Implant size max - 350cc possible? (photo)

Question

I am a very athletic 35 yo woman that has come to experience sagging and asymmetry as you can see by my attached photo, I do prefer a more moderate profile implant look, however, given I will require a lift will an implant of 350 cc’s be possible?

Matthew S. Kilgo, MD · Answer

Hello and thank you for your question.
Is is not possible to determine possible implant size based on  photographs alone. Choosing implant size is a complex decision based on specific measurements, skin quality and determination of adequate soft tissue coverage. I would recommend consulting with a plastic surgeon certified by the American Board of Plastic Surgery with extensive experience in breast augmentation surgery. Good luck.

Gianfranco Frojo, MD · Answer

I would recommend an implant with a lift. The 350 cc implant is possible. You need soft tissue support, so I would also recommend use of Galaflex or any type of scaffold soft tissue support. You need a very experienced American Board of Plastic Surgery certified plastic surgeon.

Daniel Barrett, MD · Answer

Dear Fitish35,

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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Gary M. Horndeski, MD · Answer

Unfortunately, you have not told us your bra size. At size 32 or 34, each 100 cc of implant corresponds to 1 cup size change. At size 36 or 38, each 200 cc of implant corresponds to 1 cup size change. From this, you can determine the volume required to achieve your desired goal. However, your biggest problem is not volume but the descent of your breasts. The technique I recommend is a breast lift using The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained. Later, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Ted Eisenberg, DO, FACOS, FAACS · Answer

I recommend an in person consultation with a plastic surgeon to discuss your goals and be measured. 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. 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

Robert M. Tornambe, MD · Answer

I appreciate your concerns, however, you do have options. First off, it appears from your photo that you do have a fair amount of breast tissue, so one option would be a breast lift alone without implants. Of course, if you would like to be a bit larger, breast lift with implants is your other option, However, since you do have a fair amount of breast tissue, 350 cc may be a bit too large, but in person evaluation would be needed to confirm this. Come see me or another board certified plastic surgeon in our area to explore the best options for you. Good luck.

Camille Cash, MD · Answer

It is possible that a 350cc implant would fit but the best way to determine the right implant is by visiting with a board certified plastic surgeon near you for a consultation.  During this visit your surgeon will measure your breasts (different than bra sizing) and discuss your surgical goals with you.  This information will be combined with her/his expertise and recommended implants can be given.  Keep in mind that in addition to volume you will need to determine type, shape, and profile.  I've included a video I hope you find helpful.

Connie Hiers, MD, FACS · Answer

The 350 cc implant could probably be placed inside you, but will probably be too large for your frame and tissue. If you want to stay athletic, I would suggest going smaller, perhaps 200-250 cc's.  I doubt you will support 350 cc's and keep a very active lifestyle.

Hilton Becker, MD · Answer

You will certainly need a breast lift .
If you add an implant I would recommend an internal mesh bra

Implant size max - 350cc possible? (photo)

Answers (9)

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