Will 500cc round silicone breast implants be too big on me small frame? I am 18 5’4 and 110 pounds. (photo)

Personally I would not go that large.  You might like them initially but with time find the weight uncomfortable.  But everyone is different. I just advise patients to think of the long term,  having seen plenty of women who wanted large implants only to which they had gone with something not so large.

Excellent question – breast implant size is a tough decision for many women who are having an augmentation because it is difficult to tell how implants will really look and feel before they are implanted. My initial advice is to work with your surgeon to get as close of an approximation as possible. Look at, touch and hold implants in different sizes; ask about sizer implants that you can try on. The reason I recommend this is that 500cc implants are on the larger end of implant sizing, and given your smaller frame there are some considerations involved. For example, you may begin to experience shoulder or back pain from adding significant weight to your chest. You may also find that larger implants begin to droop or look unnatural as your breast tissue changes over time.
However, I cannot say with certainty whether 500cc implants are “too big” for you. Implants of this size are likely to give you a dramatic boost in breast volume, lift and symmetry, which aligns with your desired outcome. And, if your surgeon is board-certified and experienced and has recommended 500ccs for you, then it is likely a safe decision that will deliver the aesthetic results you want. The most important thing is that you feel comfortable with the implant size and with your surgeon’s advice. You can always choose a smaller implant that does not come with as much concern, or get a second opinion from a different board-certified plastic surgeon for clarity. I wish you the best of luck!

Great question!  It is hard to say as we do not have any information as far as the measurements of your breast.  You generally want to pick an implant that is close to the diameter of your chest.  With that being said, a 500cc implant will provide you with approximately 2.5 cup sizes bigger than you are now.   You should have the opportunity to try on sizes in the office so that you have an idea of what they will look like.  You should also see more than 1 surgeon to get other opinions to understand what other doctors think and if everyone is recommending similar sizes, then it sounds like you should be good to go.
Best of luck and hope his information helps!
- Dr. Roger Tsai
Board Certified Plastic Surgeon

Your breasts are low on the chest wall, asymmetrical in size, shape, volume and you need a lift.  500 cc implants weigh 1 lb each and will descend inferiorly and laterally requiring a revision.  The technique I recommend is The Bellesoma Method.  This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage.  Vertical scars are avoided, nipple sensation and the ability to breast feed are maintained.  At the same time or later, fat transfers can be performed if additional volume is desired.  Implants are not lifetime devices and half are removed by 9.5 years.  Fat transfers are permanent and incorporated into the body.Best Wishes,Gary Horndeski, M.D. 

Patients often think in terms of cup size when considering augmentation. Unfortunately, devices are sized in terms of milliliters (cc) of volume. This can lead to some confusion when sizing. Additionally, it is important to remember that cup size itself is not standardized with variations from one manufacturer to another. Unfortunately, as many women can attest their cup size in an industry leader such as VS is not necessarily transferable to another brand.
Another point which is often under appreciated is that of anatomy and starting point. Any implant will add volume to the volume which is already present. The implant is additive. A particular volume will not necessarily confer the same cup size to different patients (often times it will not even confer the same cup size to different breasts in the same individual...remember they are "sisters" not "twins"). 
A general rule of thumb is that 125cc can represent somewhere between 1/2 to a full cup size increase. Smaller volume differentials (25-50cc) are typically less consequential representing a volume change of less than a shot glass. However, I have found these numbers, at least anecdotally, to be of little help. Patients often present with notions/goals which do not correlate with these sorts of sterile volumetric assessments.
When sizing patients, there are a number of useful tools including:
-3D imaging (has the added benefit of offering a volumetric analysis of the pre-operative breast)
-Breast sizers (rice bags)
-Goal photos
I also recommend that patients commit to a particular look rather than a cup size. Once a patient settles on a look that pleases them the overall cup size increase becomes less relevant.The key to obtaining a natural result is to stay within the parameters defined by your BWD. 
Based on your photos, I would recommend conservative sizing. 500 cc is rather large on your small frame. the larger the implant the greater the risks and the shorter lived the result (due to the weight on the soft tissue).
As always, discuss your concerns with a board certified plastic surgeon (ABPS).

