22 yo no kids, Is 375 cc moderate plus round mentor silicone (under the muscle) too big for my 5ft 112 lb frame? (Photos)

Hello!  Though it may be possible to implant a 500 cc implant, I don't think you would ultimately be happy with it. Larger implants stretch and thin the overlying breast tissue, and can result in bottoming out of the breasts in the following years, requiring a breast lift. Also, larger implants can impede your athletic activities, as they tend to get in the way, and cause excessive motion of your breast tissues that can be annoying to say the least. Considering your petite frame, 300 cc range is more than enough to give you a significant enhancement. Do your homework, make sure your doc is a board certified plastic surgeon, and trust your instincts. Good luck!
Matthew C Camp M.D.
Board Certified Plastic Surgeon
Member of the American Society of Plastic Surgeons

It is very difficult without assessing you in person to know what implant size will be a good size for you. Keep in mind that implant size selection not only depends on your personal preference, but it also depends on your unique measurements. There are various types of implants that can help you attain the look you are going for. A thorough consultation with a board certified plastic surgeon will allow you to communicate what your desired result is and will inform you as to what is possible to achieve your goals. We have a device called the Vectra 3D imaging system that shows you what you will look like with any implant. Our patients are very happy with the choice of implant they make when using this system. To learn more about breast augmentation, you can read “A Comprehensive Guide to Breast Augmentation.”

I appreciate your question!

After 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. Other than that, you should choose the implant based on volume, not on the dimensions of the implant. 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 people’s bodies and your results will probably be different.

Silicone will give you 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 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, is 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.

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 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.

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

Board Certified Plastic Surgeon 

#RealSelf100Surgeon

#RealSelfCORESurgeon

Based on your wish pictures, you seem to like a round appearance with a full upper breast. To get the most upper breast fullness, a high profile or extra high profile implant is what I suggest. Maybe you should try on additional sizers, or get another opinion regarding Implant size. Good luck!

Patients often think in terms of cup size when considering augmentation. Unfortunately, devices are sized in terms of milliliters (cc) of volume. This can lead to some confusion when sizing. Additionally, it is important to remember that cup size itself is not standardized with variations from one manufacturer to another. Unfortunately, as many women can attest their cup size in an industry leader such as VS is not necessarily transferable to another brand.
Another point which is often under appreciated is that of anatomy and starting point. Any implant will add volume to the volume which is already present. The implant is additive. A particular volume will not necessarily confer the same cup size to different patients (often times it will not even confer the same cup size to different breasts in the same individual...remember they are "sisters" not "twins"). 

A general rule of thumb is that 125cc can represent somewhere between 1/2 to a full cup size increase. Smaller volume differentials (25-50cc) are typically less consequential representing a volume change of less than a shot glass. However, I have found these numbers, at least anecdotally, to be of little help. Patients often present with notions/goals which do not correlate with these sorts of sterile volumetric assessments.

When sizing patients, there are a number of useful tools including:

-3D imaging (has the added benefit of offering a volumetric analysis of the pre-operative breast)

-Breast sizers (rice bags)

-Goal photos

I also recommend that patients commit to a particular look rather than a cup size. Once a patient settles on a look that pleases them the overall cup size increase becomes less relevant.

As always, discuss your concerns with a board certified plastic surgeon

Thank you for sharing your question and photographs.  Though nothing replaces an in-person examination 400-500cc implants would be too large for your frame and it is likely best to stay in the 300-350cc range.  I would advocate speaking with your surgeon further, and trying on implant sizers to better gauge an appropriate size.  Hope this helps. 

Hello and thank you for your question. You are a great candidate
for a breast augmentation.  300-325cc seems to be a reasonable size for you.  The size, profile, and shape of the
implant is based on your desired breast size/shape, your chest wall
measurements, and soft tissue quality.  This decision should
be based on a detailed discussion with equal input from both you
and your surgeon.  This entire surgery
can be performed with a small incision technique.  Make sure you
specifically look at before and after pictures of real patients who have
had this surgery performed by your surgeon and evaluate their results.   The most important aspect is to find a
surgeon you are comfortable with. I recommend that you seek consultation with a
qualified board-certified plastic surgeon who can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon

With your existing breast tissue, a HP in the 475-500cc range would be pretty large for your frame.  The Moderate Plus would give you more of the proportional/ natural look.  When it comes to an implant the dimensions of the device are just as important as the volume.  If you are 13cm wide on one side, a 300-325cc device would probably be swallowed up by your own tissues.  The breasts would be a little larger, but you would miss out on more of the shape to them.  The shape comes from the diameter of the device.  The larger the diameter, the more the shape/height.  I would discuss this with your surgeon or go for second opinion since it seems that you are not on the same page yet.  I hope this helps.

The range of implants you describe seem to be reasonable for your frame. Sometimes it helps to try on sizers in the office to help you determine what size you feel most comfortable with 

Thank you for your question
It all depends on your expectation and after a personal consultation with the plastic surgeon of your preference, then you can determine together with your doctor that according to your figure what kind of implants you can adapt to your body.
Always to serve you, i wish you good look!
Dr. Manuel Ventura Certified, Plastic Surgery, Ivo Pitanguy Institute, Rio de Janeiro.