I'm 5"8, weigh 128 and a 36A, are 475-500cc silicone implants under the muscle to big?

Question

i have considered getting my breast done, i am currently fitting a 36a i dont want the busty look or to look silly. i was told to get under muscle silicone 475cc the doctor is pushing for 500cc. Will saline at 450cc be better or 475cc silicone?

Earl Stephenson, Jr., MD, DDS, MBA · Answer

Without your pictures it is hard to determine.  You need to schedule a consult with a board-certified plastic surgeon for an examination.

Peter J. Capizzi, MD · Answer

Your criteria alone are not enough to answer the question definitively; however , saline has the highest complication rate, larger implants have more problem than small, gel is softer, ruptures less, and is more stable over time if you use textured under the muscle. Finally, see your surgeon and consider going smaller such as 400cc or 425 round base gel for instance from Sientra.

Jose Perez-Gurri, MD, FACS · Answer

Thanks for your question. It's difficult to assess without the benefit of your pictures. IMHO 475cc-500cc may be too large for your current size. I don't know if you've had kids breast fed etc. All of which would help in determining how much skin laxity and soft tissue coverage is available.I would definitely use silicone gels placed behind the muscle. If you use saline, the chances of rippling or wrinkling go up exponentially as you increase in volume. The other question you need to ask yourself is what look do you desire. Fake or natural? Concentrate more on the look than the actual eventual cup size. Always remember that the eventual cup size following a breast augmentation is always the sum of the existing breast tissue volume plus the added implant volume. The same size implant in you may be a totally different cup size down the road than your friend.I have been in practice and performing breast augmentations for the past 29 years in the land of breast implants, Miami, Florida. I feel that many of the augmentations that I see have been overdone and look fake and vulgar. I prefer a natural look to an enhanced breast. The best compliment a patient of mine could be paid is: " I would have never guessed you had breast implants". Women have very creative ways of showing off their new breasts. However, what is appropriate for a social function or club is not appropriate for work.Think about it. When and if you decide to have your surgery please seek out a surgeon certified by the American Board of Plastic Surgery with years of experience in breast augmentations.How about the center, clinic or facility? Are they accredited by a national organization or do they just have State approval. Understand that at the current time, there are three nationally recognized organizations responsible for the highest levels of patient safety, AAAASF, AAACH and JCHO. You owe it to yourself to position yourself for the best possible results but under the most stringent safety regulations, If you have kids, even more so.How about anesthesia? Will you have a medical doctor certified by the American Board of Anesthesiology or a certified nurse anesthetist (CRNA)? Understand that there is no substitute for research. Cosmetic surgeries, no matter how simple they may be to the patients, are invasive procedures and as such carry certain risks and complications.I wish you the best on your journey. Good luck

Darryl J. Blinski, MD · Answer

With your statements concerning volume and filler so all over the place. Best to return for a more intense examination. Or seek additional IN PERSON examinations to clear all this up for you..

Michael B. Tantillo, MD · Answer

In my opinion implant selection should be a careful and logical process involving both patient and surgeon.  The patient should be able to articulate her aessthetic goalsl  bust fullness, figure balance and breast shape, and afer listeng to and examing the patient, the surgeon should be able to make sound recommendations as to how best achieve the goals of the patient.  So no one can give you a definitive answer on line.  I do think that 500cc implants are large implants and generally when patients choose such they have to make sure they are understanding the potential long term risks associated with their choice.

I'm 5"8, weigh 128 and a 36A, are 475-500cc silicone implants under the muscle to big?

Answers (10)

Answer: I'm 5"8, weigh 128 and a 36A, are 475-500cc silicone implants under the muscle to big?

Answer: I'm 5"8, weigh 128 and a 36A, are 475-500cc silicone implants under the muscle to big?

Answer: Implant Selection

Answer: Implant Selection

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Everything you need to know about Breast Implants

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I'm 5"8, weigh 128 and a 36A, are 475-500cc silicone implants under the muscle to big?

Answers (10)

Answer: I'm 5"8, weigh 128 and a 36A, are 475-500cc silicone implants under the muscle to big?

Answer: I'm 5"8, weigh 128 and a 36A, are 475-500cc silicone implants under the muscle to big?

Answer: Implant Selection

Answer: Implant Selection

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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.