Are 410cc moderate profile round silicone implants considered big?

Question

I had my BA two weeks ago and I’m not too sure how I’m feeling about the size. I know it’s still early to tell and there’s still a lot of changes to come but is a 410cc implant considered “big”? I’m 5’5 137lbs and believe my doctor said my chest wall or something about my chest measured I think 13in and used to be a deflated 34B. So with these stats and the size of implant I chose, will my boobs be big like a D cup or average like a C cup? D cup or DD is my goal.

Badar Jan, MD · Answer

Breast size is essentially a combination the native breast tissue and the breast implant. As far as as your breast size at this point, I would wait for things to settle before making any final determinations about the appearance. I find it helpful to spend time with patients before surgery to discuss implant size in detail as well as have patients try implant sizers to see what looks best. I find cup size to be an important component part of the conversation but I find the sizing more helpful.
Best wishes,
Dr. Jan

Christopher J. Davidson, MD, FACS · Answer

Thank you for your question.  A 410cc implant will increase your bra cup by approximately 2 bra cup sizes.  My strong advice is to wait a full 4-6 months before considering the final result of your breast augmentation procedure.  Good luck.

Samuel Beran, MD · Answer

There are so many factors when deciding the right size for each patient that I cant really say "too big" or "just right" without meeting a patient.  If its any help. the average implant is about 350 cc, but taller women certainly have a need for larger implants to achieve a similar look as a smaller implant in a shorter woman.

Ryan Hoffman, MD · Answer

Two weeks from surgery, is a very hard time to determine what things will look like after they are healed. 410 ccs is a good sized implant, but whether that will allow you to reach your goal or not should have been discussed prior to surgery. Having a good idea of the patients sizing goals prior to surgery, helps a surgeon pick a right sized volume and projecting implant to meet their goals. Allow things to settle and follow up with your surgeon.

Steven Varkony, MD · Answer

It’s hard to determine what’s considered “too big” without
an in-person examination. There are many factors that determine the correct
implant size, all of which should have discussed with your plastic surgeon
prior to surgery. Our patients try on implants to make sure they’ll be happy
with the size. We recommend scheduling an appointment with your plastic surgeon
to discuss your concerns.

Lawrence Scott Ennis, MD, FACS · Answer

The best way to pick implant size is based on your breast and chest width and not the volume (cc). As the implants get bigger, they get wider. When the width of the implant fits the width of your chest, it will look nice and fit your frame. If the implants are too small, you will have a gap between them and they may look too far apart. If they are too wide, they will make you look top heavy as they may be too wide and stick well out past the sides of your chest. There are ways to get a bigger or smaller look. This can be done by picking a different implant profile. If someone has a very narrow chest and wants to be big, they should consider a higher profile implant. If someone has a broad chest and they desire cleavage, they should consider a lower profile implant such as a moderate. A consultation with a board certified plastic surgeon who takes careful measurements and talks to you about your cup size goals will be able to assist you in your decision.

Parit A. Patel, MD, FACS · Answer

Thank you for your question.  Implant size alone is only one factor that determines the final size and shape of one's breast after breast augmentation surgery.  Other things to consider are height and weight of the patient, baseline size and shape of the breast, and chest dimensions.  In other words, it is hard to say what a patient's breast size/shape will be based solely on the implant size.  Additionally, it takes 3 months after surgery before you will see your final result.  I recommend following up as directed with your plastic surgeon and voicing any questions or concerns you have with him or her.  Good luck!

Tom J. Pousti, MD · Answer

Congratulations on having undergone the breast augmentation procedure.  Personally, I do not think that it is helpful to classify breast implants as "big"...  these types of classifications are not helpful given that everything depends on the patient's anatomic starting point and goals.     In other words, it is not necessarily that a specific breast implant implants is "big"  or problematic;  it is that the use of a breast implant  that is TOO  large for a patient's frame can be problematic.   It may help you to know that  a significant percentage of patients at your stage of recovery will feel that they are too big or (more commonly) too small. The vast majority of these patients who are initially quite emotional end up being very pleased with the outcome of the procedure performed.
I routinely ask my patients to wait at least 3-6 months before evaluating the end results of the breast augmentation surgery. This waiting time allows patients to (usually) physically and psychologically adapt to the new body image. 
From the physiological standpoint, it takes many months ( and even up to one year) to see the final results of surgery. factors such as swelling, tissue contraction, skin redraping, implant shifting etc. come into play. You may be pleasantly surprised wants to be "drop and fluff" phenomenon has occurred.
From the psychological standpoint, patients undergo an “adaptation period" during which time they get used to the changes that the surgical procedure has brought about.  Emotional swings can also occur after any type of surgical procedure.
 
At this point, I would encourage you to exercise patience and continue close follow-up with your plastic surgeon.
Best wishes for an outcome you will be very pleased with.

Julio Clavijo-Alvarez, MD, MPH, FACS · Answer

Thanks for sharing your question. I can appreciate your concern.
It is difficult to say what is happening with your case without a physical examination. Sizing after surgery is always a difficult to predict due to the lack of consistency among the bra companies. Sizing with the implant that was proposed to use, will give you a good idea of the potential size that you will achieve. 
Finally, make sure that you have a consultation with a board certified plastic surgeon.
  
Wishing you the best in your journey

Christine Blaine, MD, FACS · Answer

Thank you for your question.  A 410cc implant is a decent sized implant but whether it will help you achieve your D/DD cup size goal really depends on the your preoperative anatomy.  Implants come in a variety of volumes, shapes and profiles and the distribution of the same volume (cc's) in implants of different shapes, profiles, and saline vs. silicone gel will definitely have an impact on the breast augmentations ultimate result.  Now to answer your question it is really too early to evaluate your results as you are only two weeks post-op.  The shape and volume distribution will continue to evolve as your body heals and the skin, tissue and muscle of the chest stretch to accommodate the additional volume of your breast implants.  Unfortunately, patients do not have the luxury of seeing what we see in the operating room until 3-4 months into their recovery but my hope is that when that time comes you will be very happy with the implant volume and profile selected.  I always encourage patients to address their concerns with their board certified PS at an upcoming follow up appointment but I wish you all of the best and I hope that this answer has helped.

Are 410cc moderate profile round silicone implants considered big?

Answers (11)

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