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Would Like 700cc Implants, Why are Some Doctors Against That Size? (photo)

asked 5 months ago by ItsKasey in Tucson, AZ
Latest answer by Edward J. Domanskis, MD
Question viewed 614 times
Tags: 700-749cc, implant size

So I had a consultation with my PS. I tried on 700 cc sizers and he said I could do 700s (I LOVED them). By reading alot of Q&A's on here I found that most PS's on here are against implants 600+ ... if they are damaging or bad why would my PS recommend them for me? He is board certified and has worked on 4 of my girlfriends and they have amazing results so I want to say he is experienced. Im just confused any help is appreciated!

16 answers to Would Like 700cc Implants, Why are Some Doctors Against That Size? (photo)

Are 700cc breast implants proportional?

This is a very good question. When choosing your breast implant size there are certain factors that should influence the surgeon and patient. What is the patients breast diameter? How much natural breast tissue is available to cover the implant? Does the patient want to look obviously augmented? Does the patient mind that the large breast size may make her look overweight? These are important questions because in a smaller patient the larger implant sizes can... more

Della C. Bennett, MD
Riverside Plastic Surgeon

700cc implants are just fine . . . IF your anatomy accommodates this, and that is what you want!

There is nothing at all "wrong" with larger implants, if you have the desire for that size and anatomic capacity to allow them. I have done breast augmentation for over 25 years, and do well over 100 cases of this specific operation each year, as does my partner. We have no specific reservation about large(r) implants in the appropriate patient who wishes them, and these patients do not have an increased incidence of "bottoming out," capsular contracture, or other... more

Richard H. Tholen, MD, FACS
Minneapolis Plastic Surgeon

www.mpsmn.com

Large implants

In general there is nothing wrong with even 850cc implants. I have used these in some large frame patients and wished I had gone even bigger. From your picture you do not seem to be a large frame patient. Without seeing you in person I can not say I would refuse to place 700cc implants but I am sure I would try to talk you out of it. The result will most likely be so unnatural and with increased risk of complications that it might not be the best thing for you.... more

Gary Hall, MD
Kansas City Plastic Surgeon

www.hallmd.com

Large Breast implants

I try and accomodate the patients wishes in choosing a breast implant size and have even placed larger implants than what mention. It is usually better to go with a larger size than what you think you would like because there is definitely a decrease over initial year after breast implants of sometimes up to one cup size.

Edward J. Domanskis, MD
Orange County Plastic Surgeon

Breast implant sizing and sizers

The way to understand the issue of 700cc is to think dress sizes. Is a size 12 too big? Not if it fits you. Unfortunately, using external sizers is very misleading and nearly worthless in choosing an implant size, shape, or type. The best way to size the implant is to measure the width of the breast upright with arms down and subtract about 3/4 to 1 cm. This gives you the diameter of the implant that will fit your breast, look natural, and not distort it. The other dimension is the forward... more

Scott L. Replogle, MD
Denver Plastic Surgeon

With breast implants the bigger you go the more trouble you can have

As long as the base width of the implant is not too wide for your frame (can't be determined by just trying them in a garment), it is potentially possible to fit them in. However, the bigger the implant, the heavier they are and the more they may have malposition issues and thinning of the tissues so that if later on you ever wanted to downsize, you would enter into a new arena of problems such as wrinkles and ripples and maybe needing lifts with scars. Always try to get... more

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon

How big a breast augmentation can I get. 700 cc?

The size of the breast implant is usually decided based on measurements of your breasts, your tissue elasticity and chest wall shape. As the implants get bigger they also get wider. When the tissues are less elastic certain distances don't change. For example the distance between the midline over your sternum and the nipple. A lager implant has to gain room more on the sides of your chest and the nipples would not be centered on the breast. This is how the dimensions of your chest, breast... more

Farhad Rafizadeh, MD
Morristown Plastic Surgeon

Why are Some Doctors Against 700cc Breast Implants?

There is NO perfect breast implant. ALL breast implants - RIPPLE (saline filled worse than silicone filled implants). As a result, to hide the rippling and waviness of the implants the woman must have enough soft tissues (enough breast tissue and skin to completely cover the implant). That is the prime reason why we put implants under the muscle; to pile even more tissue on the implant to cover the ripples. The problem is that many women who wish breast augmentation, by definition,... more

Peter A. Aldea, MD
Memphis Plastic Surgeon

Potential problems with very large breast implants

Breast Implant size is a combination of personal preference and your body size/shape. Even if you prefer a very large implant (greater than 650cc) this may not always be a good choice for you. The large implant must "fit" your body, meaning that it cannot be too wide for you which will result in "uni-boob" or "side-bood", 2 bad complications. Also, large implants exert pressure on the inside of your breast. Over time this can cause atrophy, or... more

Matthew Schulman, MD
New York Plastic Surgeon

Beast Implant Size

I have no objection to larger implants in suitable patients. This is a decision that needs to be based on multiple variables. That said, long term studies show more problems with larger implants over the years then smaller implants. So just a cautionary of "buyer beware" for really large implants. All the best ! Dr. Joe

Joe Gryskiewicz, MD
Minneapolis Plastic Surgeon

Large Implants More Likely To Cause Problems

The main reason that I (and many plastic surgeons) discourage patients from using extremely large implants is that the incidence of problems is much higher with these larger implants. If implants are larger in diameter than the breast diameter, the incidence of malposition, capsular contracture, bottoming out, and other significant problems increases disproportionately.

John Whitt, MD
Louisville Plastic Surgeon

Nothing wrong with a 700cc breast implant

If you know the look you want and the 700cc implant will fit you frame and meet your needs there is nothing wrong with a very large breast implant. You hear cautions because some of us have been in practice a very long time and have seen the thinning and translucent appearance which can develop. If you are certain, go with it. Best of luck, peterejohnsonmd.com

Peter E. Johnson, MD
Chicago Plastic Surgeon

www.peterejohnsonmd.com

700 cc implants

In general, the larger the implants, the more likely they will sag sooner. The larger implants also usuall yhave higher complication rates.

Steven Wallach, MD
Manhattan Plastic Surgeon

Larger Breast Implants?

Thank you for the question. There is not necessarily anything wrong with larger breast implants, when used for the right patient. Larger breast implants on a small frame patient may be more problematic and/or complication prone. Communication with your plastic surgeon will be key to achieving the results you are looking for. Unfortunately, the use of words such as “I really want a natural look, nothing over-the-top” means different things to different people. In... more

Tom J. Pousti, MD
San Diego Plastic Surgeon

It is a very individual decision, simply be aware of consequences

There is nothing "wrong" with 700cc implants, it's just not that common. The average plastic surgeon and patient deciding mutually will settle in the 300-600 cc range but of course there are exceptions. Aside from individual preference, the major concern that plastic surgeons have with very large implants is the potential for overly stretching the tissues and creating irreversible changes. If you are comfortable with your surgeon and your... more

David J. Levens, MD
Coral Springs Plastic Surgeon

www.drlevens.com

Tissue Support For Large Breast Implants

While the size of any breast augmentation is ultimately guided by the patient's desires, there may be consequences long-term when choosing very large breast implants. The biggest concern is that your tissues may not be able to support the size and weight of the implants and may bottom out. This would require revisional surgery which may not be all that successful. In addition, once you go that big should you every decide to go smaller, you will likely require a breast lift with the... more