Would 350cc or 400cc look best? (Photo)

Question

Currently 5’ 00”, 145lbs, 34AA. I have had implants before, a year ago that were 250cc which I always felt they were too small. I was a small B, currently 34AA since Explant. I have uploaded my try on with 300/350cc to accommodate my smaller side. And 400/450cc for reference. The top image is me currently. I don’t want to look not proportionate or too heavy as I do have a larger back side and wide hip

Jeremy Bosworth, MD · Answer

If the goal/wish pic is the picture of the pink bra I would probably lean more towards the bigger sizes that you are considering. I dont know that you have a full 50cc volume difference on each side necessarily but Im sure your surgeon will chose the right side difference of the implants. Optimizing the profile for your dimensions is what is important though.I also find the sizers and simulations to be a little bit of an imperfect science as the software does not know your rib structure, your breast tissue density, etc.... which is why a 300 on one person can look completely different on someone else. Another thing... the difference in dimension in a 50cc difference in implant size is usually on the order of 1/10th of a cm in projection and ~ 1/4 of a cm in dimension (of course varies by manufacturer and profile), so dont lose sleep or stress too much about whatever you decide.

Joe Gryskiewicz, MD, FACS · Answer

Hello,
I suggest if you want to increase size to go up by at least 100cc.  Anything less it won't make much of a difference. It would also depend on the placement of the implant and the style you will be using to achieve the look you desire.

Leila Kasrai, MD, FRCSC · Answer

Based on your wish pics provided, the larger breast implant size would probably better achieve your goals.

Ted Eisenberg, DO, FACOS, FAACS · Answer

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

Daniel Barrett, MD · Answer

Dear BeautifulTexan27,
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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Tyler Frew, MD · Answer

Hi there,
I think either of those implant selections will look nice on your frame. What's important to consider is the profile (moderate, full, high, etc) of the implant and what the implant is filled with (gummy bear? and what type). You don't want an implant that is wider than what your chest wall can accommodate and the different profiles give you different levels of upper pole fullness. 
Do you know the implant profiles and type you are considering?
Also, a final thought, it is extremely common for women to whish they went slightly larger once everything is settled and healed. So don't forget this when the time comes to pick 
All the best

Brian K. Reedy, MD · Answer

Thanks for your question! Given that you've already had implants that you felt were too small, I would suggest going with the larger implants. I think you will still be proportionate and are less likely to have regret with size. Good luck!

Nelson Castillo, MD · Answer

Thank you for sharing your question and photographs. As you look to be an excellent candidate for both sizes, and your narrative of 250cc being too small I would recommend the 400/450cc range but this is best determined during an in-person consultation and thorough discussion during a sizing session with trial implants.  Talk to your surgeon further to ensure the implants you select will help approach your goals.

Connie Hiers, MD, FACS · Answer

At 5'0", I do not recommend going with 450 cc's for you may find that too heavy on your neck and shoulders. I would suggest more between 350-400 cc's.  Go back and try on these sizes.

Camille Cash, MD · Answer

If your goal is the photo in the pink bra and you've already had 250cc implants that you thought were too small, the 400cc implants will probably be most in line with your goals. Your surgeon can help guide you based on your measurements and desired look.

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