Will 440 cc silicone gel high profile get me the big fake boob look that I want or should I go even bigger? (photos)

Hello and thank you for your question. You are a great candidate
for a breast augmentation.  The size, profile, and shape of the
implant is based on your desired breast size/shape, your chest wall
measurements, and soft tissue quality.  This decision should
be based on a detailed discussion with equal input from both you
and your surgeon.  This entire surgery
can be performed with a small incision technique.  Make sure you
specifically look at before and after pictures of real patients who have
had this surgery performed by your surgeon and evaluate their results.   The most important aspect is to find a
surgeon you are comfortable with. I recommend that you seek consultation with a
qualified board-certified plastic surgeon who can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Yes, I believe the size and style you are considering will get you close to your wishes.  I would recommend round, not anatomic.  Ask your surgeon about textured versus smooth.  If you have not had pregnancy, you may want to prepare your skin to minimize the development of stretch marks.  I hope the surgery goes well.

Hello,Please don't be under the misconception that you can choose any size implant you want to achieve your desired appearance without potentially severe consequences, either early or late, that necessitate unplanned re-operation. You should visit a few ABPS certified/ASAPS member surgeons expert in tissue based implant selection to determine what is your maximum tissue capacity, and prioritize that first over your aesthetic goals. Best of luck!

Thanks for your question and the photos. Yo appear to have a good starting situation, and don't appear to need a lift. Choosing an implant that fits your frame is a process. I find it helpful to look at implant sizers on my patient's frames. First we find an implant width that fits the width of the chest and balances with the hips. Once we like the width we look at high, moderate or low profile  to achieve your goals. From your goals I think high profile makes sense. It will give you more upper pole fullness and not be super wide. Saline gives even more upper pole fullness than silicone so it is something you may wish to consider. From your photos I can not tell if 440 will have correct width. Trying on a sizer would help. I have included a sizing link below to help as well. Best wishes

Dear Mwallace7781If your goal is the first photo, I agree that 440 will give you a similar look. The second photo appears larger to me and perhaps going to an implant closer to 500cc might be a better choice. It is very helpful for you to try sizers in your surgeons office to get a better feel for the actual feel and weight of the implants.

I appreciate your question.



The size of implant best for you is dictated by your chest wall measurements.  Once we determine that we can choose the profile based on what you want or need to achieve.  If you are seeking a natural look, then the diameter of the implant should be equal to or, more ideally, smaller than the width of your breast. The breast width is a measurement of how wide your breast is at the base, which should be measured at the level of the nipple. Choosing an implant that is smaller in diameter than your breast width will avoid the "side breast" fullness that is often associated with a more artificial appearance.  Other than that, you should choose the implant based on volume, not on the dimensions of the implant. You should choose a board certified plastic surgeon that you trust to help guide you in this decision.  

Silicone will give you a fullness at the top (upper pole fullness).



Silicone implants come pre-filled with a silicone gel and are the softest implant available. They feel more natural, which makes them a good option for women with less natural breast tissue; but they require a larger incision. It may be more difficult to realize if this type of implant has ruptured, so it is important to monitor them with annual follow-up visits. Additionally, because this implant contains a more liquid silicone (less cross-linked), if this implant should rupture, it will leak only into the scar capsule formed around the implant but may cause some discomfort or implant distortion.



Anatomic gummy bear implants might be a good choice to give you volume.



These highly-sought-after, anatomic implants offer a look that more closely resembles the natural silhouette of a breast, and, therefore, are a very attractive option for individuals seeking a natural-looking, aesthetic primary breast augmentation. Additionally, these implants are an especially excellent option for patients undergoing restorative or corrective breast surgery because they provide more stability, shape, and reduced incidence of capsular contracture. Compared to other types of silicone gel implants, the silicone in the cohesive gel implant is more cross-linked; therefore, should the implant shell “rupture,” it maintains its shape and silicone does not leak.



During your breast augmentation consultation, you should feel the different types of implants available, and try on various implant sizers in front of a mirror to help you to get an idea of how you will look following the surgery. You should also bring pictures of the look you would like to achieve, as well as a favorite top to wear when trying on implant sizers.





The best way to assess and give true advice would be an in-person exam.



Please see a board-certified plastic surgeon that specializes in aesthetic and restorative breast surgery.





Best of luck!





Dr. Schwartz



Board Certified Plastic Surgeon



#RealSelf100Surgeon



#RealSelfCORESurgeon

Thank you for your question. "Tissue based planning" relies on your chest and breast measurements and is the safest way to ensure good long term results. Your surgeon should determine what size and projection are necessary to give you your desired result based on your body's measurements. The best way to assess and give true advice would be an in-person exam. Please see a board-certified plastic surgeon that specializes in aesthetic breast surgery. Hope this helps and good luck with your surgery.

It would be really helpful to have a full consultation with breast measurements taken. Using this information, your plastic surgeon can help you chose the appropriate implants and the " look" you are going for and advise you on other adjunctive procedures to give you your desired look. There is no ideal correlation with volume of an implant and "cup size" due to many variables including the patient current breast volume and breast shape.

Your pre-operative photos show that you have minimal volume asymmetry, and a high, youthful nipple-areolar position. This is a great starting point for any implant augmentation. As you've correctly pointed-out, only a complete exam by your plastic surgeon is truly valid with regard to sizing. Your 'wish' photos show breast shapes with a great deal of roundness and projection. High profile implants are designed to give this breast shape. I find that having several different sizes available, and using an intra-operative 'sizer' is the best way to custom fit implants. If you remain concerned that the 440cc size is not sufficient to meet your goals, I would discuss this with your plastic surgeon before proceeding. Good luck.

Thanks for your question. I would think that high profile gel implants in 440cc range would likely get you the look you are talking about. That is a relatively large implant for someone with your figure and your breasts will look full, but not the "basketball" look you mentioned. I would suggest trying the various implant sizes on in different types of clothing one final time prior to confirming your implant size. Best wishes.