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.

Dear Ms. Jayleeky,Thank you for your story and questions. Unfortunately without nude photos and a actualexam I am limited (including taking accurate measurements of your chest) And can only give you non specific but hopefully helpful comments. Choosing the correct breast implant is a multifactoral depending on your anatomy, skin strech, desired look and size.Breast size is a very personal choice and using a variety of techniques (some of which you may have completed) you can achieve the size and look you desire.Unfortunately bra manufactures have not standardized cup sizes.Breast implant manufactures have created a wide spectrum of implants based on a "cc" measuring system. Different base widths result in different projections for the same size of cc's. Different shapes are based on the cohesiveness of the internal gel.My responses are:1)sizing:A)purchase several bras (full bodied and no padding) of the size you think you want to be. As you realize there are no standard bra (strap/cup) sizes.B)take a measuring cup (1 oz=30cc) place rice in a nylon yC) try on various volumes of rice with some form fitting clothes.2)placement of implant:Select several nude model photos of the goal breast shape you desire.Placement decision of implant(subpectoral, dual plane, or suprapectoral) will be determined based on your anatomy If the implant is placed under the pectoralis muscle I usually add 10% volume to what the patient chooses.... to compensate for the muscle pressing down on the muscle and for the naturally settleing of the implant which often makes the breast appear smaller 2-3 months after surgery.3)profile of implant:A) for the same volume the higher the profile the narrower the base width.B)there is very little difference in projection between a moderate to high profile implantthus little affect on the perceptible final projection of your breasts.C) the base width of the breast should equal the base width of the implant D)thus I personally chose the profile based on the patients chest measurements, (a high profile on a wide chest may not result in the cleavage desired and conversely a low profile on a narrow chest may result in implant in the outside armarea).4)types of implants:A) roundB) anatomical or shaped be (form stable).5)Filler materialA) Silicone gelB) Normal Saline.6)there are four companies that produce breast implants:-1) Mentor-2) Allergan-3) Sientra-4) Ideal1-2 =silicone fill comes from same factory3 =silicone gel has highest cohesiveness (gummy bear) for round implants1= only implants made in USA 1-2 = make both silicone and normal saline filled implants4= only makes normal saline filled implants4 = has internal baffles in normal saline implant to give feel more like silicone filled implants1-4 = all FDA approved, lifetime warranties3-at present voluntarily suspended distribution 1-3 have capsular contracture warranty 1-3 have different profiles (for same volume different base widths) resulting in different projections.1-3 have anatomical or shaped implants.I personally use all four companies based on the above and the best "fit" for the patient.I trust your Plastic Surgeon is experienced and is Certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (denoting by membership as having met additional criteria and a focus on Cosmetic Plastic Surgery).My best wishes,R. A. Hardesty, MD, FACSDiplomate and Certified by the Am. Bd. of Plastic Surgerywwwimagineplasticsurgery.com4646 Brockton AveRiverside, Ca 92506(951) 686-7600