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

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.

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 “goal” pictures (and breasts that are too big or too small) is very helpful. I have found that the use of words such as “natural” or “C cup” 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 “I wish I was bigger”.


I hope this helps