PS Said 500 Cc HP Implants Because of Extra Skin. Im 5'8" 140 and Scarred of Complications? Can't I Get a Smaller Implant? Doctor Answers, Tips
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PS Said 500 Cc HP Implants Because of Extra Skin. Im 5'8" 140 and Scarred of Complications? Can't I Get a Smaller Implant?

I don't want to be a D cup just a C but I breastfeed four children and have extra skin. What should I do surgery is on Monday and I already paid.

18 Doctor Answers | Asked by Ssmith512
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Implants

If you are not happy with the style or volume of the implant that has been recommended or chosen discuss this with your surgeon
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Implant size

If you are not comfortable with your surgeon and your choice postpone your surgery and get another opinion. I do not believe that putting in a larger implant to take up extra skin is a good idea unless you want that look. I would suggest a lift and a smaller implant. This is without looking at your photos.
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Implant size

If you have extra skin, placing an overly large implant may stretch the skin further and may exacerbate the problem. It would be helpful to see photos. You may really need a lift done along with a smaller implant.

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500 cc High Profile Implant for 'Extra Skin'

Hello Ssmith, As you can see from the exuberant number of responses, the majority told you that even without photographs, a history of four breast fed children and the declaration of 'extra skin' by your potential doctor, the proper management of your likely situation is NOT with either a large implant or a high profile implant. You are probably (can't be sure, no photos) a candidate for a breast lift and implants. Implant size selection should not be based on your height or... more
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Excess breast skin

First, if you are not 100% committed to this surgery then I would suggest that you cancel/postpone it until all of your questions and concerns are addressed. Without photos it is difficult to tell you much. Implants are designed to add volume to your breasts. That is ALL they do. They will do nothing to lift your breasts. If you have excess skin and that skin is sagging then you might be a better candidate for a breast lift. Again, it is difficult to... more
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Implants after pregnancies?

Without photos or more of a history it is difficult to say what would be best for you. 500 cc implnats will most likely bump you up in cup size significantly.
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Breast enhancement choices

We really need to see a photograph and understand your breast dimensions to understand your choices. Vectra 3D imaging is a wonderful tool for evaluating the breasts and understanding what an implant can and can not do. IF you have a lot of sagging then the vectra does not work as well. If you have a large amount of extra skin and sagging breasts and want a smaller breast size you may be better off considering a breast lift with a smaller implant. more
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500 cc Implants? Should the Implants Be Smaller?

In a taller or wider woman, 500 cc may take a small A cup to a large C cup. If you have very little breast tissue, 500 cc may be appropriate.
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Consider Postponing Your Surgery!

A patient with extra skin, a history of breastfeeding 4 children, and a loss of breast volume in the vast majority of cases benefits from a breast augmentation with a lift. Of course, seeing your photos would be important in determining a plan. However, a 500cc HP implant is large, heavy, short, and tends to "bottom-out" in a patient with excess skin and low breasts. If the only plan your doctor offers is a breast augmentation and you have reservations, I might... more
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Large breast implants

It is difficult to say without seeing pictures. We use the VECTRA 3D imaging system so that you can see what your breasts will look like after surgery with any size implant. You could see exactly what you would look like with 300cc implants compared to 500cc implants or any other size and then you can choose what size works best for you. In general, larger implants put you at risk for more complications like tissue stretching and implant displacement. I would recommend trying to find a... more
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Breast Implant for Extra Skin

Many surgeons, especially non board certified plastic surgeons, attempt to correct breast droop by putting a larger implant in than otherwise needed. This simply does not work. The only way to correct the extra skin that causes the droop is to remove it. This is called a mastopexy (or breast lift). It can be done at the same time as the breast augmentation to enlarge the breasts, but does require significant expertise. Without pictures it is hard to know exactly, but I would suspect that the... more
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PS Said 500 Cc HP Implants

Sorry but it really isn't possible to give you any ideas on a question like this without photos. But if you are worried you need to get in to see your surgeon to go over his plans and ideas soon. Generally we think of implants as taking up space in a certain area of the chest, not taking up skin. We reduce extra skin with a lift.
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Large implant is not the right way to deal with extra skin

Hi-Your post is a commonly asked question. While we are all speaking in generalities in the absence of a photo, in my opinion, a large implant is not the solution to excess skin which, I assume, has left you with sagging breasts. The operation of choice would either be a breast lift alone, if you have sufficient breast tissue, or an augment/pexy. Discuss this with your plastic surgeon as soon as possible because, after such a conversation, you may want to modify the surgical plan. It is... more
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Big breast implants cannot create the result that a breast lift can

I think using a big breast implant as a 'treatment' for breast skin laxity is not a good surgical plan, in general. I don't have photos or the details of your case - but its reasonable to consider a breast lift procedure and augmentation at the same time.
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Is 500cc too much

I think you need to talk to your surgeon right away before the procedure. I do not know your starting size now, but a 500 cc hp implant is a big implant. You may be better off with a small mod plus implant and a lift. you may sag somewhat from the pregnancies and need a lift or skin tuck so that a nice result occurs. Putting in a larger implant to avoid a lift does not necessarily achieve the nice natural cosmetic result.
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Bigger implants necessary because of extra skin?

Thank you for your question. You need to speak to your plastic surgeon immediately as your concerns need to be addressed before you undergo surgery. Without being able to examine you if is difficult to give you a specific answer to your questions. It is certainly possible for you to obtain a nice result with a smaller implant but you will need further surgery to eliminate the excessive skin . This extra surgery (mastopexy or breast lift) will leave you with... more
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Implant questions.

I don't think that this question can be fairly answered over the internet. I also think that your ps would want to know that you still have angst and questions about the procedure. I urge you strongly to go in for another consultation, and discuss options and concerns with him, and be frank. I expect complications to be few and low in rate if you are healthy. The worst thing that can happen is that you get a great result that doesn't meet your expectations- you will never be... more
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Implant size

If you think 500cc is too large, then you need to call your surgeons office and postpone or cancel surgery now. If the extra skin is the reason for the larger size, then you may be happier with a lift and smaller implants. Although the scarring is more extensive, most patients in this situation prefer smaller perkier breasts with surgical scarring, over large fuller hanging breasts, with excessive weight. Good luck.
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Comments (1)

NoMoreBoobEnvy (RealFriend) 8 Jan 2013
I breastfed my 1 child 17 (almost 18) years ago .. I had a lot of extra skin too. I did not need a lift, but was going for a D size. (I have been a deflated B since I had my daughter). I went with 457 ccs mod profile silicones under the muscle .. I originally was going to go with 425ccs but since EVERYONE I know who has had a BA has told me they wish they went bigger, I just went bigger! I secretly wish I went with 475's or 500's! Right now I am almost 2 weeks post op and am probably a DD and really hope they stay this way! I am still able to disguise them in a non, form fitting sweater so I don't look like a hooker (sorry if that is a little crass) during my professional, day job in healthcare IT. ;)

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