Surgery June 12th. Will 405cc be too big and top heavy? (Photo)

After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size and style breast implants, and they choose what looks right for them. 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 size and style breast implant is right for them. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Selecting the best implant size is a very complex procedure and cannot be done accurately from photos alone. If you are unsure, discuss this further with your surgeon. He or she will be the best mentor for you and can guide you through this process.

Hello, thank you for your question. The first 6 months after implant placement will be sitting up higher then usual, after massage and over time with gravity they will naturally start to drop a bit. So initially you may experience the top heavy feel but over time if the implant size is according to chest width measurements then it should compliment your frame. Speak to your plastic surgeon about your post surgical outcome and appearance.

Have you tried on sizers in 405cc? These will give you a better understanding of the predicted results so you can determine whether the size is the right size for you.

Dear Vonnie23,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

Thank you for your question. While it is very hard to tell without seeing your true before pictures, the range that is picked out will likely get you close to the after picture that you hope for. Bigger implants, above 350 cc, can lead to an increase chance of asymmetry or bottoming out overtime. A 10 to 30 cc difference on a 400 cc implant is practically in perceptible. Good luck.

It's difficult to give a specific recommendation without an in person evaluation. I encourage you to return to your surgeon's office to further discuss your goals. Many surgeons have sample implants you can "try on" to give you an idea of how you may appear after surgery.

I suggest going back to your surgeon and actually trying on that size so you can see what it will look like and how heavy it will be. Personally, I think you should go somewhat smaller, like 350 cc's, to be more comfortable.