400cc high profile implant?

The implant selection should be based on a combination of your desired size, soft tissue dynamics, breast base diameter and skin elasticity.  I recommend an in-office examination as well as a detailed discussion with a surgeon who you are comfortable with.   Finally, make sure your surgeon is a Double-Board Certified Plastic Surgeon certified by the American Board of Plastic Surgery (ABPS), a member of the American Society of Plastic Surgery (ASPS) and the American Society of Aesthetic Plastic Surgery (ASAPS).Best,Dr. DesaiBeverly Hills Institute for Aesthetic Plastic SurgeryHarvard Educated, Beverly Hills & Miami Beach TrainedDouble Board-Certified Beverly Hills Plastic Surgeon

Thank you for your question. It is difficult to tell without assessing you in person or seeing a photo. Please speak with your surgeon if you have any concerns. 

Far more important than the technique is the skill and experience of your plastic surgeon. Choose your surgeon rather than the technique and let them explain why one technique may be better than another. 
See the below link on some suggestions on finding the most qualified Plastic Surgeon for a Breast Augmentation Always insist on a board certified plastic surgeon.

Thank you for your question.  As others have said it is very difficult to predict cup size based on chosen implant size - even if you were examined in person.  Cup size is a garment industry standard.  It is vague at best, not precise at all.   Having said all of that, assuming you have little breast tissue now, the 350 - 400 range will likely put you in the C or small D range.  A quick "try on session" with sizers might help you decide which end of that range you would prefer.  Best of luck. 

Hi S.CaMaChO,

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, MHA, MS

Certified, American Board of Plastic Surgery 

Member, Am. Society of Plastic Surgery

Thank you for your question. "Tissue based planning" relies on your chest and breast measurements and is the safest way to ensure good long term results. Your surgeon should determine what size and projection are necessary to give you your desired result based on your body's measurements. 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 breast surgery. Hope this helps and good luck with your surgery.

Unfortunately the bra manufacturers never got together to establish a standard for Cup sizes. That is why you can by three bras with the same number and letter and they all fit differently. Although the new volume, or cup size, of the breasts after surgery is important, the shape of the breasts is at least, if not more important. A natural fullness in the upper breasts usually looks the best. There will be a size and profile of the implant that will look the best. This is determined by taking specific measurements of your individual breast anatomy by your surgeon prior to surgery.  The final choice is actually made during surgery, sitting you up and actually seeing what the breasts look like, trying different implants. When combined with the surgeon's experience as to how your breasts will look after several months you should have a good result. Go to a Board Certified Plastic Surgeon and make sure your surgeon understands your expectations.

My best advice: more communication.
It is definitely worth spending more time (prior to the date of surgery) with your plastic surgeon to discuss further.  As you know, it will be important for many reasons, that you feel comfortable that you and your plastic surgeon are on the "same page" prior to proceeding.
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.
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 words such as “natural” or "full C or baby 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 helps. Best wishes for an outcome that you will be very pleased with. 

It is impossible to predict your cup size as it varies so much between bra manufacturers. As long as you conveyed your desired look to your surgeon with photos etc.. and you trust his work then you should be fine. Best of luck with your surgery. 

Hi and thanks for your question. Of course it is always difficult to predict bra size based on cc's. However, going from an A cup and adding 350-400 would put you in the range of a C/D cup. The most common size problem I see is that when women realize their breasts look natural, they wish they were bigger.  This usually takes a few months for people to really realize this.  I always try to warn my patients about this and try to help them achieve what they are actually looking for.  Hope this helps.