Is a 385cc, high profile, silicone implant considered a large implant for my stats? 5'5, 120lbs, 10.5 breast width. (photo)

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



Director-Beverly Hills Breast and Body Institute



#RealSelf100Surgeon

This is a question that can only be truly answered by someone who has thoroughly interviewed and examined you. According to Sientra a 375cc high profile silicone gel implant has a base width of 11.7cm. How much wider than your 10.5cm base width is acceptable is going to be up to your surgeon. A high profile implant tends to give a more "augmented" look with a rounded upper half of the breast. The larger the implant you go with the more "fake" you will appear following your surgery. This is especially true of patients with a smaller starting size and tighter skin envelopes. The best thing to do is to discuss your concerns with your surgeon. They are in the best position to help you pick a breast implant that fits your body well and helps you achieve your goals. 

Hello and thank you for your question. Based on your
photograph, you are a great candidate for a breast augmentation.  Truly the best advice you can obtain will come from an in-person consultation with a detailed examination to determine the optimal implant type and size.   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