Is 450cc too huge on a 5'11" 117lb small framed body? Currently a 34aa with no sagging and literally no tissue. BWD 12.5 (photo)

 A 450 mL implant on a frame that is 5 foot 11 should likely result in a breast that is in the full c to small D cup range.  However  this will vary based on the amount of breast tissue that you have to start with.   Also, you have to keep in mind that  initialpostoperatively it will seem like a huge change for you given that you have an a cup at the present time.   Also when you choose a larger implant size you will get a result that is more of an augmented appearance when you don't have a lot of breast tissue to start with. 

Hi.... Thank you for the question and photos..... Your picture do not help and is difficult to help you... Front and lateral clinical pictures are nee

Hello sunnycaligirl8034. Here's my 2 cents on sizing:1) My philosophy includes guiding patients to explore reasonable options for breast implant size, usually two to three similar sizes, which allows the patient to visualize how different volumes affect their breast cup. 2) The best guide for a final breast implant size recommendation is derived using measurements from the patient’s own breasts and chest. 3) When measurements are considered then options for sizes can be presented. 4) I use the Mentor Volume Sizing System of breast sizers to demonstrate how these different volumes will look on a patient’s body. 5) This methods offers good reliability and is simple to use, but is not perfect. In your case, a 425 and a 450 cc are similar. If you're small figured lady then these are likely to look bigger than average on you. However, there's no way to predict. I only do surgery after the patient has had plenty of opportunity to trial and compare sizers in the office and there are no reservations.Best wishes, Dr. ALDO

Thank you for your question. It is much better to accurately discuss implant volume and projection with an in office exam and detailed measurements. In order to make an accurate size recommendation, I would need to assess your chest wall and breast mound measurements/characteristics. I use these measurements to help me during the sizing process to guide you to a safe result for your chest wall and just as important, one that meets your end desires.The next step is to try on this range of implants in the office with your doctor. The key to this success is showing your surgeon the body proportion you desire with a bra sizer and allowing your surgeon to guide you to the right implant. It will be much easier to communicate in implant cc's than cup size when determining the appropriate implant for you during the sizing process. In addition, review of photos and use of rice bags can be very helpful to the patient and surgeon in achieving a safe and happy result. Close intereaction and involvement from your surgeon during this process can help alleviate the anxiety and fears of choosing the right size. I wish you a safe recovery and fantastic result.Dr. Gill

Breast implant selection requires a thorough exam to determine such factors as breast dimensions, thickness of your existing breast tissue and quality of the skin. Based on breast width alone Mentor 425 cc implants in high profile or Natrelle 450 cc implants in full projection profile are probably maximum sizes if you want to look proportional and more natural. The photos you included show breast implants that are a bit large for the body frames as there is a fair amount of lateral breast fullness. Many women like this look. However, larger breast implants can be associated with soft tissue thinning that can lead to premature sagging, bottoming out, stretch marks and implant visibility (rippling). Good luck with your surgery!

and its well known that taller patients can handle more volume.  The sizer in your bra should give you a very good idea of what you will look like and I always increase the implant by approximately 10% to achieve the look of the sizer in the bra look and my patients have been very happy.  As for the maximum size on you, its depends on what risks you are willing to accept as the larger implants will have a long term deleterious effect on your tissues that will require more surgery in the future including downsizing and a lift.  So was the 450 cc sizer 'massive' in you?  If not, then go for it if there is an implant diameter that will fit on your body.

I think you are right on target. From your description and photos, the HP implant is the way to go. Gels for sure. Volume of 450 will get you to where you want to be.Good luck and be well.

Picking the right size implants is always the most difficult part of this procedure and your PS should be the one guiding you.  You have to feel comfortable and with the sizer on I do not think you are going to look massive.  You cannot really go by other patients' pictures unless you can see what they look like preop because if somebody has more breast tissue to begin with then they can look larger with a smaller implant and vice versa.

Thank you for the question.
Unfortunately, despite your good description of body type, online consultants will not be able to provide you with specific enough advice (regarding specific breast implant size/profile) to be truly helpful. Generally speaking, the best online advice I can give to ladies who are considering breast augmentation surgery (regarding breast implant type/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. In bra sizers can be useful communication tools also. For example, I have found that the use of words such as “natural” or "large C or small D cup" or "massive" etc means different things to different people and therefore prove unhelpful.
Also, as you know, cup size varies depending on who makes the bra; therefore, discussing desired cup size may also be inaccurate. The use of computer imaging may be very helpful during the communication process.
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 for petite patients), helps. Best wishes for an outcome that you will be very pleased with.