What Does Going Your Max Mean?

I already had my breast augmentation and have slightly bottomed out. I went with my max, which was 390cc's (5'2,98lbs,34Acup). What does going with your max mean? Is it the max size the surgeon can fit or the max size without risking size related complications....both? I just wonder what my max should have been now that I've bottomed out.

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8 Doctor Answers | Asked by PetiteGirl in Canada

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Augmentations to the Max

Choosing a breast implant brings together several factors a) Patient desires in terms of the cup size the patient wants to achieve. b) Patient lifestyle and activities (exercise, sports, etc.). c) Patient measurements (for bio-dimensional planning) -- such as breast base diameter, sternum to nipple distance, etc. d) Judgment of the surgeon based on the above measurements, elasticity of the skin, and evaluation of the patient in person. In that sense, there is... more

Augment to the max

I would like to see a picture of you with your arms at your sides. I think your position distorts what we see. it does seem to be a fairly large implant, it is difficult to be precise about what the max is. i have gotten away with implants that size in someone your size , but the larger you go the more risky it is. it seems clear that for you the max has been reached and a revision would involve smaller implants.

Augmenting to the max

The maximum size in my practice is the largest implant that will fit the natural horizontal dimensions of your chest and the laxity or tightness of your tissues. The volume can be variable based on the profile of the implant, but the diameter is set by your build. An implant that violates the diameter will end up in your armpit, create "unaboob" a.k.a. synmastia, or be too tight and constricted. None of these are good things. I sometimes turn patients away... more

You will revision including going with smaller implant

You have very small amount of breast tissue and your implants are too big for you. Revision of the implant pocket will not work will because of the implant size that you have.

Kamran Khoobehi, MD

28 reviews

New Orleans Plastic Surgeon

Maximum volume for breast implants

Although there is no absolute maximum volume for breast augmentation, a plastic surgeon must take into consideration the size and shape of the patient's chest, the elasticity of the skin and/or muscle, the shape and amount of breast tissue, as well as other factors before determining what size range would be appropriate or feasible. Each patient is unique, and most plastic surgeon will counsel patients on a reasonable size range for their particular situation. more

Choosing the maximum implant size may not be your best option.

Choosing the right size, shape and surgical technique for each breast augmentation patient requires an assessment of your tissue, extensive experience as well as you maintaining realistic expectations. It is not technically more difficult to place a larger or smaller implant. However, larger implants mean more risk of the problems that you are experiencing. Plastic Surgeons must make recommendations based on an objective assessment of your tissues.... more

Max volume for implants

Hi PetiteGirl, I just answered your question about implant rippling and bottoming out. Implant sizes are chosen together by you and your plastic surgeon. It is the surgeon's responsibility and duty to give you the best advise based on your physical examination. Implant size is picked based on you chest wall measurements, breast base diameter, quality of the breast skin, compliance of the envelope, how much breast tissue you have for coverage. I personally do not deviate... more

Max has different meaning to different surgeons

In general every surgeon has a limitation where the risks of placing a larger implant does not justify the risks of complications and poor aesthetic outcome. Form many surgeons including myself, the base width of your breast is the maximum footprint to any implant to be implanted. With regard to bottoming out, it is difficult to evalulate with a single photo with arms raised. Chen Lee, MD, MSc, FRCSC, FACS