475cc Saline to 600cc HP Gel - Too Big?

Question

I am 5'1" 107 lbs,50 year old mother of 3 , started with small A went to 450cc filled to 475 cc saline now a C. planning on having 600 Cc gel HP.does anyone think this will be to big??while breast feeding i was a size 36DD so i do have the stretch.

Otto Joseph Placik, MD · Answer

AT your less than average height, I would not recommend the 600 cc implant without a discussion of the long term consequences. Without trying to sound too insulting, a very large implant (600 cc is) can make a shorter prson appear more heavy and you will be pressured to remain thin or wear garments that exaggerate your waist and crate an hourglass figure in order to avoid the appearance of a round midsection

Andrew P. Trussler, MD · Answer

Breast implant size is a very individual decision with multiple variables. These include, height and weight, chest size, and pre-existing implants. It sounds like you already have large implants in place and are small framed. It is unclear why you want to change the implants out, but likely you have stretched out and your breasts have thinned and sagged with the large implants. Commonly the thought is just put in a larger implant which it sounds like you have been recommended, though likely you need a breast lift with a size appropriate implant. Consider a second opinion because some decisions will prove costly and irreversible.

David Shafer, MD, FACS · Answer

Without examining you, it is difficult to comment on what is "too big." However, 650 cc implants are large and can add considerable weight to your chest. The effect of the added weight can be a stress on your skin which may lead to stretching over time. My advice is to discuss your expectations with your surgeon, including the risks and benefits in your specific case. Good luck.

Roy Kim, MD · Answer

Every patient and body frame is different, but for your frame, height, and weight, 600 cc implants is farily big.  Too big is in the eyes of the beholder, but 600 cc breast implants would probably be difficult to accomodate in a normal bra long term.

	You are also in danger of stretch marks, early breast ptosis/ breast sag, and will probably need a breast lift much sooner than a smaller breast implant size.

Paul Gill, MD · Answer

Thank you for your question. It is much better to accurately discuss implant volume and projection with an in office exam and detailed measurements. In order to make an accurate size recommendation, I would need to assess your chest wall and breast mound measurements/characteristics. I use these measurements to help me during the sizing process to guide you to a safe result for your chest wall and just as important, one that meets your end desires.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 during the sizing process. In addition, review of photos and use of rice bags can be very helpful to the patient and surgeon in achieving a safe and happy result. Close intereaction and involvement from your surgeon during this process can help alleviate the anxiety and fears of choosing the right size. I wish you a safe recovery and fantastic result.Dr. Gill

Matthew Concannon, MD · Answer

You are a very petite person, I think that going any bigger will not be a good aesthetic result, and may make you look "heavy". We have found that after breast augmentation, the patient is usually very excited and thrilled. After some time has passed, they miss that excitement of the newness of the implants, and think that perhaps going larger will be a good thing. In your situation I would discourage you if you were my patient.

Steven Wallach, MD · Answer

For a small woman, you are going to have very large breasts and it may be too much to "handle."  Hard to sya without an exam.

David Bogue, MD · Answer

First off, the blanket statement - 600cc implants are huge implants. Your frame is 5'1", 107 lbs and 600cc implants are most likely wider than your chest. You already have large implants at 475cc. Why are you going to 600cc? Have you had problems with implant rippling or does the breast skin appear to be sagging over the implants? At 50 years of age, your breast tissue is being replaced by fat, the skin is losing elasticity, and the tissue around the implants is going to thin. Switching to larger implants may help with "filling out" the breasts in the short term, however, is likely to lead to implant malposition and increased tissue thinning. I recommend having a thorough discussion with your plastic surgeon on what you dislike about your breasts and what the options are besides increasing the implant size.

Robert Brueck, MD · Answer

Going to a 6600 may be too big.alot depends on the amount of soft tissue you have.If the soft tissue over your incision is thin and you are a smoker you could be setting yourself up for an implant exposure.Soemtimes this tissue is so thin and then the patient smokes and look out so i would say be cautious.

Darryl J. Blinski, MD · Answer

As stated IT is a personal decision. I think a posted photo would have been helpful. My guess is the 600 cc's wil be ok.

475cc Saline to 600cc HP Gel - Too Big?

Answers (15)

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