Is 550cc silicone too big to achieve the look I am going for?

The question of implant size is confusing. Plastic surgeons have as many opinions as there are plastic surgeons. Some quote the literature, some quote their experience, but the key determinate is you. If one believes that a breast augmentation is a valid operation, then why not accept that success is based on meeting the patient's expectations. How then can a plastic surgeon deduce the result that the patient is seeking.My personal practice is to begin with implant sizers in clothing. that gives you an idea of how you want to look. Most patients get a pretty good idea of what looks good. We then go to 3-D imaging. I currently use a Vectra system by Canfield. It allows me to show you how you would look with different implants; different sizes, different profiles, different manufacturers. My current system also allows me to include a mastopexy into the simulation. It is not perfect but it allow me to eliminate ambiguity. You would quickly notice that there is nearly no difference in the look of a 550 cc implant relative to a 600 cc implant.Notice that I haven't said word one about dimensions, tissue characteristics, and the like. That's because I am only answering the question of size. All those parameters are important.  That's why consultations take a long time. There's allot to discuss. Take your time. Do your homework, ask probing questions, and I'm sure that you'll have a great result.

Unfortunately, you have not provided any
photographs or told us your bra size just your cup size. If you are 32 or 34 each 100 cc’s of implant
corresponds to 1 cup size change. If you
are 36 or 38 each 200 cc’s of implant corresponds to 1 cup size change. From this, you can compute the volume
required to achieve your desired goal. Since
you had 2 pregnancies you would benefit from a simultaneous lift. I recommend a new technique called Breast
Augmentation with Mini Ultimate Breast LiftTM. Using only a circumareola incision it is
possible to reshape your breast tissue creating upper pole fullness, elevate
them higher on the chest wall and more medial to increase your cleavage. Through the same incision, implants can be
placed. Aligning the areola, breast
tissue and implant over the bony prominence of the chest wall maximizes
anterior projection with a minimal size implant. Small round textured silicone gel implants
placed retro-pectoral look and feel more natural, are more stable, less likely
to ripple or have complications needing revision. Implant profile is irrelevant in the
retro-pectoral position since the muscle compresses it. 550 cc or 600 cc implants are very large, will
not fit retro-pectoral, will extrude inferiorly and laterally requiring
revision. 22% of women who undergo
breast augmentation alone require revision within 2 years because they are
dissatisfied with the result.Best Wishes,Gary Horndeski, M.D.

Breast Implant SizePlease see my previous posts regarding this topic for more information. This is one of the most frequently asked patient question. Your strap size 32 34 36 makes a big difference in cup size. A 32 dd is much less volume than a 36 dd.Also, sagging is a big factor after children.  Photos of what you consider a dd would be helpful.  The profile of the implant  and diameter matter as well.More information would help. It's worth a drive from Bakersfield to get good informtion.

Its always difficult to meet patients and in a very short period of time figure out what they want. I encourage patients to bring a spouse or girlfriend in to help them decide what looks good on them. We can give suggestions but, they are only that...suggestions.

This is tricky because all bra manufacturers are different..bring a bra to the consult you continuously buy. TRY implants within the bra YOU BUY...or go with Adjustable Saline Implants!Dr J