Would 450cc HP implants be too big?

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

Choosing the right size and shape implant depends on any number of factors, all of which require an in person exam. If your surgeon feels that 400cc is the right size for you and you admire his work, I would trust his judgment. My best,
Dr. Sheila Nazarian
@drsheilanazarian on Instagram

There's really no reason to leave anything to chance. There are excellent sizing systems to determine whether or not 450 cc breast implants look good to you. Determination of profile will be done by the plastic surgeon based on the anatomy of your chest.

The choosing of implants is best done in-person with a board-certified plastic surgeon.  A lot of factors can affect this choice like your desired end result, body measurements, breast tissue, and the like.  Best to visit a board certified plastic surgeon and get a full evaluation.  Best of luck, Dr. Michael Omidi.

Thank you very much for your question.It is very difficult to predict accurate sizing through online discussions. Really, an in-person exam is needed, with accurate breast measurements, and a detailed discussion of your goals with the surgeon. Together, you will be able to pick the implant that is the right size for you. Best of luck!

Given your measurements, a 450 cc implant is at the upper end of what your body can tolerate. The larger volume will cause additional stress to your skin and tissue, leading to a higher likelihood of descent over time. A textured implant may decrease later movement over time and avoid excessive "side boob"

Thank you for your question.
Before you make your final decision on size and shape of implants I would
suggest that you meet again with your Board Certified Plastic Surgeon again and
go over your concerns and why you feel a specific implant would give you the
results you desire. Your surgeon should be able to explain to you why they are
recommending the size they are according to your current breast measurements
including your chest width and your desired outcome. Your Surgeon should
be able to advise you thoroughly on your options.

We have all our Breast Augmentation patients not
only utilize our 3D imaging so they can get a real visual on what the implants
will look like on them but also to actually try on the different size implants
with a tight bra and t-shirt to see what they might expect. That way they have
a good visual of what a 450cc implant will do as opposed to a 350cc implant for
example. You want to make sure that you see a surgeon that will listen to you
and your goals for the procedure and discuss in detail their recommendation for
size and shape not only taking into consideration your desired outcome but also
your breast measurements before the procedure including your chest dimensions.
And then let you try the implants that they feel will give you the desired
result so you are in agreement with the size.

First let's agree on several facts:1. Gravity ALWAYS wins. Since none of us is destined to live in a gravity free enviroment everything, even feathers) gets pulled down and the heavier the object (such as over-sized behind, an augmented breast etc) the faster the sagging.2. ALL breast implants ripple AND those above the muscle demonstrate their rippling MORE than those under the muscle. (This is one of the reason we like to cover the implants with as much of your tissues as possible).Therefore, a large implant OVER the muscle WILL:- sag faster- show more rippling (especially as with time some of the breast tissue over the implant will go away revealing more of the implant and its ripples).Therefore, the BEST way to get a great and long-lasting result with breast implants is to pick a pair which are covered nicely by your breast tissue (and preferably your muscle). Rather than squeezing as much as you can into your breasts and then spending tens of thousands of dollars trying to repair the consequences, I would go with the smallest implant you would still be happy with.To do so, NOTHING beats 3D computer imaging with a VECTRA system. After you picked several implants, the system would allow you how YOU would look with each one of them IN YOU and the subtle differences between them. Because the system is expensive very few Plastic surgeons offer it. We do and our patients LOVE it. It avoids the back-forth "shall I get this many of that many cc's?" you and thousands are going through.Good Luck.Peter ALDEA  MDMemphis, TN

Hello 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. Different bra companies are sized differently and employees
at various clothing stores will not use the same criteria to measure
one's bra size.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 up to a 500cc implant, I would have you
try on the 500cc implants in the bra and then the 400 or 450 cc 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. It is a good thing that you
are doing your research before making a final
decision. I think you will have a great result.I hope this
helps answer your question and feel free to reach out to me if I can be of further assistance.Sincerely,Dr. Sean Kelishadi@sskplasticsurg on Instagram

Thank you for your question. 450 HP may provide you with a nice result but you need to discuss this in greater detail with your plastic surgeon during your pre-op visit and express what your ideal end result is. A plastic surgeon has several methods to determine the appropriate size for breast implants which are consistent and reliable. However, you can always discuss the pros and cons of the 450 HP with your plastic surgeon prior to making your decision. Best of luck with your decision,