I'm 180 and 5'8 is 700cc Too Big?

Question

I'm a 34B BA and my weight is 180 but will drop 20lbs by operation, so far I have talked to surgeon he suggested 700cc is that gonna be too big? It's saline under the muscle w lift on left

Aldo Guerra, MD · Answer

Thank you for your post. Bigger breast implants are associated with higher complications, especially long-term. Some of these are not reversible once the breast tissue has atrophied and stretched. You should talk about this more carefully with your surgeon. Be sure that you seek the advice of a board certified plastic surgeon. Best wishes, Dr. Aldo.

Michael Constantin Gartner, DO · Answer

700cc does sound on the large size. Have you tried on sizers to check if it looks good on you? Are you comfortable knowing that there may be a higher risk of complications because of their size (e.g. stretchmarks)? I would recommend seeking a second opinion.

Jerome Edelstein, MD · Answer

It is difficult to provide advice as no other measurements have been provided. 700cc may work for you, or they may be too big but this depends on your current pre-surgery measurements  I use a technique known as Dimensional Breast Augmentation. This involves taking a variety of measurements of your pre-surgery body, such as your height, breast width, weight, etc. Then, we discuss your goals and with this information, a suitable implant size is selected. Find out if your surgeon does this for you.

Sacha Obaid, MD · Answer

700 cc breast implants are very big.  Please be sure that you have tried these on in your surgeon's office and you are comfortable with the look this will create.  Good luck.

Vishnu Rumalla, MD · Answer

Thanks for your question.  I would not reccomend such large implants, make sure you get another opinion of a board certified surgeon in your area.

John Michael Thomassen, MD · Answer

700 cc implants are generally in the very large range of implants. It will result in the obviously augmented look vs the natural look. If you tried them in the office with a sports bra and you liked that look, then they are right for you. Another option for you would be an augmentation with a more reasonable size and a mastopexy to correct your nipple asymmetry.

Vladimir Milovic, MD, FRACS · Answer

Thank you for your question. From your photo, I noted that there are stretch marks on your breast, so it appears that your skin has had significant expansion in the past. 700 cc is very large implant and I would recommend that you be more conservative in choosing the size of the implant, based on your breast anatomical landmarks. I don't believe that you will have enough tissue to camoflauge such a large implant, therefore you are increasing the risk of implant palpability and wrinkling, as well as other complications. I would advise you to discuss implant choices with your plastic surgeon, and choose a size that will not cause significant changes in the future. Best of luck!

Jeffrey Zwiren, MD · Answer

When considering breast implants it is best to consider implant projection and base diameter before volume. If the projection and base diameter are wrong then the breast will not look right no matter the volume. A 700 cc moderate profile implant will have a base diameter in the 14 cm range. Your surgeon should have measured the base of your existing breast before making this recommendation. An implant of this volume will increase your breast size by about 3 cup sizes. If this is what you desire then you have answered your own question. The main problem with an implant this large is that time, weight and gravity are not on your side. A large implant will over time stretch out your soft tissue and eventually lead to an increased risk of implant malposition that may not be correctable in the future.

Todd B. Koch, MD · Answer

I would reevaluate the implant size once you have achieved your ideal weight. 700 cc is a large heavy implant that will have long term consequences on your breast tissue. I would be more conservative.

Pablo Prichard, MD · Answer

Dear Esmeralda,

	Thank you for your question and photo.  How big are you desiring to be?  Size of the implant is more related to chest dimensions than cc's.  The base width of your breast (planned, not actual) is important in determining size.  Be careful of a size too big for your body to support.  Think long term on this.  How do you want your breasts to look 5-10 years down the road?  Very large saline implants under the muscle will not necessarily look good long term.  The muscle and gravity tends to push them down and to the side (arm pit) with time as there is nothing other than your skin holding them in place.  You do not want to have very large pendulous breasts down the road, but flattering and perky.  Make sure you are consulting by a plastic surgeon who is board certified by the American Board of Plastic Surgery.  Being a D size cup, I think would be fine for you, but going more than this may cause problems down the road.  Also, using textured silicone implants can help keep the implant in place longer term than a smooth implant.  The following is an example of a girl who went to a size D from a B with silicone textured implants with the proper base width implant selection. Her implants for example were 450cc.  She was about your size and weight.

	Best Wishes,

	Pablo Prichard, MD

I'm 180 and 5'8 is 700cc Too Big?

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