5'4" 125 lbs with 350cc saline HP wanting 500/550cc silicone HP or UHP? Is my BWD of 11cm able to suit this size? (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



Board Certified Plastic Surgeon



#RealSelf100Surgeon



#RealSelfCORESurgeon

Hello and thank you for your question.  The size, profile, and shape of the
implant is based on your desired breast size/shape, your chest wall
measurements, and soft tissue quality.  This decision should
be based on a detailed discussion with equal input from both you
and your surgeon.   Make sure you
specifically look at before and after pictures of real patients who have
had this surgery performed by your surgeon and evaluate their results.  
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Thank you for the question. I have found that when a woman wants to increase her size, you need to increase your volume at least 100cc's to notice a difference. Regarding your measurements, you have a petite frame,so the implant that you are requesting is wider than your breast. A large, heavy implant can cause problems such as bottoming out or a permanent change in nipple sensation. It's not that you can't accommodate the implant, but you should discuss all the risks with your surgeon before the exchange. Good luck!

It is very difficult to select an implant of you without a formal exam in person.  Best of luck with your decision to move forward.

.Thank you for reaching out to RS. If this was 20 years ago I could understand you asking for an oversized implant and your surgeon saying "sure". However, it is not 1990, and breast augmentation surgery has evolved. There are several very important reasons why a well-trained plastic surgeon will use bio-dimensional principles to size a breast implant. The most important reason is to prevent damage to the breast tissue, skin, and muscle, and provide patients with a long-lasting breast augmentation.





You are well on your way to becoming a breast implant cripple if you cannot reconcile the gap between your tissues- a narrow (11cm) base width, with your desires to be a certain cup size. While you can certainly ask for an oversized implant, and will probably find a surgeon to perform the procedure, there will be a price to pay, and not just financially. Oversized breast implants may require releasing the pectoralis muscle, or creating a pocket out into the axilla. Implants are far more likely to be visible and palpable through thin skin. With time, the weight of the heavy implant will create stretch deformities and bottoming out. Does this still sound appealing? I suggest that you select a breast augmentation surgeon who can teach you about your anatomy, and breast health. Then you can select the largest size implant that fits your body,makes you happy, and still produces beautiful long-lasting results.