Would a 350cc give me the "full" look I desire? (photos)

Question

Hello! I am 5'1 with a petite frame. My waist size is a 6 and chest approximately 32A. My doctor recommended 350cc smooth high profile eurosilicone implants for me, behind the muscle. I am wondering whether it would give me a full appearance, my idea of that being women like Kylie Jenner and Michelle Lewin, etc. Thank you

J. Dayne Petersen, MD · Answer

Great question! With your petite frame and desire for "full" looking breasts you want to strike the right balance between size and proportion. A high profile implant is probably a great choice since high profile implants are more narrow and will fit your narrow frame. High profile implants will also give you more projection so you will look fuller with a smaller cc size. Whether 350cc is the right size for you is a judgment call that you need to make with your doctor. With a petite frame, large implants can overwhelm you and give your body a heavy appearance--adding the illusion of weight gain. You need to balance your desire to look "full" with what looks proportional on your body frame. I would suggest you try on sizers again at the surgeons office. Bring a tight t-shirt and a friend you trust. Then take pictures of yourself with the t shirt on over the sizers so you can get a good look at how different breast volumes change your body appearance. Good Luck!

Jerome Edelstein, MD · Answer

Hello,The size of breast which is "Ideal" can be a matter of opinion and it is most important that you and your Plastic Surgeon are on the same page. I recommend that you try on the implant sizers which your Plastic Surgeon determines to be a fit for you, then decide which volumes give you the look and feel that you want- regardless of cc's. Without your precise breast measurements it would be impossible to provide you with accurate sizing. Bringing "wish pics" can help and sharing exactly the kind of result that you are going for with your surgeon will be important.Be sure to seek a board certified Plastic Surgeon. All the best

Martin Jugenburg, MD · Answer

Thank you for your question, photo, and thorough description. An in-person assessment would be best to answer this question as it would depend on a variety of factors. If you are unsure with the recommendation your plastic surgeon has made, you can try to voice your desires again and explain the look you want. This way, your surgeon can present more options and work with you to find something that fits you best. All the best,

Jaime S. Schwartz, MD, FACS · Answer

I appreciate your question.

The size of implant best for you 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.  If you are seeking a natural look,
then the diameter of the implant should be equal to or, more ideally, smaller
than the width of your breast. The breast width is a measurement of how wide
your breast is at the base, which should be measured at the level of the
nipple. Choosing an implant that is smaller in diameter than your breast width
will avoid the "side breast" fullness that is often associated with a
more artificial appearance.  Other than that, you should choose the
implant based on volume, not on the dimensions of the implant. You should
choose a board certified plastic surgeon that you trust to help guide you in
this decision.

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

Mark T. Boschert, MD · Answer

Determining what size and shape implant will give you the look you're going for is an important process. I would trust your board-certified plastic surgeon and use the tools available such as measuring and doing a dimensional analysis, trying on different sizes of implants, reviewing photos and expectations, And using 3-D imaging techniques which can all help for you to understand the size and shape you will be. I would suggest talking to a board-certified plastic surgeon in your area who can help explain all of these and hopefully accomplish the results you're looking for.Good luck!

Michael M. Omidi, MD, FACS · Answer

Thank you for the question and photos. Thechoosing of implants is a very crucial and is one that should be done throughan in-person exam. Various aspects could affect the choice of implantslike breast tissue, body measurements, desired end result and the like. Bra sizes also differ from one manufacturer to another so a carefullyselected implant can be able to get you very close to that size. It isalways best to visit a board-certified plastic surgeon and have a fullevaluation for your concern. Best of luck. Dr. Michael Omidi.An in-person exam with a board-certified plasticsurgeon is the best way to assess your needs and provide true medical advice.

Adam L. Basner, MD · Answer

Judging from your photo, it looks like you would be a great
candidate for breast augmentation to get the fuller, larger breasts you want. I
encourage you to go back to your plastic surgeon and discuss the goals you have
described here. While CCs are technical and a little difficult to envision,
discussing "wish photos" with your surgeon can help you and the
surgeon get on the same page. Show your plastic surgeon photos of breasts you
like, and photos of breasts you don't like and would not envision for yourself.
Then, rely on your chosen plastic surgeon's wisdom and experience to provide
the final results you want. Best wishes.

Tom J. Pousti, MD · Answer

Thank you for the question. Based on your photograph, 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, and computer imaging) will be critical.

Having said that, for most patients with your petite frame anatomic starting point, I recommend the use of round silicone breast implants placed in the sub muscular (dual plane) position. 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 we have time for a you their stuff's's homewith 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 cup” or "full look" 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  for petite patients) helps. Best wishes for an outcome that you will be very pleased with.

Would a 350cc give me the "full" look I desire? (photos)

Answers (8)