What is the highest saline cc's I can get with moderate plus profile implant with breast width 13?

The best way
to determine the size that fits your personal perception of the perfect breast
is to try on sizers. This way you can see how they fit on you, how they add to
your current volume, and whether they fit your frame. Although the surgeon can
guide you, only you will be able to tell what is the right size. Try on sizers.
HP implants, which are a more modern shape than moderate profile
implants, fit most women better. They have a more appropriate base diameter for
the average women's chest. Mentor HP profile saline implants have base
diameters that range from 8.8 cm (very narrow) to 13.8 cm (moderately wide).
The majority of women in my practice have base diameters in the 11 to 13
cm range. The HP implants fit them well. The moderate implants have
much wider base diameters for the same volume (often in the 14 to 15.6 cm
range). These implants are too wide for most women that I treat. So
when the base diameter is measured and correlated with the diameter of the
implant, it is most often necessary to use HP implants to achieve the volume
the patient is requesting. At the volume selected, my patient's base
diameters are too small for moderate profile implants. Measuring a diameter and
then telling the patient what volume they can have (in high, moderate or
moderate plus implants) in my mind is backwards. The patients should be
allowed to choose the volume. Then the surgeon carefully considers the
base diameter, projection, profile, manufacturer, and fill material that will
achieve the patients goals of size as well as qualitative look (natural,
intermediate, or bold upper pole fullness or projection), all the while taking
into consideration the patient's anatomic features that will affect the
outcome. HP implants can be made to look very natural or very augmented,
depending on where in the range the implants are filled to achieve a particular
volume. At the low end of the fill range, HP implants do not have the upper
pole fullness that most people associate with the fake look. On the other hand,
a fake over-augmented look can be created with a moderate profile implant if it
is overfilled (a common practice for surgeons that commonly use moderate
profile implants). In addition, too wide an implant will put the volume past
the anterior axillary fold, which in my opinion, looks more fake than upper
pole fullness. So there are many factors that need to be considered.
The experience of the surgeon and the degree to which they explain the
options to you is of utmost importance. Obviously all of my patients look
at photographs and we evaluate the look they are desiring in great detail.
For me, high profile implants are the first choice. I rarely find an
indication to use moderate or moderate plus implants. Look at the outcomes and
judge for yourself. The outcomes should stand on their own. The subtlety
in the final outcome is not achieved by which profile implant is used, it is
determined by the skill in the creation of the pocket, the choice of volume,
and where in the range the implant is filled. Don't let the doctor tell
you what would look good on you. They cannot tell what you perceive to be
the best size.

It is very difficult to determine the exact size and shape implant you will require to best match your ideal breast image without an examination by a board certified plastic surgeon. Not just any board certified plastic surgeon, but one with many years of frequently performing breast augmentation surgery including different approaches, techniques and implant choices. This is because several measurements not to mention your breast characteristics are needed to determine the optimal implant size to obtain your goals. Without knowing these dimensions it would be difficult to make this determination. For example, the existing base width of your breast will determine, in many cases, the maximal volume per implant profile that you can accommodate. To illustrate; a 100 cc difference may make a significant difference with a narrow base width breast, but much less of a difference if you have a wide chest wall and wide breast “foot print”. Therefore, just because your friend may have a great result with let’s say a 350 cc implant to make her go from a “A” cup to a “C” cup size does not mean that you will have the same result with the same size implant. . Further simply placing implants in a bra to determine the size best for you is not always accurate as the bra often distorts the size, is dependent on the pressure the bra places plus the implant is outside your breast and not under it among other variables. Computer software morphing programs that automatically determine the best implant size can be helpful in some but not all cases (e.g. doesn’t work well in my experience with existing implants, sagging or asymmetric breasts). Using “want to be” photos however are useful if simply provided to the surgeon as I will further explain in the below link

