Would 355cc be too big for me? (photos)

Dear cuteseybum,
breast implant type and sizing selection is a complicated process and requires a detailed consultation that includes a discussion of your goals, a detailed examination, and a lengthy discussion. But the decision will always start and end with the patient. When it comes to sizing, we have all of our patients find 3 photos of their desired breast size. We ask for naked breast photos because clothing can obscure the true size (push up bras). Next, we consult with patients and go over the photos and take detailed breast measurements during a physical exam. Next, we using a sizing algorithm to determine a range of implants that will work based on the exam and the measurements.Lastly, during the operation, we use silicone sizers in the operating room to see how the size actually looks in the breast. We sit the patient up in the operating room, while asleep of course, and compare the sizer result with their desired look photos. If it is too small, we start the process over with a slightly larger implant. We don't stop until we get the perfect match.Of all of my breast augmentation patients, every one of them has been happy with their size due to this detailed and meticulous process. You don't want to invest time and money into a result that is either too big or too small.You should discuss your concerns with a board-certified plastic surgeon and make sure that your surgeon understands your goals.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

It really depends on the implant manufacturer to determine if 355cc "fits" you. The process of determining implants for patients should come down to careful measurements and tissue characteristics in terms of breast tissue and skin elasticity. Make sure you go to a board certified plastic surgeon who does many breast augmentations per week... yes per week. The measurement you need to ask for is your breast width and then compare that to the diameter of your chosen implant. The artistry comes from making sure your tissue covers the implant in all aspects and centers the implant on your nipple. Your intermammary distance over your breast bone makes you surgery more difficult and you could even consider adding some fat graft over the cleavage area to accentuate the outcome! Best Wishes!!

Hello @cuteseybum thank you for your question and showing your pictures. The size and type of breast implant can be selected taking into consideration the shape of the breast that the patient wants and the breast form each patient has. It is necessary to consult with a board-certified plastic surgeon, not only to choose the right prosthesis, but also to know where it will be placed in front of the muscle, behind the muscle, behind the muscle fascia, and some other pertinent information for the breast augmentation. All the best!

I recommend an in person consultation with a plastic surgeon to discuss your goals and be measured. After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size breast implants. They also get to see what they would look like when the breasts have fully dropped and fluffed and in clothes. You get to see actual results and the surgeon's experience and not a virtual idea of what can be achieved. Women tell me that this process is very helpful in determining what is right for them. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Good morning,
They might work for you, but there is just no way to give you any useful advice without being able to see a topless photo of your chest.

A full consultation would be necessary to know for sure and I recommend a Board Certified Plastic Surgeon as the best option to work with you. Based on the pictures, the 355 cc could be a beautiful implant for you based on the goals you discuss.

The best advice you will get regarding implant size will come from your board certified plastic surgeon. She/He has examine you and discussed your surgical goals. The higher the profile implant, the more upper pole fullness you will notice. However you want to select an implant where the width will work with your natural breast width as well. Many surgeons have sample implants you can "try on" to help you get an idea of how you may look after surgery. I've included a video I hope you find helpful.

Your surgeon who has examined and measured you will be the best one to tell you what range of sizes will work best with your frame and tissue. The first lady in the orange suit does not look good with the implant edges being so noticeable. The size you selected may work for you, but discuss this with your surgeon. Please do not choose a size that is too large and heavy for your tissue and frame.

Hi and welcome to our forum!From your photos, I note relatively small symmetric breasts with loss of superior breast pole fullness and minimal sag.Every individual has a different concept of “normal” breast size. In addition, there is no standardization of bra size in the manufacturing industry. One company’s “C” is another company’s “D”.There are various ways to determine desired breast size. Bringing in “wish pix” to demonstrate to your surgeon will make him / her aware of your anticipated goals. Placing an implant in a bra gives an extremely rough idea of anticipated breast size. One may estimate volume by adding rice to a baggie (1 cc = 1 ml) and adding the volume to your breast beneath a bra. Some surgeons offer computer imaging. Implant sizing is a lot more than volume ("cc.") The specific dimensions of your chest wall must be taken into consideration. The width of the breast, your desired projection, and the desired volume together determine the correct range of implant sizes. An important measurement is the base width of the implant. If you drop a vertical line from the medial most and lateral most aspects of the breast, and measure the distance between them, this suggests a base width (the footprint of the implant. If an implant is too narrow, you will not have adequate cleavage. If wider than the base width, you will have excessive cleavage and “lateral boob”. The fill of the implant then determines the amount of forward projection. I recommend you visit an implant website (e.g. Mentor, Allergan, etc.) as they will list base widths, fill options, and projections for each implant size they offer. Higher profile implants will provide more upper pole fullness.You can trust the recommendations of a board-certified plastic surgeon. If unsure, seek a second discussion with your doctor to ensure you are on the same page.Best wishes…