Is 360cc silicone too big for my frame? I'm 5'3 & 135lbs.

Picking implant size is strictly the women's decision as long as the width of the women's breast can accommodate the implant width.  However, implants with the same cc's come in different profiles with different widths.  I have yet to see a patient in whom a 360 cc implant would not fit.Good luck,Ary Krau MD FACS

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

I would recommend trying on sizers in the office.  Find a
board certified plastic surgeon who has performed thousands of
these procedures and has hundreds of pictures and reviews. Kenneth Hughes, MDBeverly Hills, CA

It's a great question, but unfortunately it can't be answered without an in person examination. Sizing a breast implant is based on a goal look and the person's breast dimensions. The breast width, nipple to fold distance, and soft tissue characteristics are all to into account when sizing an implant. Ultimately, this comes down to a decision that you will make together with your plastic surgeon.If you have any concerns that your implant size may not be right for you, it would be a good idea to have another visit with your surgeon. This will allow you to move forward with confidence. 

Hello,No one can answer that question. If you're talking about proportions, that's an opinion, and ours may not be in line with yours. If you're talking medically, then height and weight are not used to determine implant sizing. Five quick measurements of your chest and breast tissue will allow a knowledgeable surgeon to objectively determine your soft tissue capacity and the right sized implant for you. Best of luck!

What size implant you choose should be decided between you
and your Doctor. Generally speaking it depends on what size you would
like to be and what size you are before augmentation. The best way to
decide this would be to use an implant sizer so that you have a better
idea of what in your case a 360cc implant would look like. You should
also consider your height and the size of your hips when deciding what
size implant you should use. The shape of the implant should be
considered as well. There are many different sizes and shapes to
consider so it is best to make sure that the Board Certified Plastic
Surgeon is very familiar with choosing the appropriate size for you and
your body type.

Thank you for the question.  

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, in bra sizers, and computer imaging) as well as careful measurements (dimensional planning) will be critical.

Given your concerns/questions, I would suggest that you spend additional time (as much as necessary to make sure that you are both on the same page) communicating your goals/concerns directly with your plastic surgeon, preferably prior to the date of surgery.

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. For example, I have found that the use of know words such as “natural” or "C or D cup” 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 for an outcome that you will be very pleased with.

Hello dear, thanks for your question and provided information as well... The breasts may lose their elasticity and firmness
which can be caused by different factors such as pregnancy, massive weight
loss, lactation and aging. To reaffirm the breasts and restore the natural look
your surgeon can perform a mastopexy or breast lift, with augmentation such as
silicone implants, you will be a very good candidate for this procedure, check your implant size with sizers with your surgeon, that's a good choice, hugs!

How to choose the correct implant is both subjective and objective;The objective limitations are the ones I would like to discuss today and include:1)nipple to inframammary fold distance cannot be smaller than your implant radius2)you chest diameter (on each side) cannot be smaller than your implant diameter.Please see examples below.

Dear Ms. Zaray24,Thank you for your questions.  Unfortunately with out photos and a exam of your tissues I can can only comment based your story, however I hope you find my comments helpful.The "best" implant choice is based not only on volume but other important factors.My answers to your question is based on my experience. Your anatomy will dictate some of the mutually agreed upon decisions both you and your chosen Plastic Surgery will make.Breast size is a very personal choice. The correct answer is what proportions you want to achieve. Sometime bigger is not better.My responses are:1)sizing: A)purchase several bras (full bodied and no padding) of the size you think you want to be. As you realize there are no standard bra (strap/cup) sizes. B)take a measuring cup (1 oz=30cc) place rice in a nylon C) try on various volumes of rice with some form fitting clothes.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 implant thus 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 arm area).3)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.I suggest you make out a list of your questions and select several nude "model" photos of what your desired goals/look would be and then schedule several different consultative appointments with experienced Plastic Surgeons who are Certified by the American Board of Plastic Surgery and who are 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