My PS said that UHP implants are my only option as my bwd is10.5". Would 320cc or 360cc be best?

I'm 5'7", 118, 27" ribcage. I just went in to try on sizes again and this time the 360cc seemed to stick out a lot further from my body and looked like a shelf. I want a natural C cup. Not too small but not too "fake looking". What are my options for implant style/size?

Doctor Answers 7

Implant Selection

Thank you for your question. It is much better to accurately discuss implant volume and projection with an in office exam and detailed measurements.

In order to make an accurate size recommendation, I would need to assess your chest wall and breast mound measurements/characteristics. I use these measurements to help me during the sizing process to guide you to a safe result for your chest wall and just as important, one that meets your end desires.

The next step is to try on this range of implants in the office with your doctor. The key to this success is showing your surgeon the body proportion you desire with a bra sizer and allowing your surgeon to guide you to the right implant. It will be much easier to communicate in implant cc's than cup size when determining the appropriate implant for you during the sizing process.

In addition, review of photos and use of rice bags can be very helpful to the patient and surgeon in achieving a safe and happy result. Close intereaction and involvement from your surgeon during this process can help alleviate the anxiety and fears of choosing the right size.

I wish you a safe recovery and fantastic result.

Dr. Gill

Houston Plastic Surgeon
4.8 out of 5 stars 86 reviews

Selecting breast implant profile and size

I perform breast augmentation using dimensional planning, which means that the implant dimensions have to be matched to your chest wall dimensions.  Based upon your base width diameter of 10.5 cm and the options of 320cc or 360cc, your surgeon is planning on using Natrelle "extra high" profile implants (style 45), which have widths similar to your chest wall.  Natrelle "high" profile implants (style 20) with approximately the same widths would be in the 260cc to 280cc range. 
The greater the profile (projection) of the implant, the less natural it will appear, with moderate profile implants (style 10) being the most natural in appearance, and extra high profile implants (style 45) being the least natural ("most fake") in appearance.  Your final appearance will depend upon not only the selected implant size and profile, but also your skin quality, original breast volume and shape, and implant placement within the breast (subglandular, subpectoral, "dual plane").
For many women, "high" profile implants provide extra volume (compared with "moderate plus") and some upper pole "roundness" (like a push-up bra appearance), without being "too fake".  The implant size, however, will be smaller than an "extra high" profile implant with the same base width. 
You may need to decide which is more important to you - final breast size or final breast shape.  I would recommend that you discuss this in detail with your surgeon, prior to undergoing the procedure.
Good luck.

Craig S. Rock, MD
Houston Plastic Surgeon
5.0 out of 5 stars 29 reviews

Implant size and shape decision

  • You are tall, slim and narrow chested,
  • Depending on your goal, you may need to compromise between the size you want and the look you want,
  • A larger high profile implant will project more and have a larger cup than a smaller high profile,
  • A moderate profile will project less and be smaller, but then to look more natural,
  • I suggest you return to your plastic surgeon to try on sizes and shapes again and discuss your options.
  • There may be no perfect decision - you want to be happy that you made the right one for your frame. Best wishes.

Elizabeth Morgan, MD, PhD
Atlanta Plastic Surgeon
4.6 out of 5 stars 43 reviews

Breast implants

Dear Fitnessgal,
   I have been in practice for over 27 years and performed over 2,000 breasts augmentation. I have never used the UHP implants. So, it is hard to believe that your "only option" is UHP. You have to do you due diligence in selecting your plastic surgeon. Not all surgeons are the same. Always consult with experienced board certified plastic surgeons and check their before and after pictures to make sure that they are numerous, consistent and you like them. Check also the reviews. As far as implants size, the measurements of your chest and breasts circumference are critical. If you are 32 small A cup, to get a 32 C cup , you will need implants with volume of roughly 325 cc. Moderate profile smooth implants will do just fine.
           Best of luck,
                           Dr Widder

Shlomo Widder, MD
McLean Plastic Surgeon
4.8 out of 5 stars 124 reviews

Implant choices

Thanks for the question. Hard to answer without being able to examine you. A shaped implant like the allergen 410 may be another option for you

David M. Kahn, MD
Palo Alto Plastic Surgeon
5.0 out of 5 stars 4 reviews

Moderate profile plus breast implants will look more natural than ultra high profile

I agree with your concerns about looking too projected with alt for high profile breast implants.  The ultra high profile plus simply create too much projection especially for very thin petite woman.  Based on your description and your desired cup size breast implants in the 325-350 cc range and a moderate profile plus should work fine for you.

UHP is very round

Thanks for your question. If you don't want fake, then you don't want the UHP. It is extremely round. If your base width is truly 10.5cm then you do have some limitations. I might suggest getting a 2nd opinion just to make sure. If you get an implant that has a projection any more than a Moderate Plus profile in Mentor or Moderate profile in Sientra it will likely look pretty fake. Try to see some pictures of patients that specifically have that implant and your body style. Best of Luck!

M. Scott Haydon, MD
Austin Plastic Surgeon
4.8 out of 5 stars 90 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.