Choosing Between 500 and 550cc Breast Implants

Question

I'm 5 ft 2 in 150 pounds, I am a small A cup now and have tuberous breast so I'm getting a lift. I can't pick between 500 or 550 Im and getting Mentor moderate plus silicone. HELP ME!!!!

Jeffrey E. Schreiber, MD, FACS · Answer

It seems as though your are going very large with 500 or 550cc implants, and the extra 50cc won't make much of a difference. Also, it sounds like you have a small frame and build, so make sure you want such large implants! Try taking samples of the implants and place them inside your bra to give you a rough idea of how you are going to look afterward. If you want to go very big, you're on the right track with 500 or 550cc implants. Good luck!

Christopher V. Pelletiere, MD · Answer

The difference between 500cc and 550cc is realtively small once the implant is in place. I doubt you would really know the difference between thetwo once they were placed. You should discuss this with your surgeon, and he/she should be the final arbitrator on implant size. Their job is to find what is going to work best for you, limit your complications, and help you achieve youir final goal. Sometimes this clashes with what a patient desires in implant size, but the surgeon's job is to assess everything and come up with a good size. I would let your surgeon make the final decision.

Otto Joseph Placik, MD · Answer

A 50cc difference is not a significant difference in size and it is very likely that you would not notice the difference. That having been said, this large of an implant in an individual or your height with tuberous breasts is highly prone to a double bubble type deformity and I would discuss your implant choice and diameter with the surgeon.

Ricardo L. Rodriguez, MD · Answer

Before you make up your mind about size, first determine the kind of look you want. 

	What kind of cleavage?  See the link below for a post on the influence different cleavages have on the look of your breasts. Tuberous breasts have a narrow base, so you should consider an implant with a wider base, i.e. moderate versus high profile.

	Secondly, make sure you get a lift with minimal scarring. A periareolar scar should be more than enough. See the link below for an example

Paul Gill, MD · Answer

Unfortunately, there is not a general rule of thumb or objective criteria to implant selection.

	Your plastic surgeon will perform several measurements of your chest wall and breast anatomy and determine a range of implants that both fit your chest wall and reach your desired goals.

	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.

	I wish you a safe recovery and fantastic result.

	Dr. Gill

Peter A. Aldea, MD · Answer

The difference between 500 and 550 cc is NOT worth worrying about. What is worth reconsidering is your decision to have large implants put in.

	From your description, it is highly unlikely that your have the breast and chest soft tissue available to cover implants of these dimensions. As a result, your breasts WILL appear "done" and show the rippling of the underlying, uncovered breast implants. In addition, the implants will make their way to the sides of the chest where would bump against your arms as they move forward and would be associated with breast thinning and rapid sagging. If you are hell bound to get these implants, pick the smaller ones.

	I would strongly advise you to get a second opinion and ask the surgeon, if you were his daughter what implants would he use in you.

Steven Wallach, MD · Answer

I would be hesistant to put such large implants in a patient with tuberous breasts if you really have a tight lower pole. The implants will more than likely not be ablt to correct this problem. You are probably better off with smaller implants and then later on perhaps a year later go up in volume.

Darryl J. Blinski, MD · Answer

No photos hard to advise. But I agree with the "double bubble" effect is very likely to happen. See more opinions to determine either staging the surgeries and implant size.

	From MIAMI DR. B

Scott E. Kasden, MD, FACS · Answer

The difference is mainly seen in the diameter of the breast that will give you fuller cleavage, and more prominence to the side of the chest.  Also, larger implants will be fuller front to back, and also in the up and down dimension.

	You may want to consider spltting the difference at 525 cc's

Michael C. Edwards, MD, FACS · Answer

It is not uncommon in my practice here in Las Vegas to use larger implants but that seems large for your frame especially with a tuberous breast. When it gets right down to it though, there isn't all that much difference with 50cc, especially in a larger implant. I would suggest ou talk with your plastic surgeon about the size implant and the degree of tightness of the lower part of your breast.

	I wish you well.

	Dr Edwards

Choosing Between 500 and 550cc Breast Implants

Answers (12)

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