Is Breast implants 400cc too big for 5'3'' & 97lbs (44kg) ?

At 5'3" and 97 pounds, you do not have a large frame, and at 20, most likely your skin and chest muscle are tight. That said, I honestly think a 400mL high profile implant will probably be too big for you considering you do not want a fake look. Of course I can't say for sure without examining you and taking measurements, but I would think very carefully about picking anything over 300 or 350 since a big implant can lead to stretch marks, rippling, and an increased risk of numbness of the skin or nipple. If you want a natural look, usually a moderate plus implant is best, especially since saline implants (the only ones you are old enough to get) have more projection (roundness) than silicone.

Final breast size is subjective and should be determined exclusively by the patient. There are very good sizing systems to make this an easier task.

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

This is difficult to answer without seeing photos however I would estimate that 400cc added to you current bra size would make you somewhere close to a D bra cup (American size). Whether this is "too big" is a matter of opinion. The more important question is whether your skin will be able to accommodate this size. If your skin is too tight then you may have to use a smaller implant. Also the width of your chest wall is an important consideration. Consult with a few plastic surgeons for a thorough exam and try on some implants in their office to be sure of the correct size for you.Best wishes,Dr.Bruno

Your concern about being too big is well founded, and unfortunately many women are finding that larger than desirable implants can indeed look fake and unnatural, not to mention being a real potential hindrance with an active lifestyle, and even clothing options. To determine what size is best for you, the most important single measurement that your plastic surgeons should determine is the correct width of the implant that would best suit your body and frame. Once that measurement is determined, the larger (more volume in cc's) the implant that would correspond to that width, the more projection and the larger your final cup size is likely to be.Being 5'3" and weighing 97 pounds, my first impression (without seeing or examining you) is that 400 cc's seems  a bit large, but again, this is only a guess without examining you and making the appropriate measurements. One of the most important things you can do is convince yourself that the aesthetic judgment of your plastic surgeon is in line with your own. Seeing many examples of other breast augmentations that your plastic surgeon has performed can give you confidence that they will most likely be able to achieve for you the exact size land overall enhancement you are seeking.  Best of luck to you. 

It is hard to say what your optimal breast implant size will be without an examination. The best size is determined through measurements or your breasts (your breast diameter and distance from your nipple to your breast crease). Then, a determination is made of your current breast tissue volume. Finally, a good method of determining the proper size is done through bra sizing using actual implants along with looking at pictures of volumes that you think look good. It is definitely a process to get you the best possible result that fits your body! Based on your height and weight, a 400cc silicone that you've discussed might be a good fit for you but I would take everything into account. Good luck!

The answer is how do you live?  If you lead an active healthy lifestyle that incorporates physical activity, these implants weigh just under 1 lb each, so they will be large for you.  You will find them more difficult to do yoga, running, nautilus, swimming etc.  If these activities do not pertain to your lifestyle, then the implant size may be fine.  Additionally, the implant dimensions, I am assuming are such that are within your breast dimensions.

To provide the most natural look possible, it is important
to choose implants that fit your frame.  When I evaluate a patient for breast augmentation, I obtain breast
measurements to help choose an implant appropriate for that patient.  I use the patient’s breast base width to
determine the range of sizes that fit my patient’s frame.  Petite women like you also want to be
especially careful to avoid using implants that are too large as overly large
implants increase the risk of post operative complications.  As far as making a suggestion regarding a
specific implant size, it is difficult to provide a more definitive answer without
a physical examination.  During my
consultation process I also have patients try on different implant sizes so the
patient and I can both visualize the desired result which I find to be a very
helpful communication tool.  Be sure to
find a board certified plastic surgeon using RealSelf.  After reviewing his/her photo galleries schedule a consultation for a thorough examination to confirm that you are a good candidate for breast augmentation.Be well and good luck!@norrisplastic

Thank you for your question. Sizes are a matter of taste and what you want to look like. You did not say your present bra size. If your breasts are very small, the a 400 cc implant would probably be OK. You would need a high profile or ultra high profile to fit within you chest size, however.I would recommend seeing your plastic surgeon and have him place sizers (not implants) in a bra with a T-shirt. This would give you a great idea about the size that appeals to you. Another great idea is to go to the Crisalix site and follow directions on how to get a 3-D simulation with various implant sizes. Patients seem to love this application, and you can show the simulations to others to get their opinions, if you like. Good luck.

Having said that one must understand that
disproportionately large implants will have a negative physical total on the
body. Your plastic surgeon she try to give you guidelines that will allow
you to have large or small implants that are proportionate to your body size
and on augmented breast width. Implant selection should be based on
breast width body size and then desired cup size. It really should not be
based on the amount of cc. A 400 cc implant may be perfectly appropriate
and a 5 foot 9 145 pound woman, while it may be over-the-top for a 5 foot 3 98
pound woman. My advice especially for first time augmentation patients is
to stay within the confines of moderation.