I am torn between 350 CC and 400 CC with Mentor silicone implants and moderate plus and high profile. (Photo)

Hello and thank you for your question. Honestly, a formal in-person evaluation would be needed to determine the best treatment. There are several reasons for this:
1) Bra sizes vary based on the clothing store (for example, Victoria's Secret tends to upsize everyone by a whole cup size)
2) Most women do not wear the proper exact fitting bra size for their bodies
3) The exact volume (in cc) needed to change cup size is different for different body types (e.g. 32A to 32D requires a different implant size than 38A to 38D)
4) Be careful NOT to fall into the trap most women do- they see a certain implant size (e.g. 285 cc) or perhaps their friend had a certain size, and they want or request this or another size based on that. Everyone's body is different- 285 cc implants on your friend might look VERY different than they would on you. Be very careful not to make this mistake, because the goal is to find the right size and shape for YOU- for your particular body and your breasts.

Because of those multiple factors, and because it is KEY to fully evaluate your breasts in person to make a full set of precise measurements to select the proper implant for you (incorporating factors like amount of breast tissue, implant type, base width, projection, etc), answering your question really would need a formal personalized consultation- to say anything before that would simply be guessing, which would be both unfair and unhelpful to you. Also, just FYI, each surgeon's measurements are slightly different, so numbers, experience, and overall aesthetic from one surgeon aren't necessarily the same as those from another surgeon!

Your breasts are such a KEY area of your body and your femininity- therefore, you should ONLY trust an experienced aesthetic plastic surgeon. As such an expert, I have had extensive training and experience with complex aesthetic surgeries under a multiple world-renowned experts in the field. I’d recommend for you to setup a formal consultation with me (or another plastic surgeon who is extremely comfortable with aesthetic plastic surgery procedures) for a formal consultation to thoroughly discuss your surgical goals, undergo a formal examination, evaluate all your options (surgical and nonsurgical), and decide on the best procedure(s) and type of anesthesia for your specific case. I hope this helps!

Dr. Donald Groves
Aesthetic Plastic Surgeon

Thank you for your question and posting appropriate pictures. You seem to be a great breast augmentation candidate. While the difference between the two implants you mentioned are small, based on the descriptions, you would likely have your intended look with 400 mL high profile implants. I would recommend 3-D breast imaging with Vectra to look at the small nuances of this difference preoperatively.  Breast of luck

Questions of size and profile sometimes cannot be decided preoperatively. I routinely have the option for multiple sizes and projections for each augmentation I perform.  Patients use sizers in the office while clothed to see what they will look like going out to dinner, heading out for the day, and just living their lives. I ask my patients to trust me to provide them the best result I can provide them in the OR using temporary sizers.  Specifically related to your photos, your seem to have more fullness medially in your left breast/chest secondary to more prominent ribs along your sternum.  The left breast actually appears larger as well. In my practice, I will tell patients in this situation that they may in fact have different volumes and projections.  For instance, your could be a 400 cc high profile on the right and a 350 cc moderate plus profile on the left. Talk to your PS about these asymmetries and get multiple opinions from experienced board certified surgeons.  Best of Luck .

The best
cosmetic result in any particular breast augmentation patient depends on a
variety of factors, including: Your individual anatomy, realistic expectations,
a thorough discussion with the plastic surgeon about the options, and an
understanding of the pros and cons of any particular implant choice. Proper
sizing is not just about the number of cc’s. The thickness of your tissue,
breast dimensions which include the width,
height, and projection, as well as chest wall width all need to be considered
when choosing an implant. Trying on implant “sizers” of various shapes and
volumes while wearing a tight t-shirt, bra, or bathing sit at a preoperative
visit will help you and your surgeon choose the optimal implant.

There are no manufacturers' standards for cup sizing in the bra industry. The
cups of a 32 C and a 38 C are significantly different. Cup size varies from
manufacturer to manufacturer and even within styles from any particular
manufacturer. There is also no
direct correlation between an implant size or shape and resultant cup
size.As far as your recovery, you should "take it easy" the day of your
operation and the following days. Increase your activity as instructed.
Depending on the exact demands of your work as an esthetician, you may return to your job as soon as you
are comfortable. If your work is fairly sedentary, you may go back to work in
three to four days after surgery. Do not lift anything over ten pounds for
three weeks. Exercise can typically be resumed three to four weeks following
breast enlargement surgery.

Keep in mind that following the advice from a surgeon on this or any other
website who proposes to tell you exactly what to do without examining you,
physically feeling the tissue, assessing your desired outcome, taking a full
medical history, and discussing the pros and cons of each operative procedure
would not be in your best interest. I would suggest you find a plastic surgeon
certified by the American Board of Plastic Surgery and ideally a member of the
American Society for Aesthetic Plastic Surgery (ASAPS) that you trust and are
comfortable with. You should discuss your concerns with that surgeon in person.

Robert Singer, MD FACS

La Jolla, California

It is difficult to say what implant would be best for you without seeing you in person.  Usually patients can go back to work within a week.

Thank you for the question and pictures. I think that you are starting at a good place and should have a very nice outcome with breast augmentation surgery. There is no accurate/reliable/predictable correlation between size/profile breast implant utilized and cup size achieved. Ultimately, careful communication of your goals (in my practice I prefer the use of goal pictures, direct examination/communication in front of a full-length mirror, and computer imaging) will be critical. Given that your surgery is coming up soon, I would suggest that you schedule additional time to spend with your plastic surgeon communicating your goals, preferably prior to the date of surgery. Be careful, that the implant size that you have selected won't leave you with the most common regret: “I wish I was bigger”.
Generally speaking, the best online advice I can give to ladies who are considering breast augmentation surgery ( regarding breast implant size/profile selection) is:
1. Concentrate on choosing your plastic surgeon carefully. Concentrate on appropriate training, certification, and the ability of the plastic surgeon to achieve the results you are looking for. Ask to see lots of examples of his/her work.
2. Have a full discussion and communication regarding your desired goals with your plastic surgeon. This communication will be critical in determining breast implant size/type/profile will most likely help achieve your goals.
In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. I have found that the use of words such as “natural” or "full C cup” or "nice drop" etc means different things to different people and therefore prove unhelpful.
Also, as you know, cup size varies depending on him who makes the bra; therefore, discussing desired cup size may also be inaccurate. Again, the use of computer imaging has been very helpful during the communication process, in our practice.
3. Once you feel you have communicated your goals clearly, allow your plastic surgeon to use his/her years of experience/judgment to choose the breast implant size/profile that will best meet your goals. Again, in my practice, this decision is usually made during surgery, after the use of temporary intraoperative sizers.
I hope this (and the attached link, dedicated to breast augmentation surgery concerns) helps. Best wishes.

taylornicolev ,  Implant size choice is often a matter of your shape preference, as the larger you go, the more your skin will need to be stretched over the implant, and the rounder your outcome will be. That is also true for any given volume when comparing high profile to moderate profile implants, with the latter being less round.  This is less of an issue when starting with a larger volume of breast tissue.  Given the variability of bra cup sizes from manufacturer to manufacturer, for patients who desire larger outcomes (above C-cup), I generally recommend use of the largest implants that still give the best shape, with the emphasis on best shape.  This approach will produce results that look too good to be true, but are plausibly deniable, if that is your desire.  There is no mathematical formula that determines this, as it is surgical art, and thus review of outcomes of surgery by your chosen surgeon, in the size range you are seeking, is likely the best way for you to convey your desire.  Best luck with this.   I hope that this helps.  Information regarding augmentation is linked below.