Are 380 or 410 Cc Implants to Big? (photo)

Thank you for your pictures and questions. The bottom line is that it all depends on your breast measurements. Without that information, it is hard to offer advice. You need to consult with a plastic surgeon who is board certified by the American Board of Plastic Surgery to help guide you through making the right choices. I would guess that based on your goal photos, you are looking for a big increase in size and a very full augmented look. So, in moving 2-3 cup sizes, it would not surprise me that you are looking at an implant in the 375-425 range. The question is how best to fit that volume to your unique body shape and breast dimensions. You said that they chose a moderate profile implant but you need to be sure that the width of that profile is not too wide for your chest. In fitting that amount of volume in a small frame such as yours, you might do better with a high profile implant.In the end, no online advice is going to substitute for an in-person consultation with a qualified and board-certified plastic surgeon. Be safe and do your research before making any choices. Hope this helps!Dallas R. Buchanan, MD, FACSOwner & Board-Certified Plastic SurgeonVIVIFY plastic surgery

When I decide what breast implant is appropriate for patients, I look at the ideal breast base width. This width should correspond to the width of the implant. If you're an "A" cup, more than likely you wont have a base width of about 13 which is the width of the 380cc implant. I suggest you speak to a board-certified plastic surgeon about your base width and discuss options further. I wish you the best of luck!

It is very difficult to determine the exact size and shape implant you will require to best match your ideal breast image without an examination by a board certified plastic surgeon. Not just any board certified plastic surgeon, but one with many years of frequently performing breast augmentation surgery including different approaches, techniques and implant choices. This is because several measurements not to mention your breast characteristics are needed to determine the optimal implant size to obtain your goals. Without knowing these dimensions it would be difficult to make this determination. For example, the existing base width of your breast will determine, in many cases, the maximal volume per implant profile that you can accommodate. To illustrate; a 100 cc difference may make a significant difference with a narrow base width breast, but much less of a difference if you have a wide chest wall and wide breast “foot print”. Therefore, just because your friend may have a great result with let’s say a 350 cc implant to make her go from a “A” cup to a “C” cup size does not mean that you will have the same result with the same size implant. . Further simply placing implants in a bra to determine the size best for you is not always accurate as the bra often distorts the size, is dependent on the pressure the bra places plus the implant is outside your breast and not under it among other variables. Computer software morphing programs that automatically determine the best implant size can be helpful in some but not all cases (e.g. doesn’t work well in my experience with existing implants, sagging or asymmetric breasts). Using “want to be” photos however are useful if simply provided to the surgeon as I will further explain in the link.

Going too big is a common
concern, both for aesthetic and health reasons, so it's wise to question the
increased volume in regards to your end goals. While skin has a lot of
elasticity, and the tissue and muscle in your chest may compensate for the
volume you're thinking about adding, your height and weight proportions suggest
that 410cc implants may be a bit big. An in-office consultation is always
recommended, but to complement your figure and get the most long-lasting,
complication-free results, you may want to consider something more
proportionate.

No one should tell you what size to get without examining you, but since you asked...Based upon the photo you included of how you want to look those implants are probably in the size range necessary to get you that look (though I would think a moderate plus rather than a moderate would fit better.)However those are very large implants for someone your size.  Do you want to look fake?  It isn't possible to put in something that large without looking obviously augmented.  And an implant that size will stretch and thin your tissue over time making you implant more easy to feel. Are you willing to pay that price for that look?  If so it is your choice.  If those issues are of concern to you it is time to review your plan.

One of the most important decisions facing breast augmentation
patients is the size of breast implants that will be used.Most patient are striving for harmony,
balance and proportion with the surrounding anatomic structures. Typically,
they want a natural look with some fullness in the upper breast area.Although
your pictures are helpful, it’s virtually impossible to make a specific
recommendation without a physical examination.The determination of breast implant size can be difficult for a variety
of reasons.For instance, most patients
speak in terms of cup size.Unfortunately, every woman’s idea of cup size is different and for this
reason most plastic surgeons prefer other methods to determine breast
size.Furthermore, cup size doesn’t
easily translate into cc’s when determining breast volume. In an
effort to determine breast size in a more objective manner, we utilize external
silicone sizers and the Vectra 3D computer imaging system.External silicone sizers are designed to sit
on top of the patients breasts.They can
be held against the patient’s chest or placed inside the patient’s bra.This technique helps the patient visualize
what their breasts will look like with a specific sized implant. It also gives
them a sense of the volume that will sit on their chest wall and how it feels. The 3D
Vectra imaging system is a relatively new technology that’s extremely helpful
for determining breast size.This system
allows a patient to visualize different sized implants on their actual
body.Patients find this to be extremely
helpful. The
ability to visualize your projected result alleviates much of the anxiety
associated with this procedure.We feel
that both the use of external silicone sizers and the 3D Vectra system
accomplish this goal.Hopefully this
approach can alleviate your anxiety about being too big following breast
augmentation surgery.

Choosing the right breast size really depends on your breast biometrics, including breast diameter and current volume.  I would speak to your surgeon during your exam and choose the right implant that complements your body, rib cage, desired aesthetics, and skin. Best, Dr. Karamanoukian 

Choosing an implant size is based on measurements taken by your physician and discussing your goals and size preference.  Sientra offers different profiles and contours and there are many implants to choose from.  It is important to try on sizes and even visualize via 3D imaging.  Choose a physician that can offer these resources to you as well as his professional advice and before and after photos that are similar to your current shape and size.  Sientra makes a great implant!

I think you will do great with 380-410.  It appears that this will give you exactly what you're looking for.  Just be sure to express your concerns to your plastic surgeon.  The 2 of you will make a plan that fits YOUR goals.  Best of luck!

Hi "S"Yes you would need a high profile, otherwise you will get a side boob.  You might consider downsizing, but we do a lot of ethnic patients in your category and use the high profiles around the volumes you are looking at.  See the great answer below, by Dr. Law.  I already know you
are seeing a board certified plastic surgeon because Sientra only sells to BC
plastic surgeons (by ABPS - The American Board of Plastic Surgery)
who are members of ASAPS (The American Society for Aesthetic Plastic
Surgery) and or a member of ASPS (The American Society of Plastic Surgeons). So that is great!All the best "Dr. Joe"