Breast implant size - would 440cc HP give me the voluptuous result I am looking for?

Hello @Cheerful228286 thank you for your question. Without a proper assessment an expert opinion is not possible. The best course of action is to consult one or several board certified plastic surgeon for more information and options tailored specifically to your needs. Best wishes! Alan Gonzalez MD FACS

Hi, thank you for sharing your question. Based on the information you gave, HP implants between 440-470 may be possible. The difference between the two is marginal. Without photos or an evaluation in person, it’s hard to say what would be ideal or possible for you. I hope this helps.

At size 30, each 100 cc of implant corresponds to 1 cup size change. 440 cc implants would take you up 4 1/2 cup sizes. 440 cc implants weight 1 lb each, will most likely not fit retro-pectoral and will descend inferior and laterally. I would recommend a more conservative size.

Best Wishes,

Gary Horndeski, M.D.

Thank you for sharing 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 continuing to discuss your concerns with your plastic surgeon or seek additional consultations to ensure that the implants you decide upon are the right ones to meet your expectations. Best wishes!

After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size and style breast implants and they choose what looks right for them. They also get to see what they would look like when the breasts have fully dropped and fluffed and in clothes. You get to see actual results and the surgeon's experience and not a virtual idea of what can be achieved. Women tell me that this process is very helpful in determining what size and style breast implant is right for them. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Dear Cheerful228286,
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

It seems to me that, if you've seen three surgeons and they all agree that 440HP is the largest implant that will fit your frame then I'm not sure you have much choice - it will either be big (or voluptuous) enough for you or it won't. At least you'll know that you couldn't have gone bigger. 440cc is a pretty large implant for someone of your frame so you'll certainly know you've had it done! The use of internal bra really depends on the quality of your tissues. If you have tight, elastic skin (usually no kids and no significant weight loss) then implant alone is probably fine. If your skin is a bit loose and crepey then an implant of this size is liable to pull down on the breast tissue and cause the breasts to drop earlier - in this case an internal bra can increase the lifespan of the look you want by taking the weight of the implants off the overlying tissues. Good luck

Selecting the right implant for you is a complex process. It is important that you discuss your goals for surgery with your surgeon. She/He will combine that information with your measurements to provide you with implant options. The implant that you mentioned will provide maximum projection and will increase you multiple cup sizes. Many surgeon's have sample implants in the office you can "try on" to get a feel for how you may look after surgery.

Your surgeons who have examined and measured you will be the best ones to tell you what maximum size your frame and tissue should support. However, I feel the 440 probably will be a very full breast for you. You don't want something too large and heavy for your neck and shoulders and wind up with big balls on your chest.