Getting Natrelle inspira. Can't decide between 385cc or 415cc full profile or 405cc moderate profile. Advice? (photos)

Thanks for your question!  I have a lot of patients that ask similar questions.  They will get hung up on 15-30ccs of difference but in reality, that is actually a very small amount of fluid and not a huge jump between sizes.  The bigger difference would be in going with the moderate over the full.  The moderate implant will take a more natural slope off the chest wall and the full profile will look more "augmented".  I suppose it depends what look you are going for.  Also, your plastic surgeon should have an opinion so I would make sure to ask him/her again.  Best of luck!

Hello and thank you for your question. Honestly, a formal in-person evaluation would be needed to determine the best treatment. There are several reasons for this:
1) Bra sizes vary based on the clothing store (for example, Victoria's Secret tends to upsize everyone by a whole cup size)
2) Most women do not wear the proper exact fitting bra size for their bodies
3) The exact volume (in cc) needed to change cup size is different for different body types (e.g. 32A to 32D requires a different implant size than 38A to 38D)
4) Be careful NOT to fall into the trap most women do- they see a certain implant size (e.g. 285 cc) or perhaps their friend had a certain size, and they want or request this or another size based on that. Everyone's body is different- 285 cc implants on your friend might look VERY different than they would on you. Be very careful not to make this mistake, because the goal is to find the right size and shape for YOU- for your particular body and your breasts.

Because of those multiple factors, and because it is KEY to fully evaluate your breasts in person to make a full set of precise measurements to select the proper implant for you (incorporating factors like amount of breast tissue, implant type, base width, projection, etc), answering your question really would need a formal personalized consultation- to say anything before that would simply be guessing, which would be both unfair and unhelpful to you. Also, just FYI, each surgeon's measurements are slightly different, so numbers, experience, and overall aesthetic from one surgeon aren't necessarily the same as those from another surgeon!

Your breasts are such a KEY area of your body and your femininity- therefore, you should ONLY trust an experienced aesthetic plastic surgeon. As such an expert, I have had extensive training and experience with complex aesthetic surgeries under a multiple world-renowned experts in the field. I’d recommend for you to setup a formal consultation with me (or another plastic surgeon who is extremely comfortable with aesthetic plastic surgery procedures) for a formal consultation to thoroughly discuss your surgical goals, undergo a formal examination, evaluate all your options (surgical and nonsurgical), and decide on the best procedure(s) and type of anesthesia for your specific case. I hope this helps!

Dr. Donald Groves
Aesthetic Plastic Surgeon

Implant size and projection selection is an important part of planning for breast augmentation and for most patients there is a range of implants in similar size that are appropriate.  In my office I use the concept of tissue based planning to evaluate a patients dimensions including base width and also the skin stretch and other variables to select appropriate implants.  In addition to this detailed exam I also use Vectra 3-D imaging and this allows me to compare the expected results of different size and projection implants next to each other.  In most cases the differences are very minor and the discussion with the patient is facilitated with the photo comparison.  The thing that makes the choice hard is not that there is always one that clearly looks better, but rather the implants look very similar.  In general, I have found that patients will gravitate toward one of two ideals favoring a slightly more rounded look in some cases, and in other cases a slightly more tapered or "natural" look.  The discussion of which ideal is preferred is then confirmed and this makes deciding on an implant much easier.  Visit with an expert.Best Wishes