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

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.

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.

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.

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.

If you are a competitive cyclist, it may be worthwhile to consider a subfascial/subglandular approach to your implant placement.  In order to make an accurate size recommendation, I would need to assess your chest wall and breast mound measurements and characteristics.  Unfortunately, there is not a general rule of thumb or objective criteria to implant selection.

Your plastic surgeon will perform several measurements of your chest wall and breast anatomy and determine a range of implants that both fit your chest wall and reach your desired goals.
The next step is to try on this range of implants in the office with your doctor.   The key to this success is showing your surgeon the body proportion you desire with a bra sizer and allowing your surgeon to guide you to the right implant.   It will be much easier to communicate in implant cc's than cup size when determining the appropriate implant for you.
I wish you a safe recovery and fantastic result.
Dr. Gill