Is 560cc Natrelle silicone full profile implant too large for me? (photo)

Question

I am 5 feet tall, 149 pounds. Size 8-10 pants and dresses. Hourglass figure. Currently a 38B bra size. I want to go up to a small D, and I chose the 560cc Natrelle full profile silicone implants. Did I size too high?

Jonathan Heistein, MD · Answer

Hi, from the picture you sent, it looks like this size could work for you.  But it is a large implant and may make you larger than you are hoping for.  I would suggest you ask your surgeon to try on a sizer in the office before surgery to see if you like the way it looks.  Also, only your surgeon can tell you if he/she thinks your body can handle having an implant this size put in, since some people have such tight skin and muscle that would make it difficult.  There are so many factors that are important in determining the right size implant.  Ultimately, you have to first choose what size you want to be, and then talk to your surgeon to see if it is possible and if it will be a reasonable outcome.  Hope that helps.  Best of luck!

Brian K. Reedy, MD · Answer

Thanks for your question! With the photo you provided, it's difficult to tell if it will work well on your frame. However, a 560cc implant will absolutely push you past a D cup bra. Typically, about 150cc's will take you up a cup size. I would suggest, if you haven't had the chance, to try on implants. It will give you a good idea of what look you are going for. My guess is that you may think the 560 is too large for your frame. Good luck!

Mark E. Mason, MD · Answer

Hello, and thanks for your question. Is there any chance you could try on sizers? Even though it's not exact, it helps our patients to try on sizers and try on various shirts to get an idea for that amount of volume. It is a fairly large implant, but your frame might be able to handle it just fine.

John J. Corey, MD · Answer

There’s so many factors that go into picking the right size and unfortunately from your one photo it’s hard to tell how wide your chest might be and how much you need and how much breast tissue you might have. It is a fairly large implant but I think different photos might help…

Jonathan Saunders, MD · Answer

it is always difficult to say when not in person, but the implant size seems a little large for somebody your height.  at your height i would assume that you have a short torso, so be sure the implant is not too wide and that you get plenty of projection

John L. Burns Jr., MD · Answer

I suggest using 3D imaging to see what sized implant you prefer.  Using the technology you can control for implant volume, shape, and profile.

Tom J. Pousti, MD · Answer

Thank you for the question. 
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.
One question that might be helpful for you to consider: would you be more disappointed if you are slightly too big or slightly too small after the breast augmentation procedure?
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 modest” or "small D cup” or "too large" 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.

Curtis Wong, MD · Answer

but I depend on external sizing to allow my patients to see what they will achieve with different sized implants.  A 500 cc sizer in a unlined bra will show you what that will look like and if a profile can be found that will fit in your chest dimensions, then you could certainly go for it.  Arbitrarily choosing a size will almost certainly lead to potential problems in terms of you look.  And most importantly, the implant style must fit on your chest and within your breast dimensions.

Mahmood Kara, MD - Account Suspended · Answer

Hello. Thank you for your inquiry. 
You may be an excellent candidate for breast augmentation surgery. Cup sizes are usually quite difficult to calculate as everyone has a different starting point. 
It is important to have an in-person assessment regarding your concerns as it is difficult to determine virtually. 
There are many different factors that go into choosing a breast implant size which will correspond with your body dimensions while concurrently achieving your aesthetic results. Some of these factors are: Implant size (CC's), Implant profile (Low, Moderate, High), Placement of the implant (Subglandular vs. Dual Plane) etc. We utilize smooth round cohesive silicone gel 'gummy bear' implants for the best results. 
During a consultation your aesthetic goals are heard and taken into account with the measurements of your breasts and the integrity of your tissue, as well as level of ptosis (sag). From here we collectively can find your 'perfect fit'. You are able to try out sizers and different implants in our office such that you can get an idea of what size you would be post-operation. We also offer Crisalix 3D plastic surgery virtual simulator during our in-person and virtual consultations to preview potential results. After your consultation, you will receive your very own implant sizers to take home with you (at a small cost) whether or not you decide to go forward with your procedure. 
I usually recommend that my patients stop smoking, take vitamin C daily, and avoid aspirin/ibuprofen and vitamin E 3 weeks prior to surgery. I specialize in the 24-hour Recovery method which minimizes trauma to the breast and decreases pain post-operatively. 
We encourage you to look at our website and Instagram (drkaraplasticsurgery) for lots of before and after pictures! 
Please note that this response does not substitute patient-doctor relationship. We welcome any and all patients seeking advice to come in for a complimentary consultation available for limited time only. 
During the COVID-19, we are offering complimentary online consultations as well as in-office consultation with social distancing and masks. Procedure done in-hospital private surgical facility while taking covid-19 precautions. We utilize UV-light to clean the air of viruses and bacteria during our consultations and surgery. 
We invite you to come in to discuss your options more thoroughly. Please send us an email at info@drkaraplasticsurgery.com with the subject line: "Attention Meagan" and we will be happy to coordinate your appointment!

M.Kara,MD,FRCSC (27+ years experience) - Specializing in 24 hour recovery/ out to dinner breast augmentation in-hospital private surgical facility for your added safety and peace of mind

Sybile Val, MD - Account Suspended · Answer

560cc Implants are large.  You appear to be a petite lady, and in my opinion the implant will be too large and will give you a matronly look.  Reconsider the size for a pleasing cosmetic result.

Is 560cc Natrelle silicone full profile implant too large for me? (photo)

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