Is 450 cc silicone moderate profile implant considered a large implant for some one with 14in wide chest 15 in high chest ?

Question

Getting a lollipop lift don't want to choose to big of a implant with the lift and have problems ?

Jaime S. Schwartz, MD, FACS · Answer

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

Sheila S. Nazarian, MD · Answer

Choosing the right size implant depends on any number of factors all of which require an in person exam. If you trust your surgeon and you've tried out the 450cc and like the way they look then that's the right size for you. My best,Dr. Sheila Nazarian@drsheilanazarian on Instagram

Clark Schierle, MD, PhD, FACS · Answer

The exact choice of size that will work best for you is an important decision that you should make with your board certified plastic surgeon. 3D Vectra imaging and simulation, the Mentor gel sizing system, rice filled implants at home in your bra, and bio-dimensional analysis are all methods that can be employed to help you come to a decision. Because size is such an important component of decision making in breast augmentation our office employs all of these techniques with each patient to ensure the highest rate of satisfaction possible. Good luck with your decision!

Aldo Guerra, MD · Answer

Hello newstart. Thank you so much for your question. A 450 cc breast implant is considered to be a big implant. The Mentor moderate profile implant at 445 cc measures 14.8 cm and it might be too wide for your measurements. Perhaps a narrower moderate + breast implant of similar or smaller size could be a consideration. A moderate + would be narrower than moderate and could fit your frame better. Speak with your plastic surgeon about all available options before proceeding. Best wishes always, Dr. Aldo

Steven Wallach, MD · Answer

Your implant will be selected based upon your anatomy and your goals of surgery.  450 is a good size implant for the right patient. I like implants close to the based diameter. Best of luck.

Tom J. Pousti, MD · Answer

Thank you for the question

Ultimately, you will do well select your plastic surgeon carefully and communicating your goals, questions, and concerns. In other words, careful measurements, dimensional planning, and careful communication will be key.

Generally speaking, patients undergoing this combination operation should understand that it is significantly more complex than breast augmentation surgery only and that it is associated with a significantly higher risk of complications and need for additional surgery.  It will be important that you educate yourself regarding the pros/cons/risks/complications associated with breast augmentation/lifting surgery.  Only after doing so can you make an informed decision whether or not to proceed.

You will find a lot of information on this website and on the attached link.

Also, generally speaking, the best online advice I can give to ladies who are considering breast augmentation/lifting surgery ( regarding breast implant size/profile selection) is:

1. Concentrate on choosing your plastic surgeon carefully. Concentrate on appropriate training, certification, and the ability of the plastic surgeon to achieve the results you are looking for. Ask to see lots of examples of his/her work. 
2. Again, have a full discussion and communication regarding your desired goals with your plastic surgeon. This communication will be critical in determining which operation and/or breast implant size/type/profile will most likely help achieve your goals.
In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. I have found that the use of words such as “natural” or "C or D cup" etc means different things to different people and therefore prove unhelpful.
Also, as you know, cup size varies depending on who makes the bra; therefore, discussing desired cup size may also be inaccurate. The use of computer imaging may be very helpful during this communication phase.
3. Once you feel you have communicated your goals clearly, allow your plastic surgeon to use his/her years of experience/judgment to choose the breast implant size/profile that will best meet your goals. Again, in my practice, this decision is usually made during surgery. The use of temporary intraoperative sizers with the patient in the upright position makes selection of the best breast implant size/profile relatively easy.
I hope this, and the attached link, helps. Best wishes.

Mark Schoemann, MD · Answer

You will get the best answer
to your question by scheduling an in person consultation with a plastic surgeon
certified by the American Board of Plastic Surgery and discuss your unique
situation and concerns. The surgeon would meet with you, examine you, physically
feeling the tissue, assessing your desired outcome, taking a full medical
history, and discussing the pros and cons of the operative procedure in person
and what to realistically expect. Then you can make an informed decision on
size and shape. Your surgeon
should be able to explain to you why they are recommending the size they are
according to your current breast measurements including your chest width and
your desired outcome.

We have all our Breast Augmentation patients not
only utilize our 3D imaging so they can get a real visual on what the implants
will look like on them but also to actually try on the different size implants
with a tight bra and t-shirt to see what they might expect. That way they have
a good visual of what a 450cc implant will do as opposed to a 350cc implant for
example. You want to make sure that you see a surgeon that will listen to you
and your goals for the procedure and discuss in detail their recommendation for
size and shape not only taking into consideration your desired outcome but also
your breast measurements before the procedure including your chest dimensions.
And then let you try the implants that they feel will give you the desired
result so you are in agreement with the size.

Brooke R. Seckel, MD, FACS (retired) · Answer

I consider a 450cc implant large especially when combined with abreast lift. My concern is that a larger implant will put oressure on the lifted nipple and breast and could decrease blood flow and result is healing difficulty. If your breast base width is 14 theoretically the breast can accomodate 450cc but I would be concerned when combining with a lift.

Is 450 cc silicone moderate profile implant considered a large implant for some one with 14in wide chest 15 in high chest ?

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