What Size and What Incision is Recommended? (photo)

34B 5"0 127 lbs want a full look HP Gummy or Silicone. Is 400cc Submuscular too big? I want to look loke salma hayek with fullness amd body is spanish pear shaped. any advice will be welcomed

Doctor Answers 5

Small silicone gel retro-pectoral

At size 34 B each 100 cc’s of implant corresponds to 1 cup size change.  400 cc implants would take you up 4 cup sizes to a F.  It is highly unlikely that these would fit submuscular, would extrude inferiorly and laterally requiring revision.  I recommend a new technique called Breast Augmentation with Mini Ultimate Breast Lift.  Using only a circumareola incision it is possible to reshape your breast tissue creating upper pole fullness, elevate them higher on the chest wall and more medial to increase your cleavage.  Through the same incision, implants can be placed.  Aligning the areola, breast tissue and implant over the bony prominence of the chest wall maximizes anterior projection with a minimal size implant.  Small silicone gel implants placed retro-pectoral look and feel more natural, are more stable, less likely to ripple or have complications needing revision. 


Best Wishes,


Gary Horndeski, M.D.

Texas Plastic Surgeon
4.6 out of 5 stars 222 reviews

Implant Size

This is the approach I use to help guide my patients with their implant size selection:  I consider two factors when selecting implants for my patients:

1.Dimensional planning
2.Gel Implant Sizing system

Dimensional 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.  If you have decided on saline implants, then based on the gel sizer you select, we can guide you to the saline implant that achieves a similar look.
Hope this helps.
Dr. Basu
Houston, TX

C. Bob Basu, MD, FACS
Houston Plastic Surgeon
4.7 out of 5 stars 209 reviews

Implant Size and Incision Site

I offer all four incision sites for my patients. However, I prefer and use almost always the fold/crease incision. Size is very personal thing. I recommend trying on implant sizers and if your doctor offers VECTRA 3D imaging, doing that as well. Best of luck!

Jeffrey Hartog, MD
Orlando Plastic Surgeon
4.5 out of 5 stars 60 reviews

Size of implants and Incision Placement

Picking the size of your implants and your incision placement is very complex and is the main focus of an in-person consultation. There is no way that anyone can (or should) be able to answer this question in this forum. You need to see a board certified plastic surgeon who specializes in breast surgery. In my office, we spend about an hour discussing all these things and choosing appropriately sized implants for your body and desire.

Matthew Schulman, MD
New York Plastic Surgeon
4.9 out of 5 stars 324 reviews

Size and incision recommendations for breast augmentation

Many plastic surgeons, as do I, recommend implant size restrictions based on biodimensional measurements. Without an exam it will be impossible to provide you with an accurate prediction of a possible outcome using a 400cc implant for your breast augmentation surgery.  So, my recommendation is to obtain information about implant sizes and incisions for placement of the implants from an in person consultation with some of the plastic surgeons in your local area. Thank you for sharing your question and photos. Best wishes.

Gregory Park, MD
San Diego Plastic Surgeon
5.0 out of 5 stars 164 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.