Thank you for your question. The above volume range is that to which a 13.0 cm Moderate Plus saline implant can be filled. However, a breast width of 13.0 cm is probably best augmented with an implant diameter not much greater than 11.0 cm. In addition, the more fluid is inserted into a saline implant, the firmer the implant (and therefore the breast) will feel. Most plastic surgeons agree that you cannot distinguish the difference between a line filled and silicone gel  filled implant by appearance, but you can often tell the difference in terms of the feel of the augmented breast. You may have been told during a consultation that the 13.0 cm diameter is best for you, and that may indeed be the case, but it is rare that 13.0 would fit and 13.2 would not. In addition, as one overfills a saline implant, the diameter gets smaller. The best strategy is not to have you, the patient, take on the burden of electing your breast implant. That should be the role of your plastic surgeon based on the input you have given him or her regarding your desired final outcome. That being said, the best way to determine which
breast implant size is best for you is by first finding out your specific
wishes not only with words or letters as in cup size or “not too big” or
“natural”, but also with a visual understanding of what you hope to look like.
This can be accomplished either with photographs of patients whose breasts and
body type look like you, or ideally with photos of patients not only whose
breasts are similar to yours, but are also a similar height, weight, and
pre-operative breast size. In our own practice we have provided that unique
functionality on our website to accomplish exactly that.

Unfortunately the most common reason for a woman to be
unhappy after her augmentation is feeling as though she is either too big or
not big enough. Thankfully, in our practice this is rarely a problem because
implant size selection is what we spend most of our time discussing and
determining. I do not place the onus of selecting the breast implant size on my
patients since they are coming to me for my advice and expertise, but I do ask
my patients to be as specific as possible about their aesthetic goals and I
then advise them accordingly.

Implants vary in width,
projection and volume. This can be very confusing to women, who are used to
discussing one number only such as “300 cc’s”. To better understand which
implant is best for you, in our consultation room we have two shelves one above
the other, each with four implants. The
top shelf has all the implants with exactly the same width (12.5 cm), yet the
less projecting implant with that width is a 275 cc Moderate or Classic, and
the most projecting is a 590 cc Ultra High Profile. On the lower shelf, all of
the implants are 300 cc implants, yet the less projecting implant has a width
or diameter of 12.8 cm, and the most projecting of the 300 cc implants is the
Ultra High Profile which has a 9.7 cm diameter.

Once it is determined which
implant width or diameter would best fit you, the next step is to decide which
what sort of look you are hoping to achieve, i.e. more projection, moderate, or
least. This is determined by how much breast tissue you have naturally, and how
large you ultimately wish to be. All of this would be discussed during your
consultation. And don’t be shy about coming prepared with images which you feel
best represent your desired end point. These can be determined by visiting our
gallery, or any other photos you wish to bring. The advantage of using our
gallery is that all of the relevant information about patient age, implant size
and type, are clearly indicated.

I would advise you to seek the advice of a board certified
plastic surgeon experienced in breast enhancement surgery and make sure that
your own sense of aesthetics aligns with that of your plastic surgeon. Your
idea of “natural” or “pretty” or “proportionate” might be different from your
plastic surgeon’s and it is very important for you to feel confident that you
are both of like minds as far as the goals. Best of luck to you and I hope you
are successful in achieving the enhancement you are seeking.

The answer to your question is A LOT! In select patients who are committed to having extremely large implants, I have filled the 800cc moderate plus to over 2000cc. You should see an experienced P.S. to see what dimensions/profile/volumes would best meet your goals.

You would have to be seen in person to have an exam and see how your tissue feel and what your measurements are to determine what implant would be best for you.  Good luck.

Surgeons vary in their approach to implant size and style selection but in general, this is one of  (if not the) most important part of the consultation and preoperative assessment phase of your choice to have augmentation surgery.  Saline versus silicone, projection to base width, shape of implant and size of implant all need to be carefully discussed and decided.Size selection is commonly determined with measurements, "sizers ", or computer assisted imaging systems.  With saline implants, the base to width changes a bit as the implant is overfilled (volume above the minimum manufacturer suggested amount).  There is a maximum overfill amount recommended by the manufacturer as well.  I general the overfill is ten to fifteen percent of the base volume.   In some circumstances this may be exceeded but it may have implications regarding the warranty for the device.In summary your question needs to be posed to your operating surgeon for a specific answer but your surgeon should be more than happy to go through these details with you as you prepare for your surgery. 

Thank you for the question. You will find that online consultants will not be able to provide you with specific advice in regards to selection of specific breast implant size/profile.  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 revisionary 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. I have found that the use of words such as “natural” or "D or DD cup” or "as large as possible" etc may mean different things to different people and therefore prove unhelpful.
Also, as you know, cup size varies depending on who makes the bra; therefore, discussing desired cup size may also be inaccurate. 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). Viewing the patient's chest wall in the upright and supine positions, with temporary sizes in place, help select the best breast implant size/profile for the specific patient.I hope this, and the attached link (dedicated to larger breast augmentation surgery concerns), helps. Best wishes.