Should I go with 425cc Mentor HP smooth round implants if the ref. guide recommends only 375cc due to my width?

You have so many implant options today that if you are concerned about your breast width, I am sure we can find one that will fit your chest based on dimensions.  I am not as rigid about the base diameter.  They are just a guide.I don't think they will look fake and most likely you will not get a uniboob.  Your plastic surgeon will guide you in the right path.Best Wishes,Nana Mizuguchi

I appreciate your question.

The size of implant 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.

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 

Thank you for your question.  I recommend that you discuss this with a board certified plastic surgeon who is an expert in the breast augmentation with implants procedure.  During a physical evaluation, he or she can tell you what would be best for you given your anatomy and realistic surgical goals.All the best,Dr. ResultsMiami, FL

Selecting the best implant for the patient is an important decisionDuring your consultation with a board certified plastic surgeon you should expect to receive a very detailed explanation about which is the best size and type for you.Not only your breast dimensions , but also your skin quality.Sometimes is not safe to choose a too big of an implant.In your particular case base on your information, going from 375 to 425 doesn't seem to be too big of a difference.i would recommend going smaller to prevent future complications like implant displacement or bottoming out.Honestly hope this help youNV

In general, a high profile implant will give a rounder look that some would argue looks more artificial or fake.  But this opinion is subject to individual preference.  Using an implant with a base diameter up 12.5 cm (Mentor HP 425 cc silicone)  whether it be a high or medium profile would be acceptable if your breast base measurement was 12 cm with a few exceptions.  1) You must have average tissue thickness meaning you are not "rib showing thin" with AA cup breasts.  If not an implant base matching or slightly larger than the measured breast base would have an unacceptable high risk of edge visibility and/or rippling.  2)  You should have a minimum 2 cm intermammary distance with good adherence of the tissues to define the cleavage plane between the breasts.  If the breasts are already touching and the medial border is not adherent to the breast bone  or "floating," then the chance of synmastia or "unaboob" becomes too high when the base of the implant matches or is slightly wider than the measured breast base.  Allowing for an extra 0.5 cm or 5mm is reasonable otherwise since the extra distance is divided up on either side of the implant.  The pocket for the implant is extended 2.5 mm on either side, which is the length of the letter "m" on this page.  That small distance is within measurement variability and acceptable in my view.  As an alternative you could use Natrelle silicone high profile Style 20 which has a base diameter of 12 cm.  I hope this helps and I hope you have a safe operation and a smooth recovery.

Hi,

Thanks for posting your question. I am happy to try and help you. It is
important to remember that a board certified plastic surgeon will be your best
resource when it comes to an accurate assessment of your situation, and
concerns.

Having said that, thank for your height and weight and breast size estimates,
they do help. There is really no way to accurately predict what size you would
like without an examination. During your examination and consultation, you
should try on some sample sizes and see what you are comfortable with. Then the
PS can help explain with the size and current condition of your breasts.

If you have accomplished this step, then trust your plastic surgeons advice as
to what would be the best size for you.

Best wishes,

Dr. Michael J. Brown
Northern Virginia Plastic Surgeon

Hi, Kelten61.  Thanks for your question.There are many variables in recommending implant size/type. I base my implant recommendation on patients' body (chest height, chest width, existing breast tissue) as well as their desired look. I would go for the desired look. Review before and after photos and see what kind of look that you want. Share your wish photos with your plastic surgeon.Implants come in different types (silicone, saline), shape (round, anatomic), and profiles and volume. There is not a huge difference between 375cc and 425cc.  More meaningful recommendation can be made based on direct examination and in-person consultation. Please visit with a board-certified plastic surgeon.Best regards.

Your question is one of the most important we face when planning a breast augmentation. In general, we try and fit implants to your frame and your desires. The first is accomplished by measurements of your base width, nipple-to-sternal notch distance, and skin thickness.  You also must consider what size you would like to be after surgery. This can be difficult, and surgeons with 3D imaging at their disposal might be able to better help you choose.Keep in mind, the average breast implant placed in the United States for augmentation is roughly 360cc. In a study we recently conducted, women were overwhelmingly happy with their results; however, when asked they wished to be a bit larger 70% of the time. Having said that, they usually wanted to be at most 10% larger. My thoughts: a 50cc difference in this instance is only 12.5% larger and not outside the range of "normal"; however, only you and your surgeon can make this decision.  Good luck!

Thank you for the question.  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, and computer imaging) 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 "C or D cup” 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.  

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