Will 375cc - 425cc look too big on me? (photos)

I appreciate your question.

The size of implant best for you is dictated by your
chest wall measurements. Once we determine that we can choose the profile
based on what you want or need to achieve.  If you are seeking a natural look,
then the diameter of the implant should be equal to or, more ideally, smaller
than the width of your breast. The breast width is a measurement of how wide
your breast is at the base, which should be measured at the level of the
nipple. Choosing an implant that is smaller in diameter than your breast width
will avoid the "side breast" fullness that is often associated with a
more artificial appearance. Other than that, you should choose the
implant based on volume, not on the dimensions of the implant. You should
choose a board certified plastic surgeon that you trust to help guide you in
this decision.

Silicone will give you a fullness at the
top (upper pole fullness).

Silicone implants come pre-filled with a
silicone gel and are the softest implant available. They feel more natural,
which makes them a good option for women with less natural breast tissue; but
they require a larger incision. It may be more difficult to realize if this
type of implant has ruptured, so it is important to monitor them with annual
follow-up visits. Additionally, because this implant contains a more liquid
silicone (less cross-linked), if this implant should rupture, it will leak only
into the scar capsule formed around the implant but may cause some discomfort
or implant distortion.

Anatomic gummy bear implants might be a
good choice to give you volume.

These highly-sought-after, anatomic
implants offer a look that more closely resembles the natural silhouette of a
breast, and, therefore, are a very attractive option for individuals seeking a
natural-looking, aesthetic primary breast augmentation. Additionally, these
implants are an especially excellent option for patients undergoing restorative
or corrective breast surgery because they provide more stability, shape, and
reduced incidence of capsular contracture. Compared to other types of silicone
gel implants, the silicone in the cohesive gel implant is more cross-linked;
therefore, should the implant shell “rupture,” it maintains its shape and
silicone does not leak.

During your breast augmentation
consultation, you should feel the different types of implants available, and
try on various implant sizers in front of a mirror to help you to get an idea
of how you will look following the surgery. You should also bring pictures of
the look you would like to achieve, as well as a favorite top to wear when
trying on implant sizers.

The best way to assess and give true
advice would be an in-person exam.

Please see a board-certified plastic
surgeon that specializes in aesthetic and restorative breast surgery.Best of luck!

Dr. Schwartz

It is very difficult to determine the exact size and shape implant you will require to best match your ideal breast image without an examination by a board certified plastic surgeon. Not just any board certified plastic surgeon, but one with many years of frequently performing breast augmentation surgery including different approaches, techniques and implant choices. This is because several measurements not to mention your breast characteristics are needed to determine the optimal implant size to obtain your goals. Without knowing these dimensions it would be difficult to make this determination. For example, the existing base width of your breast will determine, in many cases, the maximal volume per implant profile that you can accommodate. To illustrate; a 100 cc difference may make a significant difference with a narrow base width breast, but much less of a difference if you have a wide chest wall and wide breast “foot print”. Therefore, just because your friend may have a great result with let’s say a 350 cc implant to make her go from a “A” cup to a “C” cup size does not mean that you will have the same result with the same size implant. . Further simply placing implants in a bra to determine the size best for you is not always accurate as the bra often distorts the size, is dependent on the pressure the bra places plus the implant is outside your breast and not under it among other variables. Computer software morphing programs that automatically determine the best implant size can be helpful in some but not all cases (e.g. doesn’t work well in my experience with existing implants, sagging or asymmetric breasts). Using “want to be” photos however are useful if simply provided to the surgeon as I will further explain in the below link.#breastaugmentation#findingtherightsize#BA

Thank you for your question.  The decision on which implant size best meets your overall desired goals is one that is ultimately up to you.  The best advice to help you decide which size will help you achieve your desired goals would be to schedule a consultation with  board certified plastic surgeon.  At the time of your consult you should be able to utilize sizer implants and visualize your goals.  Then together with your surgeon you can create the surgical plan  that will best help you achieve your overall desired look.Best regards,Dr. Lane F. Smith, MDPlastic SurgeonLas Vegas, NV

Thank you for the post and for the photographs. I appreciate your anxiety about implant size selection.  Before getting into more specifics it is important to point out that the difference between 375 and 425 is a mere 13% difference in what amounts to a little more than a medicine cup of volume.  If you have decided on that size range, don't let yourself get too stressed deciding between them.  It really depends on the look you are trying to achieve.  If I had to offer an opinion, I think that size range would "fit" your body well.  You should expect to have an excellent result!In my practice, I ask patients to bring in goal photos of the "look" theyre trying to achieve.  I also use in-bra sizers and 3D imaging to give the patient a good idea of how a given implant size will look on them.  Finally, an examination of your anatomy is required to give you the most appropriate recommendations.  Good luck with everything!

