My PS has suggested 450cc high profile shaped submuscular silicone implants. I am 5'8" 135lbs currently 34 -36 AA. I want a full C that will produce some cleavage in the right bra. I am not looking to have upper pole fullness, just natural looking breasts. Are 450cc high profile too much? Should I consider a different profile or a smaller cc?
Is 450cc too Big for Me? (photo)
Doctor Answers 28
Is 450CCs too Big for Me? #breastimplants
In my opinion sizing a patient for imlants can be simplified. Sizing is not about a number. In fact, I do not even discuss numbers with my patients. If a patient walks through the door and says they want x-cc implants I have to educate them about how sizing works. The best analogy I can relate this to is buying shoes. When you go to buy shoes how do you do that? First you start with the size your foot is right? So if your foot is a 6.5 you try on all kinds of 6.5 size shoes. Some may be tall, some might be flat, and some might be somewhere in between. You would never try to buy a size 8 shoe because it would be too big for your foot right? Breast sizing is the exact same way. Implants come in several different profiles that are like different heights of shoes. Implants can be low profile, moderate profile, or high profile. There are even implants that are higher than high. That would be your high platform shoe. Each implant style give you a different look. Now, your breast has a defined width that we call the base diameter of the breast. This would be analogous to the show size. Your breast base diameter never changes. It is what it is. So now, you can choose several different style of implants that fit the number of your breast base diameter. That really narrows down what implant is best for you. So once you know your breast base diameter you can try the low, moderate, high or really high implants on. The only think you have to decide is which look you are going for. You would never put an implant that is 13 centimeters wide in a patient whose base diameter is 10 centimeters. Half the implant would be in the armpit. So, this is very simple to me. My patients get a few choices that fit their breast and that is it. I will not put an implant in a patient that is too wide for their body because it will harm them over time. Hope this helps.
Minimize complications by using smaller size implant
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.
Gary Horndeski, M.D.
Implant size thats right for you
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
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Sizing a patient for Breast Implants
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.
Breast Implant Size
The size of the implants are based on a combination of a patient's goals and objectives and her anatomy. In order to provide a natural looking augmentation, the surgeon needs to evaluate many factors including soft tissue coverage, skin laxity, chest wall width, breast imprint width, the shape of the breasts and relative level of constriction to ensure that the breast implants are appropriate for your body. Consult in person with 3 experienced and expert board certified plastic surgeons to understand your options.
Implant Selection Process
I think this implant will work well from what I can see. In order to make an accurate size recommendation, I would need to assess your chest wall and breast mound measurements and characteristics. Unfortunately, there is not a general rule of thumb or objective criteria to implant selection.
Your plastic surgeon will perform several measurements of your chest wall and breast anatomy and determine a range of implants that both fit your chest wall and reach your desired goals.
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.
I wish you a safe recovery and fantastic result.
Are 450cc too big?
Thank you for your question. There are several variables in determining implant size. When recommending implant size for my patients, I consider the followings: 1) patients' anatomy (height, weight, chest width, chest height, amount of breast tissue) and 2) patients' desired look/goal. Without knowing your chest measurement and breast tissue amount, I cannot give you any recommendation. You should visit with board-certified plastic surgeon who will examine you. Try implant sizers to get a rough estimate of the size you may want. As you know, bra/cup size will vary depending on the brand. Good luck with you.
Implant size selection to achieve your goals
I consider two factors when selecting implants for my patients:
2.Gel Implant Sizing system
Dimensional planning – The measurements of your chest wall are taken. Also, the breast dimensions including the height, width, and current dimensions of each breast form the basis of dimensional planning. Based on these measurements, the implant size is recommended. This will give you a unique breast implant that is suited for your body frame. However, there are some limitations of what size we can recommend. For instance, some implants may just be too big for a narrow chest wall. Your surgeon can review this with you during the consultation.
Gel Implant Sizing system – During the preliminary breast implant consultation, you will be provided with an option to “try on” a variety of implant shapes and sizes. You can also visualize the possible outcomes of your surgery which helps you to get that perfect size to give you the shape that you longed for. This way your preferences are known and you can then pick a range of implants that will “fit” just right to give a soft natural fuller look.
Lastly, please make sure your surgeon is board certified by the American Board of Plastic Surgery. The proper credentials and certification matters.
Hope this helps.
Is 450cc too large?
I think you will achieve the results you wish and the size is reasonable. But rather than focusing on the type of implant profile or the number of cc's or bra cup size (with is inaccurate and manufacturer dependent), I would recommend you communicate very clearly your expectations and desires. Your plastic surgeon will decide with you on the profile of the implant based on the breast width, your body shape, skin elasticity and thickness and native breast tissue present. In my practice I usually explain the implant types, profile and rationale for using different implants/ profiles. I also use the a special sizing system pre-op and have patients try them inside a bra so they can get a sense of their look. I never tell them what size I have picked until they show me the "look" they REALLY desire by trying on the sizing system in our office. Then we sit down and evaluate "the look" they have chosen and see if it matches what I have chosen by measurements and physical exam. It does make it both fun and is a healthier partnership between patients and the PS. Speak with your plastic surgeon.
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.