What type 800cc implants do you recommend for 21 year old?

Good afternoon,
I perform over 250 XL augmentations a year- more than any other surgeon in the U.S., and undoubtedly you will get a lot of scorn with your question. Surgeons who don't "like" large implants will tell you that you're ruining your life. That's not really true- large and XL implants- when placed by an experienced surgeon- have no higher complication rates than regular size implants. In terms of size we would determine that here in the office by reviewing photos and measuring your chest and having you try on the implant sizers. In terms of saline vs silicone, saline is more fake, rounded and perky, whereas silicone is the softest most natural look and feel you can achieve.

Dear Original606382,
breast implant type and sizing selection is a complicated process and requires a detailed consultation that includes a discussion of your goals, a detailed examination, and a lengthy discussion. But the decision will always start and end with the patient. When it comes to sizing, we have all of our patients find 3 photos of their desired breast size. We ask for naked breast photos because clothing can obscure the true size (push up bras). Next, we consult with patients and go over the photos and take detailed breast measurements during a physical exam. Next, we using a sizing algorithm to determine a range of implants that will work based on the exam and the measurements.Lastly, during the operation, we use silicone sizers in the operating room to see how the size actually looks in the breast. We sit the patient up in the operating room, while asleep of course, and compare the sizer result with their desired look photos. If it is too small, we start the process over with a slightly larger implant. We don't stop until we get the perfect match.Of all of my breast augmentation patients, every one of them has been happy with their size due to this detailed and meticulous process. You don't want to invest time and money into a result that is either too big or too small.You should discuss your concerns with a board-certified plastic surgeon and make sure that your surgeon understands your goals.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Hi and welcome to our forum!SIZING: Determining the “perfect” breast size before a planned breast augmentation is quite a difficult task. Each individual has a different concept of “normal” breast size. In addition, there is no standardization of bra size in the manufacturing industry. One company’s “C” is another company’s “D”.There are various ways to determine desired breast size. Bringing in “wish pix” to demonstrate to your surgeon will make him / her aware of your anticipated goals. Placing an implant in a bra gives an extremely rough idea of anticipated breast size. One may estimate volume by adding rice to a baggie (1 cc = 1 ml) and adding the volume to your breast beneath a bra. Some surgeons offer computer imaging. Implant sizing is a lot more than volume ("cc.") The specific dimensions of your chest wall must be taken into consideration. The width of the breast, your desired projection, and the desired volume together determine the correct range of implant sizes. The most important measurement is the base width of the implant. If you drop a vertical line from the medial most and lateral most aspects of the breast, and measure the distance between them, this suggests a base width (the footprint of the implant) . If an implant is too narrow, you will not have adequate cleavage. If wider than the base width, you will have excessive cleavage and “lateral boob”. The fill of the implant then determines the amount of forward projection. I recommend you visit an implant website (e.g. Mentor, Allergan, etc.) as they will list base widths, fill options, and projections for each implant size they offer. SALINE VS. SILICONE: Choosing between saline and silicone implants is often difficult as there are several factors to consider:Saline implants are usually less expensive. Saline implants placed in patients with sufficient breast tissue will look and feel natural, but if breast tissue is scant, the implant may be close enough to the skin surface to demonstrate "rippling". The implant may feel "limpid" (as it is filled with salt water) while silicone implants feel more natural as they are filled with viscous gelatinous silicone similar in consistency of breast tissue. As the saline implants are only filled after insertion into the breast, the skin incision can be smaller than with silicone implants. Postsurgical radiographic studies are not required. Silicone implants are more expensive. Silicone implants have a more natural feel and flow similar to breast tissue. There is less tendency to "ripple". Silicone implants require a larger incision as they are packaged prefilled. Serial monitoring of the implant is recommended with MRIs of the breasts performed at intervals to confirm the integrity of the implants.OVER / UNDER MUSCLE: With subglandular augmentation, the implant is placed under the breast and over the pectoralis muscle. As the muscle is spared, there is less postoperative discomfort. Muscle contraction will not result in breast distortion. There is an increased risk of capsular contracture with subglandular positioning. There is a greater change of implant "rippling" in patients with lax skin and small breasts if the implant is placed above the muscle.Submuscular placement has a lower incidence of capsular contracture, but there is more postoperative discomfort. There is a lower incidence of implant rippling. You can trust the recommendations of a board-certified plastic surgeon. Best wishes…