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Biggest Size for First Breast Augmentation?

asked 2 years ago by Anna1778 in Missouri
Latest answer by Tom J. Pousti, MD
Question viewed 1,049 times
Tags: breasts, female, sagging, breast size, implant size, pregnancy

How much bigger can you go on your first breast augmentation? I am a big girl, with saggy breasts from a pregnancy.

15 answers to Biggest Size for First Breast Augmentation?

Biggest Breast implant Size?

Thank you for the question. Unfortunately, it is possible to give you good advice without direct examination or viewing pictures. Your description of “saggy breasts” suggests that breast lifting may also be necessary. In regards to breast size goals clear communication with your surgeon will be critical. I find the use of goal pictures to be very helpful. I have found that the use of words such as “natural” or “C cup” or... more

Tom J. Pousti, MD
San Diego Plastic Surgeon

www.poustiplasticsurgery.com

Consultation for BBA

Schedule a consultation with a reputable board certified plastic surgeon in your geographical area. If you need referrals, contact your OBGYN. Upon examination and consultation, your well trained surgeon will discuss your treatment options and determine the best treatment plan for you.

Christine Sullivan, MD
Columbus Plastic Surgeon

Breast Implant Size for natural looking results

Excessively large breast implants never look or feel natural, so the first important factor to consider is implant size. Not only do large implants look odd, they also stretch out breast skin and tend to become very droopy over time. Most patients with excessively large implants end up having multiple operations over time to address problems with implant position ('bottoming out', for example, where implants drop below the desired level of the inframammary fold), implant visibility,... more

Michael Law, MD
Raleigh-Durham Plastic Surgeon

michaellawmd.com

Implant Size for First Augmentation

I am the proportion guy-I like implants to make the breasts proportionate to the rest of the body. So of course I'm not going for the biggest implants possible. However, for sake of argument let's consider how large an implant can be placed. The primary measurement that we use is the breast base width. This is the actual diameter of the breast and will range from around 11cm to as much as 17-18cm and occasionally more. Therefore, an implant should be chosen that doesn't exceed this... more

Christopher L. Hess, MD
Fairfax Plastic Surgeon

www.hessplasticsurgery.com

Choosing a breast implant size

Hi Anna1778 - The size of implants that is your maximum really depends on the dimensions of your breasts now. If you go any wider than your current breasts, you may be able to feel the implants pushing up against your arms on the sides. If you have sagging breasts, you may need a lift as well and this can be done at the same time as an augmentation. For the size of implants, take several samples and place them in your bra to determine a rough size that you like. You can also bring in... more

Jeffrey E. Schreiber, MD
Baltimore Plastic Surgeon

Sagging breasts will probably need implants and lift

It is impossible to suggest the right implant for you without examining you. If your breasts are really sagging, then I would suggest that you probably will need a breast lift as well.

Steven Wallach, MD
Manhattan Plastic Surgeon

Breast implants alone will not correct sagging.

Hi! 1) If your breasts are really sagging, you need a breast lift together with breast augmentation. Putting in very big implants in an attempt to correct sagging is a very big mistake. I urge you not to do it. 2) I wrote an article for RealSelf on breast implant selection ( you can read it on my profile) that may be helpful.

George J. Beraka, MD
Manhattan Plastic Surgeon

Breast implant size isn't as important as your goal

It is not so important how big you can go as how big do you want to be. The biggest saline implant by Natrelle is 800 cc and can be overfilled to maybe 1000 cc but what would that give you? A ginormous breast that will sag even more in a short time. So you really need to decide what size you would like to be first. Also not all sagging can be corrected with an implant alone. If the location of the nipple sits below the fold of the breast then you likely will need some type of lifting... more

Robert B. Pollack, MD
La Jolla Plastic Surgeon

How big can you go with breast augmentation?

I'm afraid that you have not given us any information to give you a meaningful answer. If you have sagging breasts, you are a candidate for a breast lift. How large of an augmentation depends on how big you are, how big your breasts are, what your measurements are, what your individual desires are, and lastly, what is a realistic procedure for you. Find a qualified plastic surgeon in your neighborhood and get a consultation. Good luck.

Sirish Maddali, MD
Portland Plastic Surgeon

Breast augmentation size best determined during consultation

This question is best answered during a consultation with a board certified plastic surgeon. You may find that breast implants alone will not fulfill your needs. You may need a breast lift with or without implants. Since implants run from the 100"s to the 800"s there is a large volume difference to chose from.

John P. Stratis, MD
Harrisburg Plastic Surgeon

Biggest size for breast implants varies depending on nature of tissues

Hello, The answer to this varies depending upon the nature of your tissues. If you have a large degree of sagging as well a breast lift might be a good idea as well. These are things to discuss with your surgeon before you decide what you want to have done.

John P. Di Saia, MD
Orange Plastic Surgeon

Breast Implant Size

If you have signifcant sagging, you will need a breast lift in addition to an augmentation. The limiting factor to the size of implant that should be used is the diameter of the base of your breast. The implant should not be larger at its base than your breast diameter. Some plastic surgeons prefer to perform these procedures in two stages, particularly if your sagging is severe and requires significant elevation of your nipple-areolar complex.

John Whitt, MD
Louisville Plastic Surgeon

Best implant size for you

From your description, you will need a lift and implants. However, as a "big" girl, going with big implants runs the risk of making you look heavier. Don't try to max out the size as you will just increase the complication rate. Go to an excellent plastic surgeon who can help guide you through this process. And wait until you are done having children.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon

Larger breast implants.

There are consequences to larger implants and before you consider "bigger" you should consider ":appropriate" or "desireable." Larger implants have greater tendency for loss of nipple sensation, rippling, tissue attenuation with recurrent ptosis (sag), implant extrusion, etc, Currently the largest implants available "off the shelf" max out at 900cc. It is rare that someone could accomodate that on their first augmentation.

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Rational Choice of Breast Implants

Your question reminds me of the 1950's contests - How many frat boys can squeeze into a phone booth? etc. It doesn't matter. The record can always be broken. The question you SHOULD be asking is : What operation would give me the best and longest-lasting results? For a big gal with saggy breasts (YOUR description) I can assure you that 2 huge implants is DEFINITELY not the answer. Such implants would thin your breast to the point where the implant ripples are visible and would further droop... more