast is sometimes too narrow to give you the optimal look.  In some cases, it is desirable to pick an implant that is wider than the measured breast diameter in order to give optimal cleavage towards the sternum and optimal side cleavage ("side boob").  Additionally, if you have thick tissue or more breast tissue, you may need to go significantly more narrow than what is measured.  Best to have an in-depth conversation with your surgeon at the time of your fitting/sizing amount to make sure all of your questions are answered.Regards,MHS

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. 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 words such as “natural look” or "D or DD 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.