Dear Realme2000,
Breast implant type and sizing selection is a complicated process and requires a detailed consultation that includes a discussion of your goals, a detailed examination, and a lengthy discussion. But the decision will always start and end with the patient. When it comes to sizing, we have all of our patients find 3 photos of their desired breast size. We ask for naked breast photos because clothing can obscure the true size (push up bras). Next, we consult with patients and go over the photos and take detailed breast measurements during a physical exam. Next, we using a sizing algorithm to determine a range of implants that will work based on the exam and the measurements.Lastly, during the operation, we use silicone sizers in the operating room to see how the size actually looks in the breast. We sit the patient up in the operating room, while asleep of course, and compare the sizer result with their desired look photos. If it is too small, we start the process over with a slightly larger implant. We don't stop until we get the perfect match.Of all of my breast augmentation patients, every one of them has been happy with their size due to this detailed and meticulous process. You don't want to invest time and money into a result that is either too big or too small.You should discuss your concerns with a board-certified plastic surgeon and make sure that your surgeon understands your goals.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Hello and thank you for your question. You are a great candidate for a breast augmentation.  500cc may be a large size implant for your frame.  The size, profile, and shape of the implant is based on your desired breast size/shape, your chest wall measurements, and soft tissue quality.  This decision should be based on a detailed discussion with equal input from both you and your surgeon.  This surgery can be designed to help correct your asymmetry.  .  Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and evaluate their results.  Best wishes and good luck.


Richard G. Reish, M.D. FACS

Harvard-trained plastic surgeon
 

There are limits to any operation. I would recommend that you select a photo of the desired size of the breast (and there are plenty on Realself), and discuss the possibilities with your surgeon. I advise patients to focus on an appearance that they desire and not be too hung up on a cc. number. It appears that you have a significant asymmetry and the smaller breast may limit the amount of augmentation that can be achieved. Please select a plastic surgeon board certified by the American Board of Plastic Surgeons and preferably an ASAPS member, (American Society of Aesthetic Plastic Surgeons).

Thank you for the question and pictures.  Based on your photographs, I think that you are starting at a good place and should have a very nice outcome with breast augmentation surgery.  There seems to be is a moderate amount of breast asymmetry and the use of different sizes of breast implants may help to improve overall breast symmetry.  My best advice: more communication.
It is definitely worth spending more time (prior to the date of surgery) with your plastic surgeon to discuss further.  As you know, it will be important for many reasons, that you feel comfortable that you and your plastic surgeon are on the "same page" prior to proceeding.  Show your plastic surgeon what your goals using as many visual aids as possible.   As you can imagine, terms such as "natural" or "fake" can be interpreted differently by different people. This additional communication will go a  long way when it comes to helping alleviate your anxiety prior to proceeding. 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 are looking for. ***Ask to see lots of examples of his/her work. Sometimes, it is necessary to seek several consultations before you feel comfortable about your choice.
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 "D cup” etc may mean 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. Again, best not to discuss your goals and/or judge the outcome of the procedure performed based on achieving a specific cup size. The use of computer imaging may be very helpful during the communication process. The use of in bra sizers may also be helpful. In other words, use as many “visual aids” as possible during the communication process. I encourage patients to meet with me as my times as necessary, to feel comfortable that we are both on the “same page”.
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 generally select appropriate breast implant size/profile after the use of temporary intraoperative sizers and viewing the patient's chest in the upright and supine positions.
 One question that might be helpful for you to consider: would you be more disappointed if you are slightly too big or slightly too small after the breast augmentation procedure?
I hope this helps. Best wishes for an outcome that you will be very pleased with.

The best cosmetic result in any particular breast augmentation patient depends on a variety of factors, including: your individual anatomy, realistic expectations, a thorough discussion with the plastic surgeon about the options, and an understanding of the pros and cons of any particular implant choice. Proper sizing is not just about the number of cc’s. The thickness of your tissue, breast dimensions which include the width, height, and projection, as well as chest wall width all need to be considered when choosing an implant. Trying on implant “sizers” of various shapes and volumes while wearing a tight t-shirt, bra, or bathing sit at a preoperative visit will help you and your surgeon choose the optimal implant. There are no manufacturers' standards for cup sizing in the bra industry. The cups of a 32 D and a 38 D are significantly different. Cup size varies from manufacturer to manufacturer and even within styles from any particular manufacturer. There is no direct correlation between implant number of cc's and cup size in any particular patient. A 500 cc high profile implant is quite large.Keep in mind that following the advice from a surgeon on this or any other website who proposes to tell you exactly what to do without examining you, physically feeling the tissue, assessing your desired outcome, taking a full medical history, and discussing the pros and cons of each operative procedure would not be in your best interest. I would suggest that your plastic surgeon be certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS) that you trust and are comfortable with. You should discuss your concerns with that surgeon in person. Robert Singer, MD FACS La Jolla, California