Dangers and Risks of Large Breast Implants?

I am 5'6" and 145lbs. Is 650cc HP saline too big? I am currently a 34B and I'd like to have a 34DD breasts. I really don't want to go bigger than that. Also, are there any risks or dangers with having a large implant?

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12 Doctor Answers | Asked by dirtdiva in Diamond Bar Ca

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Always easier to go bigger later

GIven your description of your frame, I would recommend a smaller sized implant, perhaps in the 400-500 cc range, to give you a dramatic improvement without overstretching your tissues. Once these tissues have been stretched out by very large implants, I think it is difficult to maintain a natural look to your breasts. Also, as you get a little older the tissues will thin, and then if you want to downsize the implants a bit, it will be very difficult to do so without adding the additional... more

Large implants, large risk

When large implants are placed, predictable and bad changes occur, causing problems that may be unfixable. The large implants require large dissection underneath the muscle (or worse under the breast). This creates a large "pocket". Skin thins; it is just doing what it is told when a large foreign object is placed- thin out! Implants can actually protrude from the skin. Nipples are much more likely to become numb from surgery. Droopiness occurs much more quickly, requiring... more

Yes.

Ideally, you should have implants that fit the dimensions of your breast tissue. As you go larger, there are numerous risks and side effects that increase. Because the dissection required is often greater in order to accommodate a larger implant, sensory changes such as numbness of the nipple can be more frequent. If your soft tissues are tight, a large implant will feel harder (pure physics problem).Longer-term complication include soft tissue compression and atrophy whereby the permanent... more

Robin T.W. Yuan, MD

4 reviews

Beverly Hills Plastic Surgeon

Large implants have larger risks

You need to decide what is best for you along with the advice of your surgeon. However, please know that there are many increased risks by going with large implants. Numbness, capsular contracture, pain, stretching of the skin, loss of the natural inframammary crease, bottoming out, double bubble formation are but some of the increased risks. This plus the fact that it yeilds an extremely unnatural look that may be out of fashion in the future and cannot be hidden no matter how you try. more

Is 650 too big?

Hi, the general consensus is that anything over 450-500 starts to be considered a large implant and a 650 is a significantly large and heavy implant especially with saline. large implants have associated downsides like faster sagging and more skin thinning over time, not to mention weight. based on your height and weight, you can probably achieve your goal with a smaller silicone implant, but without a formal consultation by a qualified surgeon it is impossible to give accurate advise. more

Special risks of larger implants

Hello, There are risks that occur more frequently with larger implants. The visibility of the implants through the tissues is more likely and the need for re-operation over the short term is increased as well. Distortion can be hard to correct when you go really large and the tissue can have a harder time handling the implants. I commonly discuss these issues with ladies looking into larger implants. I would suggest targeting a mid to large D size at first to split the difference in risk... more

Large breast implants perhaps not worth the potential problems

Just like "real" large breasts, breasts that are augmented to that size will likely become saggy over the years, so you might be creating a problem that is difficult to fix. While you may like the look of the larger breasts in the short run, you probably won't like how they look in ten years. I suggest you compromise a bit on the size now so you avoid trouble down the line.

Bruce K. Barach, MD

6 reviews

Schenectady Plastic Surgeon

drbarach.com

Don't do it.

HI! In my opinion, anything over 500 cc's is too much. You are overstretching your tissues and increasing the risk of loss of nipple sensation. Very big implants look fake and don't age well. Your surgeon can use disposable implant SIZERS inside your breasts during surgery to find what is the largest reasonable size for you BEFORE opening the permanent implants. A sizer costs only $45 and takes the guess work out.

It's your body and your choice

I personally thing that big implants look ugly. But it is your body - although there may be some slightly increased problems with larger implants, this is an individual decision that you and your plastic surgeon have to discuss and decide upon. Remember this is surgery, not a beauty parlor visit. Take your time and think about it and do the rice trick - use a measuring cup with ml or cc on it and take 650cc of rice - put it in a stocking or baggie and put it in your bra. This will give you... more

Bigger might not be better on the long term!

Choosing the ultimate size implant is one of the most important decisions. Several factors contribute to that proper range of sizes: 1-The breast and chest wall dimensions. 2-The amount of skin and soft tissue available to cover the implant. 3-The relative location of the nipple,fold in relation to the chest wall. During your consultation with a board certified plastic surgeon all these factors will be evaluated and a healthy range of sizes will be advised based on the patient request for... more

Yes, there are risks with large breast implants

Yes, this is a larger than average breast implant. There are numerous increased risks associated with this, and I am sure I will not even touch on half of them, but consider the following. The size of the implant has been associated with: Increased risk of loss of nipple sensation Increased risk for long term breast ptosis (sagging) Increased risk for chest wall deformation (curving of the ribs) Increased risk of rippling or palpable /visible creases Increased risk of lower pole tissue... more