Is 425cc implant to big?

At
size 32 each 100 cc’s of implant corresponds to 1 cup size change. 425 cc implants will take you up 4 cup sizes
to a size G, will not fit retro-pectoral, will extrude inferiorly and laterally
requiring revision. I always recommend
small round silicone gel implants placed retro-pectoral since they look and
feel more natural, are more stable, less likely to ripple or have complications
needing revision. The profile of the
implant is irrelevant in the retro-pectoral position since the muscle
compresses it. Best Wishes,Gary Horndeski, M.D.

is this too big?  Possibly.  It depends on what you want.  Have you tried a 425 sample and considered how big it looked on you?It will certainly not look 'natural' on your small frame but it is possible and we have patients in our clinic who like the look.

A lift augmentation is an inherently illogical operation.Anyone that needs a lift has breast skin that couldn't hold up the current breast weight.Putting in an implant adds weight.  It doesn't make sense.  But we do it, because there are many patients who are droopy and want to be larger.But it is important to recognize these limitations.Any high profile implant looks like a ball and will not look natural or pretty (in  my opinion.)  They also put excessive pressure in the lower pole of the breast and possibly exaggerate stretch and bottoming out afterwards.425 is an extremely large implant.  No one can objectively tell you whether it is too large for you unless you give us your base width.  But unless your breast is over 15 cm wide - which I ahve never seen on someone your size - it is clearly too large.  And its weight - near a pound each - is likely going to cause more stretch of your breast skin than if you put in a lighter implant.I have never seen a surgeon present at a meeting a long term post operative photo of someone getting a mastopexy augmentation with a high profile 425 implant. If you find a surgeon who can demonstrate to you that they can do it and get it to work, then consider it.  And please have them email me and teach me how they do it.  I'm betting no one will take me up on the challenge.

I prefer not to go quite that large when combining a lift with implants.  It depends on how much of your own breast tissue you have and photos would help. But if you are already a C cup, 425 cc's added to that will be quite large.

Without photos it's hard to say if 425cc will be too big for you after your lift.  It will depend on how much of your own breast tissue your surgeon is going to remove with your lift and what your desired result is.  Implant size is a decision you and your surgeon should go over together.  If you are unsure, talk in more detail with your surgeon.  ac

Thank you for your question.To best help you please send in some pictures consisting of a front, left and right side view of your breast in order to determine which procedures and technique would be best for your case.

The choice of an implant size depends on many factors
including: your anatomy, desired appearance, realistic expectations, chest
width, existing breast tissue dimensions, and extent of laxity of the
skin and underlying tissues. The best cosmetic results are not just dependent
on the number of CCs, but also on proper width, height, and projection of the
implant for your particular anatomy, since every patient is different.Following the advice of anyone on this or any other
website who would presume to tell you what to do without taking a
full medical history, examining you, feeling and assessing your tissue tone,
discussing your desired outcome and fully informing you about the pros and cons
of each option would not be in your best interest. Find a plastic surgeon that
you are comfortable with and one that you trust and listen to his or her
advice. The surgeon should be certified by the American Board of Plastic
Surgery and ideally a member of the American Society for Aesthetic Plastic
Surgery (ASAPS). You should discuss your concerns with that surgeon in person,
and try on sizers.Robert Singer, MD FACSLa Jolla, California

Thank you for the question.
Despite good intentions, online consultants will not be able to provide you with  meaningful specific advice.  Ultimately, in person consultation with well experienced board-certified plastic surgeons will be necessary. Careful measurements, dimensional planning, and careful communication will be key.Generally speaking, the best online advice I can give to ladies who are considering  breast augmentation surgery ( regarding breast implant size/profile selection) is:1. Concentrate on choosing your plastic surgeon carefully.  Concentrate on appropriate training, certification, and the ability of the plastic surgeon to achieve the results you're looking for. Ask to see lots of examples of his/her work.2. Have a full discussion and communication regarding your desired goals  with your plastic surgeon. This communication will be critical in determining  breast implant size/type/profile will most likely help achieve your goals. 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 D cup”  etc means different things to different people and therefore prove unhelpful.
 Also, as you know, cup size varies depending on him who makes the bra; therefore, discussing desired cup  size may also be inaccurate.





3.  Once you feel you have communicated your goals clearly,  allow your plastic surgeon to use his/her years of experience/judgment to choose the breast implant size/profile that will best meet your goals.  Again, in my practice, this decision is usually made during surgery.I hope this (and the attached link) help.

the best guide as to whether the implant is too big is to compare the width of the implant to the width of your breast.   The implant should only be about 1/2 -1 cm wider than your width.    Any more discrepancy will put you at risk of having an implant that will bulge on the sides and can eventually start moving into your armpit when lying down.  The best advice is to stay conservative 

Thank you for your question.  I agree with others that many factors go into the choice of breast implant size.  Your plastic surgeon should have done biometric measurements, and a breast implant sizing system to give you an idea of what a 425 cc breast implant will look on you.While a 425 cc breast implant certainly can be accomplished during the course of a breast lift one has to be concerned about the effect of such a large implant on the breast tissues that have been surgically lifted.  The breast lift will be changing the position of your nipple, and may include removing some excess skin, and these procedures can interfere with blood supply to the nipple.  If too large an implant is placed beneath the breast which has been compromised by the lift, complications such as nipple loss and skin loss can occur.You need to have a very serious and thorough discussion with your plastic surgeon about the risks imposed by using a 425 cc breast implant during the course of a breast lift.Generally speaking in my practice the course of a breast lift implants in the range of 300-375 cc are typically the largest that I use.