What Are Realistic Long Term Results with 650 Cc Silicone Implants? (photo)

As others have stated, without personal examination it is impossible to give meaningful advice regarding the appropriateness of your choice. Trying on implants in a bra and stretchy top will help you determine if 650cc is in keeping with your goals, and only your surgeon can evaluate your exact anatomy at the time of surgery to determine if your choice is compatible with your tissue/skin laxity requirements.

That being said, there tends to be a bias against large implants in many of my colleagues' answers, when in fact I find at surgery that precisely those large(r) sizes tend to be required to adequately "fill" a woman's loose breast skin! Small(er) may be better when there is no cutaneous laxity, but when trying to avoid the scars and cost of a breast lift to tighten loose skin (or in your case, having to re-do your lift), adequate implant volume is often required to fill the existing skin brassiere and avoid the "rock in the sock" appearance!

So, if YOU like the look that 650cc provides, and your tissues require the volume that 650cc provides to fill out your deflated breasts, then by all means do not be deterred by talk about "sagging sooner." Genetics and individual skin elasticity are much more important determinants of "early or late sagging" than 8-10 ounces of implant volume. And, of course, you can always re-lift your breasts or reduce implant size (or both) later in your life if you so choose. Do what works best for you now; the future is promised to nobody! Best wishes! Dr. Tholen

Maybe because I practice on the east coast but I think those implants are large, nothing wrong with it but you will have a very obvious operated look and if that is what you want than all the best. Large implants will stretch out your lift as well

You can safely proceed with breast implants after a lift. You are, however, picking a very large size. This can be done, but this large size increases your risks. It is not risks of being injured or harmed. But it is risks that include that implant placement will not be just right after settling. Large sizes like 650cc requires that more of the muscle is transected or cut at the bottom of the muscle. This increases the chance of drooping or dropping too low in the future.
I will recommend starting with a smaller size below 500 cc. This is often a very good D cup anyway. After you heal you can more safely switch to a bigger size in the future.
Hope this helps
Dr Saunders

Thank you for your question and for providing the photos. Selection of implant size leads to much of the anxiety of breast surgery, and thinking about the long term results instead of volume is a wise thought. The axiom that larger implants sag more over time is true. It also makes intuitive sense when you remember that larger implants weigh more and will therefore, over time, stretch the skin more. This needs to be taken into account when selecting the implants.

To get a full but natural result, select an implant whose width matches the width of your chest. The choice of projection will then determine how full you will look. I can't make an determination without examining you, but a 650cc implant does have a fair amount of weight and will likely sag over time.

It would be best to talk about your concerns with your plastic surgeon. Make them aware of your concerns over the long-term result and try to balance your desire to look full with the risk of recurrent sag. I am sure that a happy medium can be reached.

Best of luck with your breasts.

Jeff Rockmore

 

It is great that you are thinking about the long term because all too often patients focus on immediate results.  Over the long term, 650cc implants will certainly lead to more sagging of the breast than a smaller implant.  Given that you needed a breast lift your tissues have already shown that they are somewhat loose and this will increase the stretching of the tissue over time.  With an implant that large you will also need adequate support to keep them from sagging as well.  That likely means bras nearly 24/7.  Don't forget that you can still use clothing to accentuate your look even after a breast augmentation.  You don't necessarily have to have a full look every waking moment of your life and you can use clothing for an extra umph when you want to.  With a more modest augmentation you can minimize the risks of long term droopiness and still improve your shape.  Make sure you review the long term results with your surgeon before your procedure.  Good luck.

Yes, 650cc is reasonable, provided base width of the implant matches your breast base width, and (in my opinion) you're not an avid runner, volleyball, or basketball player, in which case very large breasts may be cumbersome and uncomfortable.  May not look "natural", but what is natural anyway?  My guess (emphasis GUESS) based on experience is that you'll be proportionate and sexy, but large busted.  Again, as discussed on our website, dimensions of the implant (width and projection) are much more germane in determining whether they are right for you than volume.  A 650cc implant that is wider than your base width is too large for you, and a 650cc implant narrower than your base width may be too diminutive.