415 cc HP? (Photo)

Question

I am 4'11" and about 100lbs... got sized for a 415 cc hp implant and getting surgery in 2 weeks. I love the look of the 385 hp sizer and was told the 415cc will settle me look like a 385cc since I'll be going under the muscle. I know it's such a small amount to fuss over - only 30cc but I don't wanna be too top heavy.

Ted Eisenberg, DO, FACOS, FAACS · Answer

If concerned, get the 385- you can always make what you get look bigger in clothes. After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements. You get to see actual results and the surgeon's experience and not a virtual idea of what can be achieved. Women tell me that this process is very helpful. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Donovan Rosas, MD · Answer

Choosing an implant size/style is an important decision which is best made in concert with your surgeon. Ultimately, options are based on a number of factors including:
-Chest dimensions: This point is crucial as the width of your breasts defines the available "real estate" on which the foundation of your augmentation is built. This "foot print" is the absolute limit with which you are dealing.  Too "large" is not so much the risk as too "wide." You cannot build a 3 acre mansion on a half acre plot. An implant which is too wide (exceeding the available space on your chest) will generally over hang laterally making it more noticeable and occasionally contributing to discomfort and nerve symptoms (numbness or tingling). This will also contribute to a more unnatural look.
-Tissue quality: This relates to size in the sense that the implant will be suspended by your tissue. Too large an implant may place took large a stress on these suspending tissues leading to healing problems in the short term and bottoming out in the long term.
-Patient desire (what is the look you are hoping to achieve?)
My role as a surgeon is to manage expectations and guide you towards a prudent choice which can satisfy these reasonable goals. Often times, a surgeon can guide a patient toward a size/cc range and patients will make determinations on implant style/profile. Patient seeking more or less projection, or seeking a more pronounced or subtle upper pole volume increase can be guided toward an implant which will help them best achieve their goals. Additionally, technique variations (sub muscular vs. sub glandular) can also aid in obtaining the look you desire.  
There are a number of tools available to help guide patient/surgeon decision making including sizers, 3D imaging and goal photos. Each modality can help better communicate your goals to your surgeon and vice versa.
Ultimately, it is important to not marry oneself to a particular "cc" as oppose to a particular "look." Communication is key as you and your surgeon create your custom surgical plan. 
With regards to your specific question, 30 ml is a small volume differential which is unlikely to "make" or "break" a result.
As always, discuss your concerns with a board certified plastic surgeon.

Ryan Rebowe, MD · Answer

Generally speaking, those implants do not seem too large for your frame. Also generally speaking, you are correct in that the 30cc is not much of a difference. Furthermore, often when selecting implants, it is wise to select implants that are slightly larger due to implant settling. For all of these reasons, I would say you are on the right track with your implant selection.

Brian K. Reedy, MD · Answer

Thanks for your question! I would go with the 415cc if you like the 385cc. You are very petite so you don't need a ton of implant. Good luck!

Gary M. Horndeski, MD · Answer

Your breasts are wider than you chest wall. 450 cc implants weigh 1 lb. each and will descend inferiorly and laterally. I recommend a circumareola lift to elevate the nipple-areola complex higher and more medial. At the same time, small implants can be placed totally submuscular.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Daniel Barrett, MD · Answer

Dear mrsk13,
breast implant type and sizing selection is a complicated process and requires a detailed consultation that includes a discussion of your goals, a detailed examination, and a lengthy discussion. But the decision will always start and end with the patient. When it comes to sizing, we have all of our patients find 3 photos of their desired breast size. We ask for naked breast photos because clothing can obscure the true size (push up bras). Next, we consult with patients and go over the photos and take detailed breast measurements during a physical exam. Next, we using a sizing algorithm to determine a range of implants that will work based on the exam and the measurements.Lastly, during the operation, we use silicone sizers in the operating room to see how the size actually looks in the breast. We sit the patient up in the operating room, while asleep of course, and compare the sizer result with their desired look photos. If it is too small, we start the process over with a slightly larger implant. We don't stop until we get the perfect match.Of all of my breast augmentation patients, every one of them has been happy with their size due to this detailed and meticulous process. You don't want to invest time and money into a result that is either too big or too small.You should discuss your concerns with a board-certified plastic surgeon and make sure that your surgeon understands your goals.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Oliver Harley, FRCSEd(Plast) · Answer

hi, thanks for your question.  I think that for somebody who is petite, 400+ size implants is very large and alsready you have natural looking breasts, B-C cup maybe.  so this is going to take you to F or G size. and remember that with time, more weight means more stretching and likelihood of surgery in the future - implants, uplifts etc.  Even 415cc is on the big side for you.  Nor am I clear why you would want or need implants placed under the muscle since you already have quite a good amount of native breast tissue to cover the implant.

Camille Cash, MD · Answer

Based on your frame smaller implants will have a better chance of not looking "top heavy".  The 30cc difference between the two implants you are considering will not make a noticeable difference once in the body, but both implants will increase you multiple cup sizes.  I encourage you to discuss your concerns with your surgeon.  It's. important that you feel comfortable and confident as you prepare for surgery.

Connie Hiers, MD, FACS · Answer

At 4'11", I would suggest you stay under 400 cc's because the weight of the implants may be too heavy on your neck and shoulders.  For you, the 350 cc size would do well.

415 cc HP? (Photo)

Answers (9)

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