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I Want More CC's, Why Won't My Doctor Go Bigger?

asked 9 months ago by BOOBOOBEAR38 in Miami
Latest answer by Sugene Kim, MD
Question viewed 892 times
Tags: 450-499cc, 500-549cc, bigger, cleavage, high profile

5'4 130lbs Bwd 13 I Am a Deflated 34b Cup. I am going with an excellent surgeon and was really upset when he told me he would only go up to 450cc's hp saline implants. I was hoping to look like a full d cup maybe dd. I don't want to spend all of my hard saved money for results that I do not want or like. My question is..Can I go up to at least 500cc's?? He just plain out refuses because he doesn't want me to have uniboob or sideboob. He is also using Natrelle 68hp do you think mentor mod+ would be better?Would luv cleavage

16 answers to I Want More CC's, Why Won't My Doctor Go Bigger?

Wishing to be a DD

Hi, 50 cc will NOT make a visible difference. As a general rule; 200cc roughly equals 1 cup size. So, if he is suggesting 450cc implants that will roughly take you up to a full D cup. Now, if your surgeon is placing your implants behind the muscle then he can only put in as big as your muscle will allow. If he is suggesting placing your implants on top of the muscle, then he can fit a larger implant. But, beware, implants behind the muscle retain their place for... more

Gary M. Horndeski, MD
Houston Plastic Surgeon

Implant size

I think it is too much responsibility for the patient to choose their implant size. I normally ask patients to let me know what their goals are (usually through photos) and from there, I would discuss the options with the patient. I would want to see some photos of what you want to achieve before stating if 500cc was too big.

Tom J. Pousti, MD
San Diego Plastic Surgeon

The volume of the implant is only part of the formula

If you're seeing a experienced board-certified plastic surgeon (not a cosmetic surgeon who does plastic surgery), he is knowledgeable about the different factors involved in choosing the right size breast implant for you. From your photographs it looks like you have a wide sternum which limits the cleavage you would have if you're implants are placed under the muscle. If he is planning to go under the muscle, then he is limited on how far he can go immediately without developing a... more

Joseph M. Perlman, MD
Houston Plastic Surgeon

doctorperlman.com

Want to go bigger?

Greetings, Your plastic surgeon is being cautious, and with good reason. I don't know the exact dimensions of your breast, but, in a nutshell, you can only fit so much into the current skin and soft tissue envelope you have in the breast. Although it may be possible to go bigger than the size he recommends, he may be concerned that placing in implants that large may place you at an increased risk of complications in the future, or just may not look very good right now. The... more

Sam Jejurikar, MD
Dallas Plastic Surgeon

Limitations on implant size

I usually recommend implants sizes based on 1) patients' anatomy: height, weight, chest/breat width, chest height, thickness of breast tissue and 2) patients' goal. We want implants to be proportional to patients' body as well. I think that your plastic surgeon is being safe and has a good intention. With larger implants, you may have more complications in the future; you will also sag faster with larger implant. Having said that, 50cc does not... more

Sugene Kim, MD
Houston Plastic Surgeon

Larger Implant Wanted

The ultimate goal of any reputable board certified plastic surgeon is to have a successful outcome. We do our best to listen to patient concerns regarding size. I am sure there is a very good reason why your surgeon will not place larger implants. You should have an honest and frank discussion with your surgeon. If you have done your research and your surgeon is one of the best in your area, take the advice. Best of luck.

Christine Sullivan, MD
Columbus Plastic Surgeon

500 cc Question?

Do you trust your surgeon? Do you like him? I agree there is very little difference between a 450 and a 5500 cc implant but I also get the impression that your surgeon is trying to give you the best result without complications. Larger implants weigh more and over time your skin may stretch. No one can say how your breast implants will look in ten years. Your skin appears thin and gel implants might be a better alternative. Do you want to get another opinion? more

Richard Linderman, MD
Indianapolis Plastic Surgeon

LARGE IMPLANTS MAY NOT BE BETTER FOR THE LONG HAUL

While you may like how 450 (or 500) cc augs look right now, implants of that size may not look so good 5 or 10 years from now. the bigger your breasts are (real or implants), the more they will sag over time. cautious conservatism with respect to size shows your surgeon is looking out for you and uses good judgement to protect his patients from poor decisions.

Bruce K. Barach, MD
Schenectady Plastic Surgeon

drbarach.com

Implant choice

Choosing the right implant for you is really multifactorial in nature. First it is based upon your natural anatomy and the elasticity of your tissues. Second the approximate size you want. Volume doesn't always correlate to cup size. These factors are all taken into consideration during the ocnsultation. But a 50 cc difference in volume is not a lot. Choosing the dimensions of your implants really should be based upon your anatomy.

Steven Wallach, MD
Manhattan Plastic Surgeon

Implant Size for You

Selection of your breast implant size is dependent partly on the dimensions of your chest wall. Your chest wall width and height will aide your surgeon with your implant size. To maintain a full yet body proportionate look, there are indeed some limitations on implant sizes. I consider two factors when selecting implants for my patients: 1.Dimensional planning 2.Gel Implant Sizing system Dimensional planning – The measurements of your chest wall... more

C. Bob Basu, MD
Houston Plastic Surgeon

www.basuplasticsurgery.com

Impant size issues

Many factors go into selection of implant size. there is an interaction between the hard tissues of the body, (chest wall), the soft tissues, (breast), and the implants themselves. I ask patients not to get hung up on a articular cc. Bring photos of results you like to your Board Certified Plastic Surgeon. Together you can make a plan for a result that meets your reasonable expectations.

Jeffrey Roth, MD
Las Vegas Plastic Surgeon

Implant size

I would only add that I think moderate plus may look better since your breasts are fairly wide apart and you mentioned that you would love to have cleavage. The high profile are more narrow. Of course, it also depends on how wide your chest is and sometimes as we go larger even the high profile is wide enough. Have a frank discussion with your surgeon about your concerns so that you understand the reason behind his choice and so that he understands what you want your... more

Tiffany McCormack, MD
Reno Plastic Surgeon

www.plasticsurgeryrenotahoe.com

Can your doctor go with bigger implants

The truth is there is very little difference in the 450cc and 500cc implant, and your surgeon probably could get the larger implant into your breast. But all breasts will have limits that may compromise the aesthetics of your augmentation. A surgeon who can say no however is using his best judgment , and if you want a pretty breast over a long period of time perhaps you should forget about the number, and focus on a look and result you can do well with. Best of luck, peterejohnsonmd more

Peter E. Johnson, MD
Chicago Plastic Surgeon

www.peterejohnsonmd.com

Breast size estimate.

Mentor and Allergan implants are about the same as far as quality and the variety of each type is good. Why your Doctor will not place an implant that is only 50 cc larger than the one he is proposing is questionable , either implant choice would give you a similar result.

Walter D. Gracia, MD
Arlington Plastic Surgeon

Recommend following your surgeon's advice

I would recommend that you follow the advice of your plastic surgeon. He has already operated on your breasts and has reasons for his limits. If you still want to pursue larger breasts, you can get a second opinion from another board certified plastic surgeon. You can find one in your area from the website of American Society of Plastic Surgeons.

James Tang, MD
Houston Plastic Surgeon

Choosing implant size

Implant size should be determined by the following: 1) Balance top to bottom for overall fugure proportionality; 2) Skin vs. volume for optimal breast aesthetics; 3) implant daimeter vs. chest diameter. Consider using silicone implants because they are softer and more natural, have less wrinkling (especially in the larger sizes) and will last forever. Don't be hung up on a particular size: go for a particular look without violating any of the proportion rules listed... more