Your opinion: Tall, thin, small frame, long torso, 32 AA, want proportionate look - is 425/450ccs ridiculous? (photo)

It sounds like you and your doctor have put a lot of thought into picking the right size of implant.  There are literally hundreds of implants to choose from and your surgeon should help to pick the perfect implant for you based on your goals, breast tissue, measurements, etc.Based on the information you've provided, I think the size you are choosing will work out just fine if you have the breast tissue to cover it.  That size of implant will not look "ridiculous" on you.  Best of luck!

I believe that for a natural look you may be going a little large.  However they will fit but may look somewhat over the top.  I like the rice test and the Mentor system to help. good luck

Dear SFmomof4 Although I agree that 425/450cc implants would not be too large and your frame can carry that nicely, based on the photographs, I would discuss the upper pole transition from your chest to the implants with your surgeon in light of using HP vs M+ implants. Sometimes, you can have a better transition in the upper pole at the cost of slightly wider implants on the sides. You might have a slightly higher chance of rippling on the side but your upper pole will look more natural. The best guide is a discussion with your surgeon to better understand the impact of the implant shape.

Based on the information and dimensions that you have shared..i can tell you that you will be fine with the size that you are contemplating.  Don't think too hard..you are gonna look great. Enjoy.Hope this helps.Dr VasishtSouth Shore Plastic Surgery

Thanks for your question and multiple photos. I don't think that 425/450cc implants will be too big but the real issue is that your plastic surgeon will need to find a breast implant size that matches the natural width of your breasts. This is usually the starting point and then he/she needs to find the style of implant that matches your base width and is closest to your desired size. This is why implants come in so many styles/sizes. Your could certainly handle implants this big as you are 5'8" tall. Just remember that the bigger the implant gets, the heavier it is as well. This may or may not be an issue for you if you have a thin breast skin envelope. You should discuss all of these issues with your PS so you can be comfortable with your ultimate decision. Best wishes. 

I do not think that 425-450 cc HP implants are necessarily too large for you.  However, meeting you in person and performing an actual examination with breast measurements is really helpful. There are a few factors that go into choosing the right breast implant size.I discuss with each of my breast augmentation patients their goals and expectations from the procedure. Oftentimes my patients will bring in a few photos on their phones of what they consider to be the "ideal breast." Some women wish to look as natural as possible, while others want to look more augmented. A physical exam along with exact measurements of the breasts is a really important step that your plastic surgeon should take with you in order to help guide you to the appropriate size implant. I have found that sizing in our office with actual implants and the help of our nurse is very important in helping patients choose the right implant size. Definitely discuss your goals with your plastic surgeon. Best of luck to you!

Thank you for your excellent 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. Choosing an implant too wide or too large will lead to problems in the future which will require additional surgery. 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.

and you should pick the size implant that provides you the look you desire.  Your photos suggest the size will easily fit on you and your surgeon simply has to find the right profile to provide the volume.  With mild pectus excavatum, your surgeon must be careful with medial pocket dissection and you should have them placed under the muscle to provide additional support medially, or use the shaped textured implants over the muscle.  But with proper counseling, you should be able to choose the size you want as it is your body.

You will do great with that size.  I personally think a 445 or 485 Allergan Inspira moderate profile will look good. I don't use the 3D imaging systems as I have found that sizing in the office with a bra and sizers gives me a much better idea.  Look for a board certified plastic surgeon.Good Luck!Andrew Cohen MD

Thank you for the question. Based on your photographs, I think that you are starting at a good place and should have a very nice outcome with breast augmentation surgery.

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 know words such as “natural” or "proportionate” 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 (and the attached link, dedicated to breast augmentation surgery concerns) helps. Best wishes for an outcome that you will be very pleased with.