Is 415cc HP the right size for me? (Photo)

Question

I am 35, 5’7”, 135, lbs. I have 5 kids who I breastfed for 1-2 years each. My breast width (foot print) is 11.5. My dr recommended 350cc mod profile. I decided I want to go a little bigger and choose 415cc hp. I had went to many consultations before I choose my dr and they all told me that 500 and up would be appropriate for my body. I feel confused with sizing. I wonder why my dr choose so small, why the other drs choose so big and is my final choice of 415 going to be a good one?

Kenneth Hughes, MD · Answer

Hello, thank you for your question. Your board certified plastic surgeon will be able to guide you to the correct size implant measurements and desires measurements of the chest wall and breast imprint width as well as knowledge of all breast implant sizes and profiles should make this process easy. Try on a profile bra with various silicone cc sizers your PS recommends under a tailored blouse, tank top, bikini, workout clothes, and other garments you typically wear so that you have the best idea of whether the garments fit as desired with the implant selected. Select the size that boosts your self-esteem, and fits your anatomy.  Choosing an implant based on an aesthetic goal that exceeds your anatomic capacity may lead to complications and possibly revision

Michael Kulick, MD, DDS · Answer

Dear Neat781964,Thank you for your pictures. As I have not examined you, I cannot comment upon your situation. Sounds like you have Dr. A saying one thing and then Dr. B saying something else. I do not know what Dr's C, D etc provided you regarding this decision. While RealSelf is a great pathway for information, education, it not the pathway to help you make a decision. The key component is communication and trust with the surgeon you select. It's not just the size of your implant. For example, a good deal depends upon the location of the breast implant - sub glandular vs. sub muscular. Perhaps you may need to have additional consultations so you feel comfortable with the surgeon you select.Sincerely,Michael Kulick MDSan Francisco, Ca

Gerald Minniti, MD, FACS · Answer

Proper sizing requires two considerations: the first is your anatomic capacity, a red line that shouldn't be crossed to prevent excessive risk of complications and reoperations. There is a well documented objective correlation between a few measurements made on the chest and maximum capacity. Everyone talks about breast width, but that only reveals part of the picture. Nipple to fold distance on stretch is just as important. The second consideration is your aesthetic goal. After 20 years of practice, I feel there is no better way than using in office sizers, a sports bra, and few of your favorite tops to see how you would like to look after your surgery and what size is required to achieve that look.

Daniel Barrett, MD · Answer

Dear  Neat781964,
breast implant type and sizing selection is a complicated process and requires a detailed consultation that includes a discussion of your goals, a detailed examination, and a lengthy discussion. But the decision will always start and end with the patient. When it comes to sizing, we have all of our patients find 3 photos of their desired breast size. We ask for naked breast photos because clothing can obscure the true size (push up bras). Next, we consult with patients and go over the photos and take detailed breast measurements during a physical exam. Next, we using a sizing algorithm to determine a range of implants that will work based on the exam and the measurements.Lastly, during the operation, we use silicone sizers in the operating room to see how the size actually looks in the breast. We sit the patient up in the operating room, while asleep of course, and compare the sizer result with their desired look photos. If it is too small, we start the process over with a slightly larger implant. We don't stop until we get the perfect match.Of all of my breast augmentation patients, every one of them has been happy with their size due to this detailed and meticulous process. You don't want to invest time and money into a result that is either too big or too small.You should discuss your concerns with a board-certified plastic surgeon and make sure that your surgeon understands your goals.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Donald R. Revis Jr, MD · Answer

Good morning!Not being able to measure you myself, just on instinct I believe the 415cc HP would likely be a good choice. Ask your PS why they want to go 350- there must be a reason? Or maybe that's just their personal preference? And if they are giving you such contradictory advice, and advice you don't want, why did you choose them as your surgeon?

Nelson Castillo, MD · Answer

Thank you for sharing your question.  Assuming the size of a 415HP implant can physically fit the dimensions of your chest then you should go with that size.  You will get different opinions from plastic surgeons as the profile and goals of each patient may be interpreted differently but stick with the surgeon and size that you find most appropriate for your goals.

Johnson C. Lee, MD · Answer

The ideal Implant size cannot be determined by height and weight alone. It is best to have an in-office evaluation so that careful measurements can be taken to determine the best size implant for your chest diameter, several upper body measurements, and current breast tissue. Once you have the measurements, they are all put together to determine the right implant from the right manufacturer. Breast implants of the same cc's can look and feel extremely different depending on the profile and material. In my office, I have the MENTOR breast implant sizing system where different size molds are used to simulate how you appear in your own clothes and help finalize your decision. Hope this helps!
Johnson C. Lee, MD 
Board-Certified Plastic Surgeon

Mahmood Kara, MD - Account Suspended · Answer

Hello. Thank you for your inquiry.
You may be an excellent candidate for breast augmentation surgery. Exact end results and 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

Richard P. Rand, MD, FACS (retired) · Answer

I can't answer this without examining you but you should be sure that the diameter of your chest (have all the doctors come up with a similar number and agreement?), and the diameter of the implants should match well. That way the implant "fits" you like a shoe fits your foot. The try the actual implants on in a sports bra (rice test can't properly mimic the implant profile, only the volume). If you like it, go with it.

Is 415cc HP the right size for me? (Photo)

Answers (9)

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