355cc vs 385cc mentor boost high profile - which would give the best results? (Photos)

Question

Hi! I’m getting a lollipop (vertical) lift + implants and I’m torn between: • 355cc high profile Mentor Boost • 385cc high profile Mentor Boost Stats: - 5’2, 110 lbs, pretty lean - Currently a B cup - Narrow frame - Going over the muscle - Getting a lift Goal: Pretty, lifted, breasts—especially without a bra. Full and feminine. I tried sizers: - 385cc looked good but honestly felt a little scary/too much to me (that’s the picture of me in the white shirt) - 355cc felt more balanced, but I’m worried I’ll wish I went bigger Questions: - Which size gives the most pretty proportional result with a lift (over the muscle)? - Is 30cc noticeable in real life? - Do people regret going slightly smaller in this range? Thank you

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.
With regards to your questions, it is difficult to offer solid advice without measurements and in-person exam. I would not struggle over small size differentials as this is unlikely to make or break a result.
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. 
As always, discuss your concerns with a board certified plastic surgeon (ABPS).

Gary M. Horndeski, MD · Answer

I never recommend a lollipop or anchor lift but do recommend a breast lift using the Bellesoma. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained. Later, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Daniel Barrett, MD · Answer

Dear Diligent52678,

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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Milan Doshi, MS, MCh · Answer

Hi Diligent52678From your photos and frame, 355cc appears to be the more balanced and proportional choice, especially with a vertical lift and over-the-muscle placement. You are lean with a narrow chest, so the larger implant may create more upper fullness and feel heavier over time, whereas 355cc is more likely to give a pretty, lifted, feminine result without looking too much.A 30cc difference is usually subtle in real life. Most people would not see a dramatic difference visually, especially once swelling settles and the lift reshapes the breast. If 385cc already felt a little scary to you during sizing, that is important &mdash; patients are usually happiest when the size feels right, not just slightly bigger.This is a great question. I would recommend consulting with a board-certified plastic surgeon to further discuss your goals and evaluate you in person. A one-to-one physical consultation is essential to determine the safest and most effective plan tailored specifically to you. Hope this helps!

355cc vs 385cc mentor boost high profile - which would give the best results? (Photos)

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