Would 450cc Implants achieve this look? (photos)

Question

25 y/o 5'0 119lbs. Currently 32AA Measuring BW 11cm, N-IMF 3cm, intermammary dist. 8cm, SN-N 16cm Considering my measurements would 450cc HP implant with a wider base width achieve this looking of closer cleavage ? Is this even realistic?

Donald R. Revis Jr, MD · Answer

Good afternoon!Nope there is no way 450 will take you there- perhaps 550-650, but I would need to measure you first. I have attached a link to my XL (600cc and above) Breast Augmentation photo gallery for your review- hope it helps!

R. McIntyre Bridges, MD · Answer

The important issue to understand is that "what you bring to the table is more important that what a plastic surgeon brings to the table".  Your representative picture of what you want is of someone who has a lot more breast tissue that you do.  All a plastic surgeon is doing with a breast augmentation is "putting a new base underneath an exiting "cone or pyramid".  From the pictures it doesn't look like you are bringing very much.  Perhaps an implant of 450 cc would be appropriate for you but you can never reach that size an shape.  Going larger than that would be problematic.  You only have some much tissue to spread over an implant. The larger you go the thinner the skin and the more "implant issues" you will see.

Gary M. Horndeski, MD · Answer

Thank you for your question and photos.Please be advised that implants of that size will not fit under the muscle (under the muscle placement provides much needed support to keep implant in place) in a woman with your dimensions. So, in order to place implants of that size or larger, the surgeon will need to place them over the muscle. Placing them over the muscle will make them fall down your chest wall creating skin stretching deformities, malposition, irreversible soft tissue damage, chronic pain, nipple numbness, etc. In other words, your wish pic results will not last. They will look great the first couple of years and then the laws of physics will pull them down. You will need to wear a bra 24/7 to minimize displacement if you wish to move forward with large implants. Please visit the breast augmentation revision forum on this site to read about real stories of real women. In the world of breast augmentation surgery, bigger is not always better. I hope this helps.Best wishes and kind regards,Gary Horndeski M.D.

Michael E. Decherd, MD, FACS · Answer

I doubt that you are starting with enough tissue to end up there.  If you are able to use a simulator such as the Vectra that may give you a taste of what is a realistic result.Good Luck!

M. Scott Haydon, MD · Answer

Thanks for your question and the photos. I think it would be very difficult to get to the size breast you posted with 450CC. You appear to have thin skin and a constricted lower pole. I would suggest consulting with a Board Certified Plastic Surgeon who is an ASAPS member. The Smart Beauty guide is a good resource. Hopefully your surgeon can measure  and examine you. From that, your options can be considered. Be very mindful of your base diameter. If you want a very round look then I would suggest using a High Profile implant. I think choosing too large an implant in your situation is a recipe for disaster. The added weight in your thin envelope will likely not maintain its position well and put you at high risk of needing a revision. Best of Luck!

Thomas T. Jeneby, MD · Answer

Hello!It looks as though those are larger than 450cc. Also , you have very little skin to cover such an implant. It is much easier to expand the skin using an adjustable breast implant which can be filled as high as 960 cc if desired. Your thin so be careful with such a large addition to quick. !Dr J

Larry S. Nichter, MD, MS, FACS · Answer

It is very difficult to determine the exact size and shape implant you will require to best match your ideal breast image without an examination by a board certified plastic surgeon. Not just any board certified plastic surgeon, but one with many years of frequently performing breast augmentation surgery including different approaches, techniques and implant choices. This is because several measurements not to mention your breast characteristics are needed to determine the optimal implant size to obtain your goals. Without knowing these dimensions it would be difficult to make this determination. For example, the existing base width of your breast will determine, in many cases, the maximal volume per implant profile that you can accommodate. To illustrate; a 100 cc difference may make a significant difference with a narrow base width breast, but much less of a difference if you have a wide chest wall and wide breast “foot print”. Therefore, just because your friend may have a great result with let’s say a 350 cc implant to make her go from a “A” cup to a “C” cup size does not mean that you will have the same result with the same size implant. . Further simply placing implants in a bra to determine the size best for you is not always accurate as the bra often distorts the size, is dependent on the pressure the bra places plus the implant is outside your breast and not under it among other variables. Computer software morphing programs that automatically determine the best implant size can be helpful in some but not all cases (e.g. doesn’t work well in my experience with existing implants, sagging or asymmetric breasts). Using “want to be” photos however are useful if simply provided to the surgeon as I will further explain in the below link.#breastaugmentation#findingtherightsize#BA

David A. Bottger, MD · Answer

The limitation of achieving the appearance you want is the paucity of breast tissue medially. An implant alone cannot provide that fullness in your case and you should expect a result with a somewhat wider space between the breasts. Best of luck.

Walter D. Gracia, MD · Answer

With the poor quality of the pictures and the likelihood that the measurements are not accuate, I do not think a recommendation can be made. You should have a consult with a Board Certified Plastic Surgeon to get a reasonable point of view.

Suresh Koneru, MD · Answer

There are many variables careful surgeons take into account when choosing the right implant size for you.  I would recommend you find a Board Certified Plastic Surgeon in your area with experience in both Augmentation and Reconstruction.  Also look for someone that offers 3D imaging so that you can see what the chosen implants will look like on your body.  I have included a link to the 3D imaging we use at my San Antonio Plastic Surgery office.

Would 450cc Implants achieve this look? (photos)

Answers (13)

More Breast Augmentation Questions

I have 2 Mondor's cords. Should I still be doing my exercises? My doctor has my pushing to all sides.WiIll this effect the cord?

I just read that you need to take antibiotics for dental work when you have breast implants even just a cleaning is this true?

Can I get my deposit refund now that I found out that the surgeon for my BA is not a plastic board certified?

Is this window shading? Am I bottoming out? Double bubble?

I am 5'5, 120lbs. Size 32A and want to be a 32DD. How many CC do I need? (photos)

WE SEND PRETTY
EMAILS