Is 400cc round silicone too high? Negatives to that size? Will I be able to achieve my desired fullness? (photos)

Your question (with different sizes of implants inserted) is one of the commonest asked questions Plastic surgeons hear every day. But it is in effect several questions in one:1. Would implant XXXcc give me the look I desire?2. Can implant XXXcc be placed under my breasts?3. If the implant does produce THAT look, would that look be long lasting?I'll start with 3. No breast in human history has withstood the devastating forces of Time and Gravity. The most beautiful, perky breasts of a 20 something will never look the same when she is 40 or 50. And pregnancy makes this an absolute certainty.  Why? The larger the breast tissue, the more it gets pulled to the ground very much like a feather drops. Since breast implants are filled with either salt water or silicone gel and NOT with Helium, the addition of an implant guarantees a heavier breast and a speedier sagging.Question 2. With a few exception, almost any size implant can be stuffed into anybody's breast. The better question would be, SHOULD implant XXXcc be placed in MY breasts? Now, you are asking your surgeon to consider the delicate interplay between the available breast tissue to cover the implant (VERY important in wrinkle avoidance), the diameter of the implant and its height or projection. These vary widely between LP, Low Profile, MP(Medium profile) HP and Ultra HP breast implant even through they may have more or less the same volume in cc's.And the MOST important question, would implant XXXcc give me the look I want. Yes - you kingly submitted idealized, photoshopped photos images which give us a general idea of your goal. But, my X ray vision has been out of sorts lately and I suspect those powers are lacking in most of my colleagues as well. As a result, since we do not know what these women's breasts looked like before they were augmented and we cannot see through them to see which implants they have in hem, there is NO way anyone can ethically promise you that they can produce these exact results.After hundreds of breast augmentations, most Plastic surgeons develop an intuitive idea what each implant could produce in the woman before him BUT this is hardly science. For you to BEST learn what you may look like I would suggest you see which surgeon(s) in your area offer 3D imaging by VECTRA (Canfield). The computer takes a 3D image of you and then you and your surgeon can see how you may look after surgery with every single implant used in the US. Would you like to see yourself with implant XXXcc on the right and XXXXcc on the left? Sure. you push a button and you see the transformation before you. No guessing. No reluctant trusting followed by disappointment.Good LuckPeter Aldea, MDMemphis, TN

Hi,

Thanks for posting your question. I am happy to try and help you.

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. This is an accurate
approximation of what you would get. If in doubt, go up one size from the one
you like. Then the PS can help explain with the size and current condition of
your breasts the effects of those sized implants will have on you.

If you have accomplished this step, then trust your plastic surgeons advice as
to what would be the best size for you. They have the experience. If you are
uncomfortable, go on another consultation.

Best wishes,

Dr. Michael J. Brown
Northern Virginia Breast Augmentation