Thank you very much for providing so many informations and pictures.I think that you have very good quality skin and fair amount of breast tissue which make you an excellent candidate for a breast augmentation.in your case I would use the larger size (425cc) as anatomical implants or the smaller size as a round one (375cc.)In both cases I would recommend 1) cohesive gel implants and 2) the to place the implant under the muscle for a more natural result and reduce the chances of rippling. With this regard the anatomical implants are better because they do not ripple.If you are still not sure the best way to confirm this is to go for a 3D simulation.With Best Regards,

It is difficult to tell what size would be the best fit for you just based on pictures.  An in-person examination with accurate chest measurements are your best bet.  You have to keep in mind that when deciding between 375 and 425 that it is not a big jump.  I suggest that you have a conversation with your surgeon about your goals as well as bring pictures in of your desired shape and size.  That way, your surgeon can have a better idea about your wishes.  Ultimately, you have to respect the judgment of your surgeon to deliver you an excellent and safe result.  Good luck!

Hello Mads94 and thank you for your question. I want to start off by telling
you what I tell many of my patients: Do not focus on cc's or bra sizes
as many women see their friend with "x" number of cc implants etc and
think that they have an idea of what they want. There is a lot that goes into
implant selection -- your breast volume, the amount of cleavage you want
to achieve, your base width, your rib shape/projection, etc. Without seeing you and doing your
measurements, it is
difficult to assess accurately your final breast size or shape. The
other thing to consider is that most women are not accurately sized for
their bras. However, long story short, based on what I can guesstimate from your photos, 375-425cc implants probably won't be too big for you, and if done by the right person, probably won't look like coconuts.The most important thing to consider
is really the size and look that is appealing to YOU with the implants
you choose. Many surgeons have sizing models whether using bras with
implants or computer simulation. I encourage you to discuss with your
surgeon many of these considerations when deciding which
implant and size to use during your surgery. Additionally, a breast
implant is a round object and has a certain diameter. Your base width
on each side of your chest will determine "how big of a ball" or what
diameter implant you can reliably go up to with a socially acceptable
cosmetic outcome. The implant will "augment" or increase the size of
your breasts to an amount acceptable to you and your surgeon. My
patients will try on a sports bra and then
we pick the implants based on their measured breast base width. If
your base width were to support for example up to a 400cc implant, I would have you
try on the 400cc implants in the bra and then the 420 or 385cc implants and
afterwards select the implant that made YOU the happiest. In reality,
don't
stress too much as this is not a HUGE difference and should be the fun
part of the process. =) Go with what is acceptable based on your
measurements and makes you happiest and make sure to weigh the pros and
cons of the options you are considering. You can also compare
the high profile with moderate profile implants and see which look you
like most. The profile of the implant will determine how much upper pole fullness and overall projection
you portray. Make sure to go to a board certified plastic surgeon with expertise in aesthetic breast surgery.I
hope this helps answer your question!Dr. Sean Kelishadi

Thank you for the question and pictures. Based on your photographs, I think that you are starting at a good place and should have a very nice outcome with breast augmentation surgery. Ultimately, careful communication of your goals (in my practice I prefer the use of goal pictures, direct examination/communication in front of a full-length mirror, in bra sizers, and computer imaging) as well as careful measurements (dimensional planning) will be critical.

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. Have a full discussion and communication regarding your desired goals with your plastic surgeon. This communication will be critical in determining 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. For example,
I have found that the use of words such as “natural” or "C or D cup” or "look too big on me" etc means different things to different people and therefore prove unhelpful.

Also, as you know, cup size varies depending on him who makes the bra; therefore, discussing desired cup size may also be inaccurate. Again, the use of computer imaging has been very helpful during the communication process, in our practice.

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, after the use of temporary intraoperative sizers.I hope this (and the attached link, dedicated to breast augmentation surgery concerns) helps. Best wishes.

Thank you for your questions and photos.  The short answer is that you probably will not see a huge difference between 25cc in either direction.  If you are afraid of the round "coconut" appearance, then you might want to consider an anatomic shaped implant.  This will provide more projection in the lower pole, less projection in the upper pole, and provide an overall more "natural" appearing breast.  They tend to be a little more expensive, but they are well worth the price if you are trying to maintain a naturally augmented look.  Best of luck!

Yours is a common question that many worry about.  You want enough but not too much.  I recommend trying on sizers in a larger bra with several of your own tops.  This will give you an idea of how you will look with each sized implant.  Choose the one that gives you the "look" you want.  The absolute volume of the implant is irrelevant as it will be a different result on every different person based on their own breast volume and body type.  Your eyes will let you know what you want to see.