I'm a Small Girl, 90 Lbs and 5 Foot Tall. Will 300 CC's Be Too Big?

Hello Carrinohio,

I don't know if a 300 cc HP implant is too big, but my concern is not about how you will look.  It's about whether this implant is too big for your anatomy.  Because your body frame is small and you don't have much fat or breast tissue, I am concerned that you are too small for that implant.  This question is easily answered by a physical examintation that looks at a few parameters: your breast width and height, tissue thickness in both upper and lower parts of the breast, and tissue elasticity. 

Evidence based medicine suggests that the best way to minimize complications and reoperation is by prioritizing your body's anatomical limitations over the desired aesthetic goals.  Complications associated with an implant too large is excessive tissue thinning, palpable or visible rippling of the implant, implant malposition, or inframammary fold disruption, causing a double bubble.

Having said all that, a 275 or 300 cc implant might be fine for your anatomy.  Ask your doctor about that.  In terms of aesthetics, there is not a lot of difference in size between the two.  I always tell my patients like you to err on the smaller side, though.

Best of luck!

This will depend on many factors.  Are you athletic, engage in racquet sports, golf,  and how much breast tissue are you starting with?  These and other factors will be factored in to whether you are going to be “too big” with 300cc  implants.  You are small at 5 ft. and 90 lbs.  and I would guess that a 300cc implant would be a lot of implant.  This is a question for you and your Board Certified Plastic Surgeon to discuss and evaluate options.

Choosing the appropriate size for your breast augmentation relies on many factors including your:

1. current breast size

2. the amount of skin you have,

3. your desired cup size

4. your breast and body measurements.

You should consult with a plastic surgeon performing breast augmentation regularly who will work with you to pick the right size and profile. It shouldn't be just choosing one of two sizes and the right size for you means incorporating both you and your plastic surgeon's recommendations. Sizing bras do help determine an estimate of the size you hope to achieve. In our Jacksonville breast augmentation practice, we utilize silicone gel sizer to help patients feel comfortable with the size they choose. We also help them decisions by informing them that there can be some limitations according to their existing breast measurements as well as that the sizers appear larger in the bra than inside the body. 

In addition the use of disposable sizers during the operation, where we place temporary disposable implants and determine what sizes match your desired goals and body help to ensure consistent patient satisfaction. 

You haven't mentioned how tall you are. But the question of whether the implants are too large for you really depends on what your goal is. Do you want to be a B cup, C cup, D cup etc. Because what may seem natural and proportional to you will be completely different from what someone else with the same frame may see as begin natural and proportional .

At your height, weight, and bra size, a 300 cc implant will likely represent a full C, but this can vary greatly depending on your specific tissue characteristics, different bra manufacturers, etc. Silicone will also feel a little smaller than saline. Moderate or high profile implants may be appropriate depending on your body dimensions. Remember that 25 cc is less than 2 tablespoons of volume, so a subtle but important difference. Hope this helps.

For any woman who is undergoing breast augmentation, I alwasy tell them to err on the slightly larger side if they are stuck between to sizes.  At three months, after all the swelling has subsided and the implants are nice and soft, 98% of women all wish they ahd gone a little larger.  In your case, if your surgeon feels that the 300cc is apporpriate and will do a good job, then I would trust their judgement.  I hope this helps.

In general, it's difficult to answer the question "too big" or "too small".  I find that it's more visual and effective to try sizers in the office or use body imaging software to visualize what volume and profile of breast implant will look best on you, and is consistent with what you want.  So, talk to your plastic surgeon about this, and make an appointment or talk on the phone BEFORE your operation, to ensure you get what you want.

There are also several other variables which need to be addressed, such as the amount of loose breast tissue you have, or not, and how much breast tissue you have today. 

Also, a difference of only 25 cc is pretty small, given that you're interested in a 275 cc or 300 cc breast implants. 

I encourage to speak to your plastic surgeon before your surgical case. 

Thank you for the question and photos. The
choosing of implants is a very crucial and is one that should be done through
an in-person exam. Various aspects could affect the choice of implants
like breast tissue, body measurements, desired end result and the like.
Bra sizes also differ from one manufacturer to another so a carefully
selected implant can be able to get you very close to that size. It is
always best to visit a board-certified plastic surgeon and have a full
evaluation for your concern. Best of luck. Dr. Michael Omidi.


An in-person exam with a board-certified plastic
surgeon is the best way to assess your needs and provide true medical advice.

300 cc is a reasonable choice for you, and is not significantly different than 275 cc. If you surgeon is advising 300 cc then it is appropriate as he knows the scope of the surgery and the specifics about you. The size of the implants are based on a combination of a patient's goals
and objectives and her anatomy. In order to provide a natural looking
augmentation, the surgeon needs to evaluate many factors including soft
tissue coverage, skin laxity, chest wall width, breast imprint width,
the shape of the breasts and relative level of constriction to ensure
that the breast implants are appropriate for your body. Consult in
person with 3 experienced and expert board certified plastic surgeons to
understand your objectives.

I consider two factors when selecting implants for my patients:1.Dimensional planning2.Gel Implant Sizing systemDimensional planning – The measurements of your chest wall are taken. Also, the breast dimensions including the height, width, and current dimensions of each breast form the basis of dimensional planning. Based on these measurements, the implant size is recommended. This will give you a unique breast implant that is suited for your body frame. However, there are some limitations of what size we can recommend. For instance, some implants may just be too big for a narrow chest wall. Your surgeon can review this with you during the consultation.Gel Implant Sizing system – During the preliminary breast implant consultation, you will be provided with an option to “try on” a variety of implant shapes and sizes. You can also visualize the possible outcomes of your surgery which helps you to get that perfect size to give you the shape that you longed for. This way your preferences are known and you can then pick a range of implants that will “fit” just right to give a soft natural fuller look. Hope this helps.Best wishes,Dr. Basu