Can a very slim woman get breast implants that are 300 cc or more per breast? (Photo)

Question

I am currently a 34 B (who knows, maybe i could fit into an A but i always wear padded push up bras) and i desire to be a full C, possibly a small D. I am 5' 2'', 92 lbs, chest base circumference of 27'', and am 29 yrs old. I worry if i'm too small for at least 300 cc's per breast if it is even worth it.

George Volpe, MD · Answer

In most cases this can be achieved with careful consideration of implant types in addition to postoperative care. Of course a good physical exam and consultation by your plastic surgeon is necessary along with a discussion regarding expected results. There may be pros and cons with different implant types and sizes and it is wise to review all this.

Ellen A. Mahony, MD · Answer

Sizing takes into account so many factors:1.  How tight is your skin?2.  How thick is your breast tissue?3.  What are your breast measurements?4.  What is your goal?5.  What can realistically fit?6.  Over or under the muscle?7.  What is your height and weight                                    ....to name just a few.Although an in-person consultation is essential to sort out all of the variables, including your medical history, don't get all set on how many "cc's" the implant should be until you have your visit.  You may learn that a general "C Cup" on you is best met with a 225cc implant!  All the factors matter.Try to visit with a ABPS doc, ideally a woman, and try on sizers!  That will help you see what matters.And, consider the Ideal Implant!In good health,Ellen Mahony, MD

Sheila S. Nazarian, MD · Answer

Choosing the right size implant depends on any number of factors all of which require an in person exam. So, if you haven't already done so, book a consultation with a board certified plastic surgeon in your area (link below) to discuss the best options for you -- Dr. Nazarian

Nelson Castillo, MD · Answer

Thank you for your question and photographs.  I think you are an excellent candidate for a breast augmentation but 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. Be sure to see an ASPS board certified plastic surgeon for an evaluation.

Jaime S. Schwartz, MD, FACS · Answer

I appreciate your question.

The size of implant best 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.

Silicone will give you a 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 more liquid silicone
(less cross-linked), if this implant should rupture, it will leak only into the
scar capsule formed around the implant but may cause some discomfort or implant
distortion.

Anatomic gummy bear implants might be a
good choice to give you volume.

These highly-sought-after, anatomic
implants offer a look that more closely resembles the natural silhouette of a
breast, and, therefore, are 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.

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

Joshua Lampert, MD, FACS · Answer

Based off of these photos alone - Breast augmentation patients with similar breasts usually do very well and I feel are some of the best candidates and happiest patients.  Though you report a small cup size, from the photos there appears to be a fair amount of breast gland tissue present that will help camouflage a larger implant - if you desire.  I have patients try on sizers in my office and spend time in the mirror - to help determine the right size, I like the patient to take an active roll.  I usually like to feel how much gland can be "pinched" in the upper pole and always measure the width of each breast base (or Base Width Diameter = BWD) to determine which implants will fit any given patient's chest wall.  There are so many styles-profiles of implants (and shapes!) now available that it is much easier to find an implant of any given size that will fit even a narrow chested patient that wants larger implants.  Of course, there are limitations to volume that depend on the patients size, scar location and how natural they want to look.  Miami patients in general seem to want larger implants.  Many with similar frames and breasts as yours in the photo do well with 350-400 hp or uhp implants.  Of course, you absolutely have to see an ABPS board certified plastic surgeon for a full consultation and exam prior.  Good luck!- JL

Steven Wallach, MD · Answer

Choosing the right implant for you depends upon the exam and a discussion of your goals. It is difficult to say without the exam.

Tom J. Pousti, MD · Answer

Thank you for the question. Based on your photographs, I think that you are starting at a good place and should have a very nice outcome with breast augmentation surgery.  Ultimately, careful communication of your goals (in my practice I prefer the use of goal pictures, direct examination/communication in front of a full-length mirror, and computer imaging) will be critical. Generally speaking, the best online advice I can give to ladies who are considering breast augmentation surgery ( regarding breast implant size/profile selection) is:1. Concentrate on choosing your plastic surgeon carefully. Concentrate on appropriate training, certification, and the ability of the plastic surgeon to achieve the results you are looking for. Ask to see lots of examples of his/her work.2. Have a full discussion and communication regarding your desired goals with your plastic surgeon. This communication will be critical in determining breast implant size/type/profile will most likely help achieve your goals. In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. For example, I have found that the use of know words such as “natural” or "C cup” etc means different things to different people and therefore prove unhelpful.Also, as you know, cup size varies depending on him who makes the bra; therefore, discussing desired cup size may also be inaccurate. Again, the use of computer imaging has been very helpful during the communication process, in our practice.3. Once you feel you have communicated your goals clearly, allow your plastic surgeon to use his/her years of experience/judgment to choose the breast implant size/profile that will best meet your goals. Again, in my practice, this decision is usually made during surgery, after the use of temporary intraoperative sizers.I hope this (and the attached link, dedicated to breast augmentation surgery concerns) helps. You will find a separate page, on the same website, dedicated to breast augmentation surgery for petite patients. Best wishes for an outcome that you will be very pleased with.

John P. Stratis, MD · Answer

From your pictures you would be a great candidate for breast augmenattion. You should get an excellent result. I have found that the use of pictures, the Mentor Sizers and the Vextra 3D imaging comnputer are great ways to help visualize the results you want to try to achieve.Consult with a board certified plastic surgeon who has these tools.

Robert Graper, MD · Answer

A slim woman can definitely get implants but the goal of big C or D is probably unrealistic. Your anatomy will dictate what size you can be. Your breast width is critical and your skin elasticity very important in determining what size you can be. If you want to go bigger than what can be achieved in one stage, a second stage is possible with a larger implant once your anatomy has changed. This will be a very artificial look on  a thin patient. Good luck.

Can a very slim woman get breast implants that are 300 cc or more per breast? (Photo)

Answers (14)

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