mMy pre op chest width is 13. I just had my first silicone (425cc) Mentor round high profile implant 4 days ago. My original size was 34A. I wanted to look bigger and fuller (full C small D). I am 5ft 130 lbs (big bone, wide hip, size 4 pants, small size dress/shirt). After surgery, I felt that I am only full B cup. 2 days post op I saw my surgeon and he said that 425 cc was the max he could put in because of my small frame. if without being swollen now I feel I am still small, I'm thinking that in 3 months after the dropping, I'll still feel smaller?
Is it true that 425cc is the max that can be inserted based on my chest size? I saw other small girl my size with DD (Photos)
Doctor Answers 6
Give it time
you are too early to be worried. at 5 ft tall I would think that a 425 implant would make you a good solid c. be patient let things stretch out. after 6 months if you are still convinced that you are too small , then start talking about a revision. also what profile implant did you get?
Breast Augmentation and Size
You don't know where you will land in size until after you drop and fluff. There is a limit based on biodimensional measurements as to how big an implant you can place without increasing risk of complications. Although these measurements don't include height and weight, a 425 cc implant in someone 5 feet tall should have some impact.
Best of luck!
Breast Implants/Breast Augmentation/Anatomic Gummy Bear Implants/ Silicone Implants/Breast Implant Revision Surgery
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!
Board Certified Plastic Surgeon
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Is it true that 425cc is the max that can be inserted based on my chest size?
Congratulations on having undergone the breast augmentation procedure. Your plastic surgeon will always be your best resource when it comes to accurate assessment and advice.
Although I cannot help you with specifics, it is true that every patient undergoing breast augmentation surgery has an anatomic starting point will limit the outcome of breast augmentation surgery. In other words, a patient's starting anatomy will limit how large of a breast implant can be utilized safely. The use of a larger breast implant (than what is safely "allowed" by the patient's anatomy) can be problematic; potential problems include breast implant displacement/malpostion issues ( such as bottoming out, lateral displacement, symmastia...) and/or significant breast implant rippling/palpability.
Generally speaking, breast implants will "drop" into the pocket that was created during surgery. The rate of breast implant "settling" may depend on factors such as size of breast implant pocket dissected, tightness of the overlying skin/muscle layers, and size of breast implant utilized. Normally, it takes about 3-6 months (for some patients longer) to see the final result.
Many of my patients report that as the swelling around the breast implants (for example, in the sternal area) decreases, they feel that their breasts appear more projecting (and that they have better "cleavage"). Also, in my opinion, the "drop and fluff” phenomenon does hold some validity; as breast implants “settle”, many patients feel that their breasts actually look larger. Similarly, it takes a few months for the breasts to "soften" in most cases. Most of my patients tell me that their breast implants feel "part of them" somewhere between 3 to 6 months after surgery was performed. There is definitely a physiologic and "psychological" (body image) adaptation process that occurs, at differing rates for every patient, for patients who undergo any type of aesthetic surgery, including breast augmentation surgery. Understandably, patients often experience significant emotional "ups and downs" around the time of surgery.
Best wishes for an outcome that you will be very pleased with.
Breast Augmentation - Size Selection
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.
Max implant size
Hello, it is not possible to comment whether larger implants could have been inserted based on the information provided. The size of the implants that can be inserted depends on breast dimensions, tissue thickness, skin stretch, implant characteristics, etc. Based on the limited photos it looks like the implants are well-matched to your chest dimensions.
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.