450cc will be the right size for me? Im 32b size. (photos)

Question

Im 5'9 and 138lbs. I tried several sizes in consultation and I loved that size in the blue bra (pictured) however... When I was told the actual size of the implant (450cc) I was shocked. The number is big but they don't look big on me... I want a natural look, the perfect look according to my body's measurements. What do you guys think? If you have a picture of patients with same size and similar body measurements can you please upload it? Implants will be Sientra Silicone.

Gary M. Horndeski, MD · Answer

At size 32, each 100 cc of implant corresponds to 1 cup size change. 450 cc implants weigh 1 lb each and will take you up 4 1/2 cup sizes. Placing sizers in a bra is totally different then placing implants underneath the muscle. I recommend you consider a more conservative size.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Brian K. Reedy, MD · Answer

Thanks for your question! If you liked the sizers and would be happy with that look, you will like the 450cc implants. They will even look a little bit smaller once they are under the muscle. If that is the size that your surgeon is recommending and you trust his/her expertise, then I am sure you will be happy! Good luck!

Donald R. Revis Jr, MD · Answer

Good afternoon,
Although I have not had the opportunity to examine you, measure your chest, and review goal photos with you, sizers don't lie- they are the single best way to pick the correct cc's for your augmentation. Don't get hung up by the number- go for the look you like when you tried them on!

Nelson Castillo, MD · Answer

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 seeing additional board certified plastic surgeons to ensure that the implants you decide upon are the right ones to meet your expectations. If you liked the sizers you tried, and they will physically fit, then those are what you should ask for. . Best wishes!

Farbod Esmailian, MD · Answer

It is really difficult to answer your question as there is a lot that goes into sizing our patients.  We perform measurements, evaluate the skin envelope elasticity, look at photos, look at what the patient came up with the rice test, look at diagrams and finally use the Allergan/Sientra sizing system to size the patient in the office.  We obviously listen and discuss exactly what the patient wants and doesn’t want so that we can deliver the expected results.

Your best path to determine what size would work and how big you can be would be to seek out a board certified plastic surgeon to discuss your options.  Make certain the surgeon you choose has great deal of experience in breast implant surgeries.

3D imaging is great, but I find that using sizers in the office with different outfits works best in my hands.

Hope that helps.

John L. Burns Jr., MD · Answer

The 3D imaging you've done is very accurate and based on this technology you can see what you would look like with different sizes and profiles.  It is difficult to compare yourself with others because you'll have different measurements.

Daniel Barrett, MD · Answer

Dear valentinacb20,
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

Ram Kalus, MD, FACS · Answer

Please plug in your demographics to our unique interactive gallery, “What Size Should I Be?”. You are correct that the number 450 will act and look differently in someone like you versus someone with a more petite frame. While trusting your plastic surgeon is key, you must also be confident that your aesthetics align with those of your plastic surgeon. Best of luck to you.

Ali Gurlek, MD · Answer

Thank you for your question and photo.
I would recommed you to have 350 to 400cc implants the first time then you can change after few years to a bigger implants because of your fornt size. to It involves placing breast implants under breast tissue or chest muscles.