Is 400cc moderate profile Mentor implant too big? (Photo)

350 cc to 400 cc is reasonable, but you should be able to try on sizers and provide input to your surgeon.Kenneth Hughes, MDBeverly Hills, CA

Thank you for sharing. The recommendations you share may be quite reasonable with the information here. Only an in person physical exam can verify an implant selection has measurements can only give so much of an idea. The breast envelope should be evaluated in the context of a lift as you have brought up. Hope this helps. Best wishes 

Dear Ms. Rjric16,Thank you for your question and photos.You  appear to be a excellent candidate for the combined procedures, lovingly referred as a "mommy make over"Breast appearance, size, filler material , shape and implant location is a personal choice guided by the experience of your Plastic Surgeon. Your SPECFIC breast anatomy will dictate some of your choices.As far as size you know all bras are not equal in "cup size" measurements."Cup size"is a very crude and non standardized measurement and varies by bra manufacturers. Thus actual cup size you eventually are measured at is not as important as your body proportions as it relates to your desired breast size My specific responses are:1)sizing:A)Realizing there are no standard bra (strap/cup) sizes, purchase several bras (full bodied and no padding) of the strap and cup size you think you want to be. B)take a measuring cup (1 oz=30cc) place rice in a nylon. Therefore 10 oz. = 300cc...C) try on various volumes of rice with some form fitting clothes.D)if implant is placed under the pectoralis muscle I usually add 10% volume to what the patient chooses.... To compensate for the muscle pressing down on the muscle and for the naturally settleing of the implant which often makes the breast appear smaller 2-3 months after surgery.2) profile of implant:A) for the same volume the higher the profile the narrower the base width.B)there is very little difference in projection between a moderate to high profile implantthus little affect on how the actual nipple will look.C) the base width of the breast should equal the base width of the implant D)thus I personally chose the profile based on the patients chest measurements, (a high profile on a wide chest may not result in the cleavage desired and conversely a low profile on a narrow chest may result in implant in the outside armarea)E)Cleavage is largely determined by your anatomy. This can be optimized by choosing the best profile implant and postoperative implant displacement excercises towards the midline of your chest.3)Shape of the implant:A) for the vast majority of cosmetic patients I recommend round implantsB) reconstructive patients shaped/form stable implants are often used4)Placement decision of implant(subpectoral, dual plane, or suprapectoral) will be determined based on your anatomy and long term goals and benefits.5)Filler MaterialA) silicone gel feels more like breast tissue, less potential rippling, comes prefilled cannot adjust size intraoperatively and larger incisions to place compared to equal sized (non prefilled) normal saline implants.B) normal saline implants can be adjusted in size intraoperatively, if ruptures normal saline absorbs, potential increase rippling compared to silicone gel, smaller incision to place normal saline implants as compared to prefilled silicone gel implants.I suggest you several nude model photos of the goal breast shape you desire and make another appointment with your Plastic Surgeon.  I trust your  Plastic Surgeon is  experienced and is Certified by the American Board of Plastic Surgery and ideally members of the American Society for Aesthetic Plastic Surgery (denoting by membership as having met additional criteria and a focus on Cosmetic Plastic Surgery).My best wishes,R. A. Hardesty, MD, FACSDiplomate and Certified by the Am. Bd. of Plastic Surgerywwwimagineplasticsurgery.com4646 Brockton AveRiverside, Ca 92506(951) 686-7600