Will my 450cc Moderate Plus Silicone Implants be too top heavy & saggy on my body? (photos)

Your breasts would definitely be larger with a 450cc implant. They would be significantly larger than the photo with the bikini that you show. You should get a good lift effect from the implant as well. It appears you have some natural degree of synmastia/cleavage.  A surgeon would need to be careful to make sure the implants are not too close together in your situation. 

You are fairly tall at 5'7" with a normal chest width, so a larger implant on you would not look as big as the same sized implant on a shorter person. A 450cc implant is not a huge implant and I think from you photos will give you a balanced look. You are starting with a normal breast shape and with a properly placed 450cc moderate plus implant you should not look too top heavy. Having said that, there is not any one size that is perfect for each patient, but there is a range of sizes that will give you a balanced not overly augmented look. I think that the 450cc implant is towards the upper end of that range, but should still be fine for you.

Thank you for your question.  I wouldn't be able to give an accurate answer or assesment without an in-person exam, for measurements.  The best thing to do is find a Board Certified Plastic Surgeon, have a consultation.  At that appointment you should be able to try on the implants and see what they would look like after your surgery.  Implants look different on every person, so you just have to find what is right for you for the look you are wanting and what fits your body. If you would like additional information regarding breast augmentation, you can download your free copy of my Breast Augmentation Planner, which has over 30 pages of information regardining breast augmentation.  You can download this planner at ABetterBreast.comBest of luck to you!

Hi there, and thank you for your
question. It's common for women to lose breast volume after pregnancy, and it's
great that you have a clear picture in mind for your desired results. It's
difficult to make a sound recommendation without an in-person evaluation, but
450 cc implants may contribute to the "top heavy" look you're trying
to avoid. A smaller round implant can restore the upper pole volume seen in
your "before" photo without adding the risks of excessively large
implants, whereas an anatomically shaped implant might allow you to get more
volume but still look very natural. An in-office consultation with a
board-certified plastic surgeon can help you make the best decision for
yourself. Best of luck!

I think the size would be appropriate for you based on your height, however, 450cc may give you a bigger result than the before picture you provided. You do not have that much breast tissue, so with that I want you to be aware that with the bigger implant size you choose the higher the possibility of looking and feeling the implant. Regarding your question about the implant looking saggy, I feel this would not occur based on where your nipple/areola complex is in relation to your inframammary fold.

A proper evaluation and measurements is required, but i do think 450 cc will be bigger than your wish pic. I would also consider a high profile implant, dual plane, inframammary incision.Best of Luck,Dr. Luis Redondo

I like the base of the implant to closely match the base of the breast. This allows for a more natural look so the implant does not stick out beyond the edge of the breast. I typically like sub-muscular implants and in infra-mammary incision. This again allows for a more natural look.One however needs to be somewhat concerned about large heavy implants. Gravity works and the chest wall and abdominal wall are in one continuous plane. If the muscle is completely taken down and or the breast crease is adjusted to allow for the large implant then the natural 'breast shelf' has been disturbed and the possibility of implant migration, downward, exists. This is called "bottoming out". With bottoming out the nipple will be above the center of the implant as it continues to migrate downward.One also needs to understand that data shows that when implants are greater than 350cc is size / weight complications rates increase. Your doctor should present you with a separate consent form for larger implants so you understand your increased risks.The final component one needs to consider is the skin. The skin envelope covers everything that has been carried out below, implant placement. If the skin is damaged from pregnancies, breast feeding, weight gain / loss etc., then this may also increase your risk of implant shifting afterwards. You now may require 'touch-up' surgeries to improve implant position.I hope this helps.

It requires a full
evaluation to know what will look good and give a lasting improvement in
volume. There are a lot of measurements and portions of the examination
that go into making a precise recommendation on final implant volume.

As always, you need a
Board Certified Plastic Surgeon who is experienced in breast augmentation to
help you look at realistic options for increasing your volume. It may not
be possible to achieve the size that you desire without significant negative
effects on your body.

With a thorough exam and measurements, your
Plastic Surgeon will have a much better idea of what volume of implant to
suggest. Remember a size 6 foot rarely works well in a size 2 shoe.Based on your photos, you seem to be at risk for two problems you really should discuss with your P.S.:  bottoming out and symmastia.

Thank you for the question and pictures.  You are starting at a good place and should have a very nice outcome with breast augmentation surgery. As you consider breast augmentation surgery, the most important decision you make is NOT size/profile of breast implant, but selection of plastic surgeon. 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.  Again, have a full discussion and communication regarding your desired goals with your plastic surgeon. This communication will be critical in determining which operation and/or 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. I have found that the use of words such as “natural” or "C or D cup" or "too big" etc means different things to different people and therefore prove unhelpful.
 Also, as you know, cup size varies depending on who makes the bra; therefore, discussing desired cup  size may also be inaccurate.   Therefore, I ask that my patients not base their communication preoperatively OR  their satisfaction with the outcome of surgery postoperatively, on achieving a specific cup size. The use of computer imaging may be very helpful during this communication phase.
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.  The use of temporary intraoperative sizers, viewing the patient's breasts in the upright and supine position, are very helpful during the breast implant selection process.
I hope this, and the attached link (dedicated to breast augmentation surgery concerns), helps.  Best wishes.

Generally speaking, 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.Dr. BasuHouston, TX