Can 500cc Breast Implants with Lift Give a Natural Shape?

In massive weight loss patients, the base width or diameter of the breast is often much greater than a patient of average build who has not undergone the same drastic changes in body shape. For most of my massive weight loss patients, a 500 cc implant is not too large for their chest. This is well documented in the massive weight loss literature. Plastic surgeons who do not perfrom a lot of post gastric bypass surgery often underestimate the importance of this fact... more

Breast augmentation and mastopexy (breast lift) together can be an extremely complex operation with a high rate of revision and complications.  The larger you go with an implant when you're also doing a breast lift at the same time can add tension to the incisions and increase risk for skin necrosis, wound breakdown, and most importantly even threaten the circulation to the nipple.  Also with a large implant and lift there is a much higher chance of getting a superior... more

Hi. Of course, everybody's anatomy is different, and I haven't examined you. But in New York City, we almost never use 500 cc breast implants. And together with a breast lift, there is an even higher risk of problems. Try to find a surgeon who does a "spiral" mastopexy.

Every person looks a bit different with implants. It is hard to predict how you would look without examining you. In a patient witha a large amount of weight loss, I imagine you have alot of loose breast skin of poor quality. Going with a fairly large implant may cause the breasts to sag sooner than a smaller implant.

This is not a question that can be answered easily. It really depends on what you bring forth to the surgery. It depends on your body and breast size and shape. 500 cc is a big implant but it may not be that big for you. In order to keep breasts looking natural you need to stay within your bodies size and diameter of your breasts and not go overly large for your body. It is hard to say if they will look natural or not without examining you. I and many would not consider Angelina's... more

Maybe. The problem is that MOST no-plastic surgeons commonly equate "natural" with attractive and healthy when, in fact, natural often means found in nature or copying nature. ( As such, droopy breasts, wrinkled faces are truly "natural"). Along those lines, allow me to express my sincerest skepticism as regards the veracity of the unaided "naturalness" of the "Angelina Jolie-type breast shape" in most women, including the actress, and I would like... more

This really depends on you body shape and skin quality. If you do have a wide chest diameter along with widely shaped breasts, then large breast implants can still give a natural look. It is hard to say whether 500cc is right for you without examining you personally. A second point is that it is difficult to do an augmentation procedure and a lift at the same time. Many surgeons would advice you perform the lift first, then augment several months later. Make sure you are going to qualified... more

500cc should be fine as long as you have a general idea of how this is going to look afterward. Look at pictures of women who have had 500cc implants and see if this is the look that you want. Further, you can place sample implants in your bra to get a general idea of how you're going to look afterward. A lift is also very commonly used with an implant after massive weight loss to help lift the areola. Only a small amount of lift is acheived with just an implant, so a lift is commonly... more

Congratulation on the massive weight loss. As you experienced, there was significant volume loss from the breasts. This usually leaves a loose skin envelope, the skin tends to have a lot of stretch marks, it is thin with loss of elasticity. If this is the case, placing a 500cc implant will result in further stretching and sagging. Even if you have a lift at the same time, you van experience fairly early descent. Without the benefit of photos, I would suggest having a breast lift first,... more

These questions are very difficult to answer since there are so many variables. 500cc is what I would consider the larger end of the spectrum but if you have a large frame it could work out well for you. Types of implants, placement of implants, and the surgical technique can all influence the final appearance and "naturalness". Having lost 150 pounds suggests you have a fairly large frame. Wanting to look like Angelina Jolie sounds a little unrealistic. I am fairly certain... more

If you have a very wide rib cage, 500 cc implants using the moderate profile and not the moderate plus or high profiles, can look natural. It is very dependent on what your body starts out like. If you have a wide frame and use implants that are too narrow for your body, you will actually look less natural than with the right width implant regardless of how many cc's it contains.

In general, this is a larger than average breast implant which may carry a higher risk of tissue attenuation as well as loss of nipple sensation and other complications.