Are 400 cc Implants Too Big for Someone with AA Cup? (photo)

Question

I am a competitive cyclist, 54 y/o, 5'-9"-145 lbs. I have minimal breast tissue (AA) and my skin is firm but not tight. My ideal size is C to Full C. Recently I had my first (of 4) consultation with a Board Certified Plastic Surgeon. He suggested a sub muscular placement using a Moderate Profile Plus Silicone implant. After one measurement horizontally across the breast, he suggested using a 300 to 325cc implant. After bra gel sizers I looked too small. Could 400cc + work without looking "fake".

Rian A. Maercks, MD · Answer

Judging by your pictures, you could certainly tolerate bigger implants, but I would strongly suggest two things: 1.) Get true subfascial placement not submuscular and 2.) get low profile implants.

	 

	As a cyclist, any augmentation involving the muscle will be strange looking and feeling when you cycle or do anything involving arm movement.  I use  a unique technique called cold-subfascial augmentation that preserves complete fascial support without involving the muscle but there are other subfascial techniques that will serve you well.  Do not go with subglandular either as this technique will give your breasts a very low aesthetic lifespan.  I hope this helps!

	 

	 

	All the best,

	 

	Rian A. Maercks M.D.

Vishnu Rumalla, MD · Answer

Thanks for your question.  Thanks also for the excellent photos including your base width. I am concerned you do not have much skin or stretch.  400 cc may be hard to pull off even with a high profile device. Also, larger implants could interfere with your cycling. Good luck.

Ronald J. Edelson, MD · Answer

Implant size is subjective as to which size is best for you.  I, however tend to agree with the recommendation of something in the low 300's.  They mat be a little smaller than you might ideally want, but given the fact that you are very thin and athletic, they will be less of a problem interfering with exercise  and wearing a sports bra. Try finding photos of other women similar to you on the internet where the size implant used is designated and you will become more comfortable making a size decision.

Tom J. Pousti, MD · Answer

Thank you for the question and pictures. Unfortunately, it is not possible to give you precise advice without a full consultation;  this would involve direct examination and a thorough discussion of your goals.

	I would suggest that you do the following:

	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're 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 which operation and/or breast implant size/type/profile will most likely help achieve your goals.
	In my practice, the use of photographs of &ldquo;goal&rdquo; pictures (and breasts that are too big or too small) is very helpful. I have found that the use of words such as &ldquo;C to full C&rdquo;  etc means 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.

	I hope this helps.

Kris M. Reddy, MD, FACS · Answer

For your stated objective, then your surgeon's recommendation is sound. The size of the implants are based on a combination of a patient's goals
 and objectives and her anatomy. In order to provide a natural looking 
augmentation, the surgeon needs to evaluate many factors including soft 
tissue coverage, skin laxity, chest wall width, breast imprint width, 
the shape of the breasts and relative level of constriction to ensure 
that the breast implants are appropriate for your body. Consult in 
person with the other 3 experienced and expert board certified plastic surgeons to
 understand your options.

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Are 400 cc Implants Too Big for Someone with AA Cup? (photo)

Answers (12)

Answer: Natural appearing breasts in athletic women

Answer: Natural appearing breasts in athletic women

Answer: Implant sizing

Answer: Implant sizing

Answer: Implant size

Answer: Implant size

Recommended reading

Everything you need to know about Breast Augmentation

Answer: Best Breast Implant for Me?

Answer: Best Breast Implant for Me?

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Our mission is to create a world where every investment in modern beauty is Worth It.