Breast Augmentation: Q&A

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Why Don't Doctors Encourage Women to Go Bigger?

Almost everyone I know who has has a BA wishes they went bigger. Why don't more docs just encourage them to do so in the beginning? Are they looking for revisions a year or so down the road? I don't get it. My doc made it sound like 500 ccs were HUGE but in reality I don't think they are.

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20 Doctor Answers | Asked by NoMoreBoobEnvy in Maryland
+1

Why Don't Doctors Encourage Larger Implants?

The short answer is, patients don't WANT to go bigger - initially. We all see this. Women undergo breast augmentation because they are unhappy with their breast size. I have patients try on implants from very small to very large then we work our way to what looks the best. Most patients are happy but a small number think every pair of implants look too big. Even if I tell them the implants will still keep them proportionate they are afraid they are too big... more
+3

In The End, Big Implants Aren’t All They’re Cracked Up To Be

For most patients, 500cc implants are big. In fact, for the average sized patient, if considering the biomechanical stress of an implant, a “large” implant probably begins at 350cc - 400cc. But implant size does (need to) vary based upon body habitus. A 260cc implant may give a petite woman a D-cup, but be insignificant for someone who is a muscular 5’10” tall. There is significant morbidity associated with large implants: excessive skin stretching, the occurrence of stretch marks,... more
+1

You can certainly have large implants, but . . .

Your anatomy is the absolute limiting factor of what can be achieved, not your wishes (or even a surgeon's preferences or biases). The latter is evidenced by the differences in opinion in the answers, and your wishes should be foremost, though of course are subject to the limitations of your anatomy. However, since anatomical limitations are defined differently by each surgeon, this is what makes differences in opinion. This is one of those issues that is not black and white,... more

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+1

Bigger implants

I almost never find my patients asking for larger implants after having surgery. I think it is because after I examine them and select an implant I then have them do a baggy test. After the baggy test adjustments of volume are sometimes made.
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Determining Breast Implant Size

The real issue is long-term support for the weight of the implant. During surgery the implants are placed into a space created under the breast gland or both the breast gland and pectoralis major muscle of the chest. With the possible exception of "shaped" cohesive gel implants, which have a textured surface, a patients body will not "grow into" the implant. So consideration has to be given the long-term support of the implants, which is provided by the ligamentous tissue in the breast.... more
+1

Why Don't Doctors Encourage Women to Go Bigger...

Usually, the surgeon's main concern is patient satisfaction with the outcome of their surgery. However, this concern has to be combined with safety for the patient as well as what looks natural. Deciding the proper size Breast Implants can be very hard for most patients and sometimes they wait until the last minute to decide. The plastic surgeon will often have a try-on session where different sized implants are placed in a bra to give an idea of what size is desired. ... more
+1

The bigger, the more problems

Bigger is not better. The smaller, the more natural and the bigger you go the more problems you may have, such as sagging, bottoming out etc. it's your body, not mine, so go wild if you like.
+1

Why don't doctors encourage patients to go biogger in their breast implants?

Having a breast augmentation is a big decision for the patient. Many patients come with asking for a specific size of impalnts as regards volume. But when choosing implants you cannot just rely on a particular size. It is important to take many variables into account including chest dimensions, quality of the skin envelope, height and weight as well as patient's occupation and recreational sports. Your plastic surgeon has to guide you in trying to achieve the best result for... more
+1

Breast implant size should be determine with the patient's best interests in mind

When it comes to choosing breast implants, I leave the size up to the patient and I just guide them along in deciding what size is best for them. If you think 500cc is right for you, then you should get 500cc implants! I usually take a lot of time with my patients in determing the best size as this is a very important decision. We take implant samples and place them in the bra to get an idea of how they will look after breast augmentation. In addition, we look at... more
+1

Bigger isn't always better in breast implants

It is possible to choose the right or best breast implant for you. Your body limits how big you can go because you can't use wider implants than your chest width will allow. High profile implants of the right width are the max you can have. So, it is naive to assume that you could always just "go 50 cc's bigger." If the implant was chosen properly, you have the max you can have.
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Comments (2)

Mine did! After doing some research here (and looking at probably thousands of before/after pics, lol) I definitely will be going bigger than I originally planned!
  • Reply
Thank you doctors!!
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These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.

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