What size will I be after 450cc implant? Is that too big?? (photos)

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

Thank you for your excellent question. 450cc is a large implant and will most likely give you a D cup. "Tissue based planning" relies on your chest and breast measurements and is the safest way to ensure good long term results. Your surgeon should determine what size and projection are necessary to give you your desired result based on your body's measurements. Choosing an implant too wide or too large will lead to problems in the future which will require additional surgery. 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 breast surgery. Hope this helps and good luck with your surgery.

That wouldn't be my choice of procedure, but there are lots of ways to perform plastic surgery. I find that the present lift doesn't last and merely stretches the nipple into an oval pattern. You need different sized implants on each breast. Saline is one way to go, though i never use saline and much prefer silicone. I would perform a lift/reduction on the right breast with a very short anchor scar, and a small lift on the left breast with a very short lollipop scar, with incisions in the crease on both breasts. Again, there's many ways to do this procedure. 450cc implants will bring you up 2 cup sizes. Is that your goal?

Thank you for your question and photographs. Breast implant selection is an exciting, but stressful part of the breast augmentation process as there are so many choices. Unfortunately it is impossible to recommend the best implant style, size or shape without an in-person examination that allows for the measurement of key breast parameters, as well as permits an in-depth discussion as to your desired goals and outcome. I would recommend you voice your concerns with your surgeon, they are in the best position to ensure that the implants the two of your decide upon are the right ones to meet your expectations. It sounds as if it may be wise for you to "try on" several of the implants so that you can have a better visual representation as to what they would look like. Best wishes!

Thanks for sharing your concerns with us. In my practice I prefer to use the Cohesive Gel - Silicón Breast Implants with textured cover ("gummy bear implants") They are quite safe and aesthetically best as they give a firmer consistency, better projection and natural appearance. For you 350-400 will fill your breast properly.Best wishes,Dr. Emmanuel Mallol.

I appreciate your question.

It depends on your chest wall
measurements and existing breast tissue as implant size does not accurately
correlate to a bra size. It also depends on the brand and style of bra
you wear as size varies from manufacturer to manufacturer.

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

If a 450 ml implant meets the size that is your goal, then it is not too large. 350 to 450 is the average size that I routinely use. I agree with your PS that you need a lift as well. With your short space between the areolar and the inframammory crease, I'm inclined to use what is called a lollipop mastopexy (uplift). This would lengthen the distance between the areolar and the IM crease. Also, your nipples point downward, and a mastopexy would correct this. The nipples should be centered over the breast.Of course, viewing photos is not as accurate as a personal examination, so your PS may be exactly right. Additionally, I would also suggest using a larger implant in your smaller left breast to achieve symmetry. Best of luck to you.

It is difficult to say for sure what cup size you will be because the two do not always correlate. Doing a baggy test can give you a rough idea.

My best guess from your photo is that 450cc will make you a small D cup. I am not certain a crescent lift is enough, but unable to tell from the photosGood luck, 

Hello dear, thanks for your post and provided information as well. The thing about size is...Did You Know? Implant size (measured by cubic centimeters, or “cc”) only matters as far as it will help you get the look you want. In these photos, can you guess who has the larger sized implants?What limits how big you should go?1. Your current breast size. This matters because you’ve got to have enough existing breast tissue to cover the implant. If you haven’t got a lot to spare, some implants may just be too big to fit.2. Your chest and shoulder width. Fortunately, implants come in different base widths so you can get a size that works well with your frame.I recommend to make an appointment with a board certified plastic surgeon for a person evaluation and to talk about your goals. Good luck :)