500 Cc's Implants Already a 36dd is 500 Too Big? (photo)

I am re-posting the same question but, with pics. I am 5'9 170 lbs with very wide breasts. I am having a BA with scar revision. My current bra size is a 36DD. I want upper pole fullness. I have already had an anchor lift and I have no upper pole. My PS says to get this I need no less than 450 cc's and probably 500 with a wide implant. I'm just wanting to get some other opinions. I do trust my PS. I believe he understands what I want. Not a lot more projection but, upper pole and fullness. Thanks.

Doctor Answers 13

500 Cc's Implants

Thanks for including photos. The width of your breasts would indicate a full D cup fit, but if you put the breast tissue into a D or DD cup that does not have padding or push up features, you will find the upper half of the bra cup is way underfilled. The implant your surgeon is suggesting will add that missing fullness and I doubt you will see much if any change in the size clothing you wear.

Portland Plastic Surgeon
5.0 out of 5 stars 27 reviews

Upper breast fullness after breast augmentation

Upper pole fullness can be achieved with a large implants (temporarily) or by placing the implants in via the underarm route and not dissecting the pockets too low.  If you get  large implants (as has been suggested), you will look good for a while, but the sheer weight of the implants will eventually cause the breasts to bottom out.  If you use the underarm approach (using a fiberoptic system with a sterile camera...i.e. "endoscope"), the implants can be precisely placed.  With this method, you can use  much smaller implants (300-350cc) and get a better result initially and in the long term.  If your surgeon fills the implants at the upper end of the fill range, this too will result in more upper breast fullness. Hope this helps.

Victor Ferrari, MD, FACS
Charlotte Plastic Surgeon
5.0 out of 5 stars 36 reviews


If your breast diameter corresponds with the diameter of the chosen implant then you are in the correct range. The high profile implants have more projection and a less natural look

Norman Bakshandeh, MD, FACS
New York Plastic Surgeon
4.9 out of 5 stars 14 reviews

Thanks for the pi

You have a nice result and I advise against messing with it.  Your surgeon did a nice job and you should appreciate his skill.  Going with slightly larger implants, in my opinion is not going to make much difference and not worth the expense.

Ronald J. Edelson, MD
San Diego Plastic Surgeon
5.0 out of 5 stars 27 reviews

Trying to get upper pole fullness

Because of your anatomy, you do need an implant large enough to reach your upper pole, and 450cc or more is probably about right. However, this will enlarge your breasts significantly. You should try sizers on to see if that increase in size is acceptable to you, and if it is, then an augmentation with implants will be beneficial. I would use a low profile implant which will have less projection and larger width. 

Paul Wigoda, MD
Fort Lauderdale Plastic Surgeon
5.0 out of 5 stars 29 reviews

500 Cc's Implants Already a 36dd is 500 Too Big? (photo)

I agree with your PS as to a moderate profile implant that is wider. You mitt consider fat grafting to upper poles also. 

Darryl J. Blinski, MD
Miami Plastic Surgeon
4.6 out of 5 stars 174 reviews

Larger implants for upper pole fullness

It looks like you are having glandular/implant pseudoptosis and need revision of your lift to achieve what you want. A larger implant may help as well.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

500 cc Implant in a DD for Upper Pole Fullness

   This can be done and is not unreasonable.  I would place about a 275 cc more moderate implant higher on the chest wall and resuspend all of the breast tissue around that higher locale.  By taking more skin inferiorly the breast tissue will appear to have more superior pole fullness, and I always worry about my patients who have very large breasts suffering from problems later.  Kenneth Hughes, MD Los Angeles, CA

Kenneth B. Hughes, MD
Los Angeles Plastic Surgeon
4.9 out of 5 stars 496 reviews

500 Cc's Implants Already a 36dd is 500 Too Big?

These may add two cup sizes to your current DD. Try some implants on with a stretchable sports bra to get a rough idea of the size. 

I would suggest considering fat grafting. If you have  some donor fat, this can be grafted precisely to the areas needing enlargement, unlike implants. You can get some upper pole fill without so much enlargement. 

All the best. 

Jourdan Gottlieb, MD
Seattle Plastic Surgeon
4.6 out of 5 stars 45 reviews

Larger implants for upper pole volume

I agree with another poster that larger implants will offer a quick fix but may create additional problems down the road as you are more likely to have sagging and require a breast lift. 

Robert L. Kraft, MD, FACS
New York Plastic Surgeon
5.0 out of 5 stars 42 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.