5'9, 155, going with 425cc silicon, under the muscle, HELP! (photos)

425. Cc implants will not be too large.  If you were choosing a size that was unreasonable, I would not be shy about letting you know.  As long as you're the Nader 500 cc's you will be fine.

Hello,You need to use a tight, unpadded bra and place 400 cc implants into your bra, place a tight shirt on, and look in the mirror. This will roughly replicate what 425 cc will look like. This is called sizing.  This is the only way you can get your answer: from you. You are asking a question of opinion, something surgeons don't delve into. Our job is to make sure you have the anatomic capacity for any given implant, not whether it is 'proportional'. Best of luck!

Hello and thank you for your question. You are a great candidate for a breast
augmentation.  The size, profile, and shape of the implant is based on your desired
breast size/shape, your chest wall measurements, and soft tissue
quality.  This decision should be based on a detailed discussion
with equal input from both you and your surgeon.  This entire surgery can be performed with a
small incision technique.  Make sure you specifically look
at before and after pictures of real patients who have had this surgery
performed by your surgeon and evaluate their results.  
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon

OMG, these are questions, sentiments, factors, and doubts to be considered, deliberated, and resolved in front of a full length mirror with your surgeon in the consultation room long before a scalpel ever touches your skin.  Such individualized, personal concerns can never be appropriately or professionally addressed online even by expert surgeons who haven't the information provided by meeting you in person, understanding your needs, physically examining you, and then considering available possibilities to achieve your desired outcome.Return to your surgeon with your important questions.  Minimizing the chance of (unpleasant) surprises after surgery is a function of preparation before surgery.

It's normal to be nervous about your implant selection prior to surgery.  Hopefully you had the opportunity to try on sizers so you could see what your end result would be.  I would suggest calling your PS office and speaking with your coordinator.  Often times, they can ease your anxiety and assure you that you will be very happy.  Good luck!

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



Board Certified Plastic Surgeon



#RealSelf100Surgeon



#RealSelfCORESurgeon

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.

Thanks for your question.  I ask patients not to focus too much on deciding upon an implant size before surgery.  I much prefer if the patient gives me an idea of the cup size and appearance that they are after.  That way I can choose the appropriate implant to achieve a woman's goals.  Bearing that in mind, 425 cc is toward the larger size of implants I use.

It is normal to be nervous as your surgery approaches.  The implant size is determined based on your breast width, current breast tissue and desired size.  Different profiles are available to help you achieve your desired look after surgery.  Visit with your surgeon and review your choice.  Often times surgeons will have sample implants available for you to "try on" to get  feel how you will look after surgery.

Thank you for the question and pictures. Based on your anatomic starting point, I think that you should end up with a very nice outcome after breast augmentation surgery.Some anxiety prior to surgery is very normal; its complete elimination is usually not possible.  ***Given that your surgery is coming up soon ( and your concerns), I would suggest that you spend additional time communicating your goals/concerns directly with your plastic surgeon, preferably prior to the date of surgery.  Personally, I find that the use of computer imaging and goal photographs are very helpful during the communication process.  I would also suggest that you avoid terms such as "overly large, sloppy";  these terms can mean different things to different people. Hopefully, once you have communicated concerns again with your plastic surgeon, your anxiety will be significantly decreased. Best wishes for an outcome that you will be very pleased with.