Are 650cc Saline Implants Too Large Under the Muscle For a 34A?

Question

I am 160 lbs 5'3 34A cup, I went in and looked at 650cc. I liked how it gave my small waist and wide hips a hour glass look. The doc side i had enough room to carry a large implant,but I am worried it will harm or misshape my breast.. I am going under the muscle

Daniel A. Medalie, MD · Answer

650 cc implants are quite large. It would be very helpful to see pictures of your chest or get an idea of what the base diameter of your breasts in centimeters is. Each sized implant has a given diameter (this depends on its volume and profile). For instance, a 350 cc moderate profile implant has a diameter of around 13.5 centimeters. A 650 will be much wider. If you breass base diameter is very wide, then you can tolerate the larger implant. If you are more narrow (i.e 12-14 cm)then the implants will be too large for your frame, despite your weight or hip size. Please also remember that, "the bigger they are, the harder they will fall." I recommend going in to talk to your plastic surgeon again and looking at other pictures of implant patients with your same heihgt, weight and chest diameter to get an idea of how such large implants might look on you.

	Regards,

	Daniel Medalie, MD

Jeffrey E. Schreiber, MD, FACS · Answer

From your description, it sounds as though you are good candidate for 650cc implants.  They are large and will give you much larger breasts, but if that's the look that you like than your request seems reasonable.  Going underneath the muscle will help to "hide" the implants and give you a more natural look than if you went over the muscle.  Good luck!  Dr. Schreiber

Steven S. Carp, MD · Answer

I would consider an implant over 600cc as very large.  In most patients this can carry an increased long term risk.  Without photos and and examination it is difficult to say if that is too large for you.  However, based on your height and weight, I would think that 650cc implant might work.  A thoughful and skilled surgeon should never put an implant that is too large, simply to satisfy the patients size.

Steve Laverson, MD, FACS · Answer

It is impossible to answer without knowing your dimensions and the compliance of your skin envelope.  More important than implant volume are implant dimensions, the diameter, and projection, and how they align with your anatomy.  Trying implants on in the surgeons office helps, as does pre surgical 3D simulation, such as the Axis Three device.  If you have a broad chest, relaxed skin (e.g. post partum), and want to go up two or more cup sizes, 650cc probably not too large.  Realize that most of the volume is in the width, not the projection.  If you need a lift of the nipple areola complex, larger implants facilitate this.

Tom J. Pousti, MD · Answer

Thank you the question.

	I think the most important decision you make (when you have decided to proceed with breast augmentation surgery) is choosing a board-certified plastic surgeon whom you trust and can communicate with. Once you develop this trust and communicate your goals clearly with your plastic surgeon the specifics of the operation (including the implant model and/or range of breast implant sizes)  can be  decided upon. You will find that each plastic surgeon has his/her preferences so you need to feel comfortable that the surgeon you choose is capable (based on documented experience with before and after pictures and/or referrals) of achieving your goals.

	It will be very important to communicate your overall goals with your surgeon.  In my practice, the use of photographs of &ldquo;goal&rdquo; pictures (and breasts that are too big or too small) is very helpful. I have found that the use of words such as &ldquo;natural&rdquo; or &ldquo;C cup&rdquo; or "fake looking" or "top heavy" means different things to different people and therefore prove unhelpful. Also, as you know, cup size varies depending on who makes the bra; therefore, discussing desired cup  size may also be inaccurate.

	 I use  intraoperative sizers and place the patient in the upright position to evaluate breast size. Use of these sizers also allow me to select the breast implant profile (low, moderate, moderate plus, high-profile) that would most likely achieve the patient's goals. The patient's goal pictures are hanging on the wall, and allow for direct comparison. I have found that this system is very helpful in improving the chances of achieving the patient's goals as consistently as possible .

	 By the way, the most common regret after this operation, is &ldquo;I wish I was bigger&rdquo;.

	 I hope this helps

Are 650cc Saline Implants Too Large Under the Muscle For a 34A?

Answers (10)

Answer: Are 650cc implants too large for me?

Answer: Are 650cc implants too large for me?

Answer: Breast implant sizing

Answer: Breast implant sizing

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Everything you need to know about Breast Implants

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Are 650cc Saline Implants Too Large Under the Muscle For a 34A?

Answers (10)

Answer: Are 650cc implants too large for me?

Answer: Are 650cc implants too large for me?

Answer: Breast implant sizing

Answer: Breast implant sizing

Browse related questions

Recommended reading

Everything you need to know about Breast Implants

Our mission is to create a world where every investment in modern beauty is Worth It.