There are many decisions that go into implant sizing. Most important is a clear and understandable discussion with your plastic surgeon well before your surgery, preferably at the time of a lengthy initial consultation and then a second preop visit. For your height/weight 400 cc implants do seem somewhat large unless you really want a very "fake" look and with the possible consequences of overly stretching out your chest/breast soft tissues. No matter what size you choose, you are correct that the early appearance for the first few week/months is larger until the tissues stretch, the implants "settle" or "drop and fluff" and some women may be slightly disappointed at that time. Very important to have those discussions with your plastic surgeon preop!

Published on Jul 11, 2012

Good morning! You will definitely be pretty big and will have an "augmented" look after placing 425cc implants. But they won't be "too big" - last week I placed 605cc implants in a patient who is 4'11" and 105 pounds. She looks great! I have never heard about the losing 20cc's after surgery ... I bet that whoever said that to you meant that when you go under the muscle you will look smaller than you did with the sizers in (because your muscle will flatten the implant and put it under a good bit more pressure than the sizer under a sports bra that you likely wore at the office). Good luck with your surgery. I hope that you look and feel great!!

Published on Jul 11, 2012

425 cc's is too big for your frame, unless you want to be very obvious and tarty. I definitely recommend under the muscle. I never recommend silicone unless you want to spend a lot more money, have MRI's to detect leaks (FDA recommendation), and have much higher re-do rates. For your size, I would recommend 310 cc high profile saline.

Published on Jul 11, 2012

No, I don't think so. They will look very nice, you just need to get adjusted to them after they have settled, which might take one year.

Published on Jul 11, 2012

We use a special imaging system that closely shows how you would look with various sizes and different manufactured implants.

Published on Jul 11, 2012

Thanks for your question. With your height and weight, 425 cc seems like a very large implant for your frame. The only way to determine if that particular implant is appropriate for your frame is through a detailed physical exam. Measurements of your breast base width, tissue thickness and stretch, and distances from your sternal notch to nipple and nipple to inframammary fold need to be assessed prior to implant selection. With regard to 400cc compared to 425cc there is very little difference. Your bra size will vary depending on the manufacturer. I would think minimally a large C possibly a D cup. Good luck with your surgery, make sure you moisturize your skin preoperatively and postoperatively to reduce the incidence of stretch marks.

Published on Jul 11, 2012

Without seeing photos, its hard to give a definitive opinion. However, what matters most is what size you want to be. In reality, 25cc more or less doesnt really make that much difference. Its not true that you lose anything after surgery. You still have all of your breast tissue and the implant volume stays the same as it was before it was put in. I would suggest you look at photos of patients that start out with a similar body size and breast size to you and see how they look after with different size implants. Best of luck.

Published on Jul 11, 2012

Your Doctor's recommendations are based on the width of your breasts, the skin envelope, and your desired size. He/she has examined you and likely discussed your expectations. In general, go with the recommendations of your board certified plastic surgeon. You are paying for his/her expertise, not only in the operating room, but also in the evaluation.

Published on Jul 11, 2012

There is not much difference between the two. At your reported height and weight, I am more concerned about you physically being able to get this size implant in the first place. There is no possible way of predicting what size bra correlates with any given implant. You should visit a few surgeons that use bio-dimensional planning to size you for the proper implant. You should know complication and re-operation rates are very high in this country, mainly due to improper sizing (too big).

Published on Jul 11, 2012

Best thing to do is communicate with your surgeon. I ask my patients to bring in pictures of breast sizes that they like and even dislike. I review these photos with the patient and discuss if it is reasonable with their body type, size,etc. I take these photos to the operating room with me and when the patients is on the operating room table, I use temporary sizers to view how different cc's look on the patient. I sit the patient up on the operating room several times and compare them with the photos that they have chosen. When I see that I have achieved the patient's goals, I remove the temporary sizers and put in the implants. There is no guess work. I have all sizes from both manufactorers available to me at all times. This procedure takes more time BUT gives more exact results.

Published on Jul 11, 2012

If your doctor thinks that either will work well, then I generally suggest going with the larger implant. Most women wish they had gone a little larger when it is all said and done. As to what size you will be - that just depends on your frame and how much breast tissue you really have to start out with. I have patients whith a 425cc HP who wear a C, while others wear a DD. Every patient is different.

Published on Jul 11, 2012