Breast augmentation 400cc-450cc huge on my body high profile mentor implant ? (photos)

Hello and thank you for your question. Honestly, a formal in-person evaluation would be needed to determine the best treatment. There are several reasons for this:
1) Bra sizes vary based on the clothing store (for example, Victoria's Secret tends to upsize everyone by a whole cup size)
2) Most women do not wear the proper exact fitting bra size for their bodies
3) The exact volume (in cc) needed to change cup size is different for different body types (e.g. 32A to 32D requires a different implant size than 38A to 38D)
4) Be careful NOT to fall into the trap most women do- they see a certain implant size (e.g. 285 cc) or perhaps their friend had a certain size, and they want or request this or another size based on that. Everyone's body is different- 285 cc implants on your friend might look VERY different than they would on you. Be very careful not to make this mistake, because the goal is to find the right size and shape for YOU- for your particular body and your breasts.

Because of those multiple factors, and because it is KEY to fully evaluate your breasts in person to make a full set of precise measurements to select the proper implant for you (incorporating factors like amount of breast tissue, implant type, base width, projection, etc), answering your question really would need a formal personalized consultation- to say anything before that would simply be guessing, which would be both unfair and unhelpful to you. Also, just FYI, each surgeon's measurements are slightly different, so numbers, experience, and overall aesthetic from one surgeon aren't necessarily the same as those from another surgeon!

Your breasts are such a KEY area of your body and your femininity- therefore, you should ONLY trust an experienced aesthetic plastic surgeon. As such an expert, I have had extensive training and experience with complex aesthetic surgeries under a multiple world-renowned experts in the field. I’d recommend for you to setup a formal consultation with me (or another plastic surgeon who is extremely comfortable with aesthetic plastic surgery procedures) for a formal consultation to thoroughly discuss your surgical goals, undergo a formal examination, evaluate all your options (surgical and nonsurgical), and decide on the best procedure(s) and type of anesthesia for your specific case.

I'm actually located right here in California. I hope this helps!

Dr. Donald Groves
Aesthetic Plastic Surgeon

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.

At your small size I would not recommend implants of 400 mL or larger.  Your Dr. should make multiple measurements of your chest to determine what implants we will fit the best for you.  I have never encountered a patient of your build who is only 4' 11" tall and measures to need a 400-450 mL implant.  That does not mean that implant could not be placed in you but that will tend to give a fuller, more "augmented" look.  You do have some breast asymmetry and will most likely need different volumes on the left and right.  Mentor makes a wide range of implant sizes and styles.  If you want a natural look you might consider form stable implants - Mentor calls them Memory Shape or CPG.  If you stay with Memory Gel implants then I would recommend you consider something a bit smaller than 400 mL.  This is an important conversation so do not be shy about discussing things with your surgeon openly to make sure you get the results that you want.

Your doctor is in the best position to answer your question. Speaking in general, 400cc implants are fairly big, and may make you look a bit top heavy.Maybe you could try a simple rice test at home (videos on how to do it are available on RealSelf), and if you feel that the implants would be too big you should tell your surgeon and go for something smaller (and with a lower profile).

I do a LOT of very large implants in Miami so size never scares me, but if you truly want "natural" and "not too big" and "not balloons" and you are truly 4'11", then those implants seem a bit much for that. Having said that, I have many patients who use the exact words you just used to describe their desired look but when they choose photos that represent the look they want.............lets just say they and I have different definitions of "natural" and  " not too big". Photos are a great way of communicating. If you chose photos that are a bit fuller then these implants may well be optimal. The final choice really should be the surgeon as he/she has the training/knowledge/experience to choose.

I think that the size that is planned sounds way too large. Each plastic surgeon has his own method of determining the correct size to use.  It is imperative that you communicate with you surgeon as soon as possible about your concerns.

In terms of picking the right implants to achieve your goals, generally speaking, I consider two
factors when selecting implants for my patients:1. Dimensional planning2. Gel Implant Sizing systemDimensional
planning – The measurements of your chest wall are taken. Also, the
breast dimensions including the height, width, and current dimensions of
each breast form the basis of dimensional planning. Based on these
measurements, the implant size is recommended. This will give you a
unique breast implant that is suited for your body frame. However, there
are some limitations of what size we can recommend. For instance, some
implants may just be too big for a narrow chest wall. Your surgeon can
review this with you during the consultation.Gel Implant Sizing
system – During the preliminary breast implant consultation, you will
be provided with an option to “try on” a variety of implant shapes and
sizes. You can also visualize the possible outcomes of your surgery
which helps you to get that perfect size to give you the shape that you
longed for. This way your preferences are known and you can then pick a
range of implants that will “fit” just right to give a soft natural
fuller look. Hope this helps.Dr.BasuHouston, TX

You are petite and 400cc plus implants may look too large on you. Your surgeon should choose implant size based on the base width of your breast. please contact your surgeon and re size your implants before your surgery day. For more on sizing please read below:

Thank you for your question and photographs.  If you want natural, go a little smaller and stay away from high profile breast implants.  Those are the ones than tend to look like balloons, which you specifically said that you don't want.  You look like a good candidate for breast augmentation and could get a very natural result if you use the right implants and put them under the muscle.

Having had three pregnancies the potential for expansion of your skin and breast tissue is quite good. On the other hand you're only 4' 11" so I would estimate that 450 ccs (especially HP) may make you somewhat top heavy.  You of course have every reason to ask for a smaller implant even the morning of the procedure.  Hopefully your doctor keeps multiple sizes in stock but I would suggest that you call the office and even visit to review asap with your surgeon.In the end you should trust your doctor's recommendation based on his/her expertise and a thorough discussion of your goals.Best of luck to you.  Enjoy your results.Jon A. Perlman, MD FACS