Help with implant size. How would 400-450cc look on my body frame? (Photo)

Always a tough question without looking at you in person, however based on your images and photos along with your height I think you may be going a little too big. For the average height patient I like to stay under 400cc unless the patient has specific requests. When patients try on implants in our office, we assist them in trying them on in clothes and then recommending an implant that looks a little big in the mirror- yet tasteful. The implant sits under skin, breast tissue, and (for most) under muscle so the size is not as dramatic after surgery. The other critical thing are your breast measurements. Since there are multiple implant shapes, the key is not to go with an implant that is too wide for your frame and breast width. I hope that helps. Best Wishes!!

The choice of implant size/volume is a decision which is best made in concert with your board certified plastic surgeons. There are a number of factors which play into the decision including patient desire and chest measurements. Ultimately, your surgeon, based upon his/her exam will be able to guide a prospective patient toward reasonable options.
There are a number of tools available to help a patient make decisions with range offered by their surgeon including sizers, goal photos and 3D imaging. However, it is important to realize that these are "guides" and not "guarantees." They are meant to offer a patient a reasonable estimate on which to make decisions.
3D imaging has become an effective tool for discussing options for patients and narrowing down choices. However, it is important to remember that the imaging is only a simulation. There is no substitute for the experience of a board certified plastic surgeon.
It is vitally important to spend time discussing the results of your imaging consultation with your surgeon. As this will help clarify your goals/expectations and guide your surgeon in adjusting those expectations as needed. With regards to your specific question of sizing, offering any solid advice without an in-person exam or measurements is difficult. None of your potential choices are unreasonable. Ultimately deciding between them depends on your goals. My recommendation is to begin with a profile. Then given your breast width evaluate the available options in the given profile for your specific width.
As always, discuss your concerns with a board certified plastic surgeon

Dear ARJones93,

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