I am torn between 425cc and 450cc. Currently a B, hoping to fit a D cup (Photo)

Question

I've had two consults who've suggested breast augmentation with no lift. They both suggested 450cc however I am worried they are going to be really big. I am currently a B hoping to fit a D cup.

Daniel Barrett, MD · Answer

Dear jessss89,
breast implant type and sizing selection is a complicated process and requires a detailed consultation that includes a discussion of your goals, a detailed examination, and a lengthy discussion. But the decision will always start and end with the patient. When it comes to sizing, we have all of our patients find 3 photos of their desired breast size. We ask for naked breast photos because clothing can obscure the true size (push up bras). Next, we consult with patients and go over the photos and take detailed breast measurements during a physical exam. Next, we using a sizing algorithm to determine a range of implants that will work based on the exam and the measurements.Lastly, during the operation, we use silicone sizers in the operating room to see how the size actually looks in the breast. We sit the patient up in the operating room, while asleep of course, and compare the sizer result with their desired look photos. If it is too small, we start the process over with a slightly larger implant. We don't stop until we get the perfect match.Of all of my breast augmentation patients, every one of them has been happy with their size due to this detailed and meticulous process. You don't want to invest time and money into a result that is either too big or too small.You should discuss your concerns with a board-certified plastic surgeon and make sure that your surgeon understands your goals.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Martin Jugenburg, MD · Answer

Hello, thank you for your question. There is a minimal difference between the two. Allergan breast implant website has a feature to upload your photos and you can see your breast implant digitally recreated to give you an idea of the what the difference is. Also speak to your plastic surgeon about the differences it may not even be noticeable.

Carlos Marciales, MD · Answer

You don’t need lift, but you need round implants, silicone, with middle projection, 450 it’s a good size if you want to be full D

Ted Eisenberg, DO, FACOS, FAACS · Answer

I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size and style breast implants. They also get to see what they would look like when the breasts have fully dropped and fluffed and in clothes. You get to see actual results and the surgeon's experience and not a virtual idea of what can be achieved. Women tell me that this process is very helpful in determining what size and style breast implant is right for them. Mildly Sagging Breasts: If your breasts are mildly droopy, a saline or silicone gel implant placed behind the pectoral muscle might help create the illusion of perkiness. That’s because as the implant fills out the top of the breast, it also fills out the bottom, making it look as if the nipple has moved higher. It hasn’t. You can always get a lift later if you feel you are not perky enough when fully settled and healed. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Wess Cohen, MD · Answer

Thank you for your question. A 450 cc implant  is going to be a dramatic change, if that’s what you’re looking for.  With that being said, a 425 cc implant will look almost exactly the same as the 450 cc. Most people will not be able to tell the difference of 25 cc, especially once the implants get to be that big. Whichever plastic surgeon you choose, you both have to be on the same page in terms of what your end goal is and what is needed to achieve that. Trying on implants, pictures, 3-D, imaging, etc. However your plastic surgeon and you choose the size, you have to be comfortable with the process and the final result. Good luck.

Sarper Mete, MD · Answer

Dont think about cc and size . All patıent is unique .The amount of existing breast tissue you have at the time of your breast augmentation is only one factor affecting your final result.
Other factors that affect breast augmentation results include the following:
Height and weight – The same size implant will look different on a smaller, thinner woman than it will on a taller, curvier woman.Size of the chest wall – The smaller and narrower the chest wall frame, the larger an implant will look.Skin envelope – When placed under tight, dense skin, a small implant can look very round and fake; when placed under skin with more laxity, the same implant will not look as big or fake.And you want to have breast augmentation with no lift , so smaller size wıll be not give you satisfactioctally result.

Camille Cash, MD · Answer

The volume difference between the two implant sizes you mentioned is less than two tablespoons.  It won't be a noticeable difference once inside the body.  If you are concerned you are going too large, I encourage you to return to your surgeon's office to discuss your concerns.  Many have sample implants you can "try on" to get a feel for how you may look after surgery.

Connie Hiers, MD, FACS · Answer

I would suggest going back to your surgeon and trying on sizes from 400 to 450 cc's to see what you actually like. Otherwise, go with the larger size.

Raj Ragoowansi, MB, MSc, FRCS (Plast) · Answer

I would suggest a dual plane breast augment with round implants between 325-375 cc. 425/450 cc are going to be too large and wide for your frame

Brooke R. Seckel, MD, FACS (retired) · Answer

Thank you for your question.  Fortunately your nipple appears to be above the level of the fold under your breast thus breast implants alone should be all that you need, you should not need a breast lift.

Generally speaking if you feel that 450 cc is too large for you then it definitely is too large for you and for sure choose the smaller size.

In my practice 350 cc breast implants typically create a full C small D cup breast.  I rarely go larger than 375 cc.  However if sizing is done in the office and you liked 425 cc and by all means if your breast measurements allow that size go with it.  Be aware however that 425 cc are quite large implants.

I am torn between 425cc and 450cc. Currently a B, hoping to fit a D cup (Photo)

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