Is 375cc too big for me? (photos)

Hello,I'm sorry but your line of questions and your plan for surgery indicate you are not getting the best, most up to date information regarding breast augmentation. Although your aesthetic goals (how you look in the mirror with sizers) are important, there are real constraints to your body morphology that need to be respected. You are thin and small breasted, and unless you don't mind complications like severe rippling, double bubble, or malposition, you should head them. There is a fast and accurate system that measures your breast and chest to determine what will actually fit best. This requires an examination, but I fear that 375 cc is way above what your tissues can safely handle without complications. Regarding cup sizes, no one can predict what you will get based on implant size. Biodimensional measurements and sizing in the mirror will give you much better information than cup size.Periareolar incisions are still the most popular here in Southern California, but that is slowly changing. Around the world, the inframammary incision is the most frequently used.  It has been known for a few years now that periareolar incision put patients at higher risk for capsular contracture, and unnecessary trauma to the breast tissue and muscle.  Unfortunately, there is now a stigma among women like yourself that think periareolar incision are invisible and inframammary incisions are obvious or ugly.  Nothing could be more further from the truth, and the opposite is often the case.  Most importantly, choosing an inframammary incision means you are choosing to lower your risk of reoperation.I wish you the best of luck!

Choosing the right size implant depends on any number of factors all of which require an in person exam. You seem to have done your due diligence so assuming that you like your surgeon's work, my best advise would be to trust his or her recommendation. My best,
Dr. Sheila Nazarian
@drsheilanazarian on Instagram

I appreciate your question.

The size of implant best for you is dictated by your
chest wall measurements. Once we determine that we can choose the profile
based on what you want or need to achieve.  If you are seeking a natural look,
then the diameter of the implant should be equal to or, more ideally, smaller
than the width of your breast. The breast width is a measurement of how wide
your breast is at the base, which should be measured at the level of the
nipple. Choosing an implant that is smaller in diameter than your breast width
will avoid the "side breast" fullness that is often associated with a
more artificial appearance. Other than that, you should choose the
implant based on volume, not on the dimensions of the implant. You should
choose a board certified plastic surgeon that you trust to help guide you in
this decision.

Silicone will give you a fullness at the
top (upper pole fullness).

Silicone implants come pre-filled with a
silicone gel and are the softest implant available. They feel more natural,
which makes them a good option for women with less natural breast tissue; but
they require a larger incision. It may be more difficult to realize if this
type of implant has ruptured, so it is important to monitor them with annual
follow-up visits. Additionally, because this implant contains a more liquid
silicone (less cross-linked), if this implant should rupture, it will leak only
into the scar capsule formed around the implant but may cause some discomfort
or implant distortion.

Anatomic gummy bear implants might be a
good choice to give you volume.

These highly-sought-after, anatomic
implants offer a look that more closely resembles the natural silhouette of a
breast, and, therefore, are a very attractive option for individuals seeking a
natural-looking, aesthetic primary breast augmentation. Additionally, these
implants are an especially excellent option for patients undergoing restorative
or corrective breast surgery because they provide more stability, shape, and
reduced incidence of capsular contracture. Compared to other types of silicone
gel implants, the silicone in the cohesive gel implant is more cross-linked;
therefore, should the implant shell “rupture,” it maintains its shape and
silicone does not leak.

During your breast augmentation
consultation, you should feel the different types of implants available, and
try on various implant sizers in front of a mirror to help you to get an idea
of how you will look following the surgery. You should also bring pictures of
the look you would like to achieve, as well as a favorite top to wear when
trying on implant sizers.



The best way to assess and give true
advice would be an in-person exam.

Please see a board-certified plastic
surgeon that specializes in aesthetic and restorative breast surgery.

Best of luck!



Dr. Schwartz