Want Big Round Fake Stripper Look - 19 Years Old

My first question to you is why do you want to do this? Choosing a "big round fake stripper look" when you are 19 years old has a number of consequences. Generally speaking, the bigger the implants the bigger the problems. You can always find someone to gives you what you want, but that is not the mark of a quality surgeon. There is a lot of judegement involved in getting a beautiful result.  For someone who weighs 110 pounds and has a 32 inch chest circumference, placing 550-600 cc implants could give you a "uni-boob" look. Your skin can only hold so much volume, and when you try to stuff it past capacity the middle can lift up and make it look like the breasts are connected into one. Also, the bigger the implants the more you stretch your skin, and the more pressure you place against your own tissues. The stretching and thinning effects can be permanent. At 19, you may not be thinking about drooping of your breasts, but this too is a concern with time. Breast implants are not a lifetime device, and this will not be your last surgery. Surgery is not something you can take back, and can leave permanent effects even if you take the implants out later. Please think about what it is you really want. If you are interested in a DD bra cup size, in a petite woman this can be accomplished with less volume. You cannot compare the implant volume between friends. There are many other factors involved in choosing an implant or reaching a certain cup size. Each body is different. I recommend consulting with a board certified plastic surgeon in person to really evaluate your goals. Good luck!

One of the
most important decisions facing breast augmentation patients is the size of
breast implants that will be used.Most
patients are striving for harmony, balance, and proportion with surrounding
anatomic structures.Typically, they
want a natural look, with some fullness in the upper breast areas.Occasionally, women desire accentuated upper
pole breast fullness.The patient consultation is the
starting point for their decision and every effort should be made to have good
communication.Most patients tend to
speak in terms of cup size.Unfortunately, cup size isn’t always helpful because manufacturers of
bras label their products differently and women don’t always wear their bras
the same way.In other words, some women
wear their bras snugly, while others wear them loosely.This creates communication problems when
talking cup size.In an effort to determine breast
size in a more objective manner, we utilize external silicone sizers and the
Vectra 3D computer imaging system.External silicone sizers are designed to sit on top of the patient’s
breasts.They can be held against the
patient’s chest or placed inside the patient’s bra.This technique helps the patient visualize
what their breasts will look like with a specific sized implant.It also gives them a sense of the volume that
will sit on their chest wall and how it feels.The 3D Vectra imaging system is a
relatively new technology that we have found to be extremely helpful for
determining breast implant size.This
system allows a patient to visualize different sized implants on their actual
body.Patients find this to be extremely
helpful.The ability to visualize your
projected surgical result alleviates much of the anxiety associated with this
procedure.We feel that both the use of
the external silicone sizers and 3D Vectra systems accomplishes this goal.It’s important to remember that final
adjustments in the size of breast implants will ultimately be made in the
Operating Room, depending upon anatomic factors.

Unless you are obtaining implants for professional reasons , i think that size implant could cause you difficulties down the road and you should rethink your choice.  

There is no specific volume of implant that can be considered "too big", since each patient has a unique anatomy.  However, if the implants are too large for your tissues, you could experience more problems and complications in the future due to the skin being stretched out too much.

Don't be too consumed with a specific number of cc's that you want, but rather, consult with a board certified plastic surgeon and convey your desires and goals.  Your surgeon will give you guidance and hopefully use good judgment to arrive at an appropriate size for your body. There are great surgeons in the Memphis, TN area.

Best wishes,

Dr.Bruno

If you go too big you could end up with a problem called synmastia which is lifting of the breast beyond the midline which in the photo that you show is very close to happening.  Complications from breast augmentation are more likely when implants which are too large for the patient are placed.  You should discuss your concerns with your plastic surgeon carefully and listen to what his/her  recommendations are regarding size.   Also cup size varies from depending on the style and brand.  I have seen that some bra brands run 2-3 sizes bigger where a D cup in one brand can be a B cup in another.

There is not a direct correlation between implant size and bra size as bra sizes will vary not only between companies but even within the same company.
The size of the implants is based on a combination of a patient's goals
and objectives and her anatomy. In order to provide a natural looking 
augmentation, the surgeon needs to evaluate many factors including soft 
tissue coverage, skin laxity, chest wall width, breast imprint width, 
the shape of the breasts and relative level of constriction to ensure 
that the breast implants are appropriate for your body. 
Consult in person with an experienced and expert board certified plastic surgeon to understand your options to achieve your desired appearance and the risks/limitations with large breast implants.

Unfortunately, there is not a general rule of thumb or objective criteria to implant selection.

Your plastic surgeon will perform several measurements of your chest wall and breast anatomy and determine a range of implants that both fit your chest wall and reach your desired goals.

The next step is to try on this range of implants in the office with your doctor.   The key to this success is showing your surgeon the body proportion you desire with a bra sizer and allowing your surgeon to guide you to the right implant.   It will be much easier to communicate in implant cc's than cup size when determining the appropriate implant for you.

I wish you a safe recovery and fantastic result.

Dr. Gill

Dear Chelsblair,

My dad always told me that the customer is always right.  This assumes that the customer is apprised of the implications of his or her purchase.  You and your Plastic Surgeon can choose the volume in order to get what you want.   What you need to consider is the unintended consequences of large high profile implants on your breast soft tissue envelope.  On the short term all will be fine.  On the long term I would expect attenuation or thinning of your breast tissue which is irreversible and can be devastating.

There are some patients who can do well with larger implants but usually over time the changes are significant to your detriment. 

My response to your question/post does not represent formal medical advice or constitute a doctor patient relationship. You need to consult with i.e. personally see a board certified plastic surgeon in order to receive a formal evaluation and develop a doctor patient relationship.
 

As long as what you are asking for is not harmful for you, you should be able to pick out what YOU want.  There certainly is some debate by Board Certified Plastic Surgeons that bigger implants cause more complications.  It is true that the thinner the tissue, the more asymetries you see like rippling.  There are consequences for your life that will be affected by your decisions.  Measurments as to your breast width, and soft tissue coverage are very important as to what is best, or at least reasonable to you.  Keeping all that in mind, you are the consumer, and a Board Certified Plastic Surgeon should be able to help you acheive what you desire within reason after a good physical exam.  Good Luck in your search. 

Although it may be possible for you to get what you want in one or two surgeries, I advise to see the results of patient who had similar procedure and look at complications. They may make you change your mind.