Is 450cc too Big for Me? (photo)

At size 34 each 100 cc of implant will correspond to 1 cup size change.  If you are a 34 AA, 450 cc implants will take you up 4 1/2 cup sizes, which is approximately between a D and DD.  You have very little breast tissue and you will look artificial with that size implant.  I recommend a new technique called Breast Augmentation with Mini Ultimate Breast Lift.  Using only a circumareola incision it is possible to reshape your breast tissue to increase upper pole fullness and cleavage.  Aligning the areola, breast tissue and implant high on the chest wall over the bony prominence allows the use of a smaller size implant.  The best implants are silicone gel placed retro-pectoral since they look and feel more natural.  The smaller the implant the less complications and less descent over time.

Best Wishes,

Gary Horndeski, M.D.

I personally would not go with 450 in someone like you, that being said I am a conservative breast surgeon and have a strong preferance for a more natural look, i would have suggetsed 330

You have nice shape to your breasts and they face forward with a pretty, natural width and natural distance of your cleavage.They are very round so a round implant can give a nice, round breast, especially a high profile, round implant which gives more upper pole fullness. This may be more than you might want. As narrow as you are through your chest, you will be larger than a full "C". You mentioned that you are going with a shaped high profile implant. Is this a form stable one then? This is a nice style in taller women and can give the breast a nice slope in the upper pole. I have a Vectra 3D imaging system that takes away a lot of the guesswork for  the patient and would recommend you do this. I need to examine you in order to determine which implant style and size would be ideal. Remember, there are tradeoffs between implant types and styles. 

450 cc implants are fine. They are a little on the generous size, probably making you borderline C or D.  But it is not a ridiculous size.  If it was, I would be the first to tell you.

Thanks for your inquiry.  450 cc high profile silicone gel implant could fit on you if your base width is wide enough.  I do not think you get that king of volume to fit on your chest with a lower profile device.  Good luck.

yes  , this is too big.

see my previous posts.

in 34  350 will make you a c-cup

in 36  375-390 will make you a c

Hello. A 450cc implant may be too large for you. A much smaller implant would definitely be more natural looking, as would a moderate profile. The most important factor when determining the size of an implant is the width of your breasts. Since your breasts are so small to begin with an implant of this size would most likely give you more fullness in your upper poles than you seem to want.


Jaime Perez, MD
Breast Augmentation Specialist
Plastic Surgery Center of Tampa

Hello, thank you for your inquire and photos. I think you should go for the size and type of Implant that you PS suggested.  Your chest measures 34 to 36 which is ok to handle a full C to Small D Breast Augmentation. Each patient is different though, so, the final decision should be  made in the office between the Patient and the Plastic Surgeon.   

Best Wishes

  200 cc to 250 cc usually increases a woman's breast by one cup size.  Thus. 450 cc may increase you two cup sizes.  If you are happen with the volume after trying them, the the appropriate profile can be chosen that best fits your chest wall.

Many women ask to be certain cup size after an augmentation.  For my patients I have them select the size by using implant sizers placed in a sports bra and a cotton tank top during the consultation and at the pre-op exam.  The advantage of the high profile style is you can maximize or minimize the appearance of size because the high profile style will give you the most central fullness for any given volume.  I have done photos of patients with the sizers in place during the pre-op exam and then repeat the photos with the actual implants in place after surgery and the visual size is very similar.  The problem with trying to give you a specific cup size is dependent on the width of your breast, the measurements of your chest wall width and the circumference of your chest.  There are multiple styles of silicone implants (high profile, moderate plus profile, moderate profile and classic profile when you compare silicone implant styles) that can give you a very different look depending on which style you choose.  If you want to be specific cup, I recommend to my patients to bring the bra they want to fill and I can use that to help them figure out which size to get. 

Remember, the bra cup is actually determined by the width of the breast and most women wear the wrong bra cup size to allow them to enhance the breast appearance, prior to the surgery.  An example is wearing a B push up bra but your breast is actually a C width.  Also, another issue is the bra number, a 34 C typically is equivalent to a 36 B.  So, for your pre-op sizing choose the bra you will be comfortable in, when you get your new look.

Enjoy your new look.