Are 550cc Silicone Implants to Large for a 120 Pound and 5'4 Patient?

Doctor Answers 13

Implant sizing

The correct size of implant will depend on several factors such as how much breast tissue you have now(the operation is to augment your breast), how much the skin will stretch to fit the implant, and what you want to look like.  One way to get an idea is to find a surgeon with the Vectra 3D imaging system.  This may help you understand what your chest will look like with different implant sizes.  Personal taste will vary but generally a 550 cc implant is on the full side for someone of your stature.

Raleigh-Durham Plastic Surgeon
4.9 out of 5 stars 67 reviews

Implant sizing

Your question doesn't state your current bra size. An examination is always essential to establish the proportions of the proposed implants and whether you have sufficient skin for coverage. I personally think that 500 cc is a very large implant for someone of your size, as a general rule.

Robert L. Kraft, MD, FACS
New York Plastic Surgeon
5.0 out of 5 stars 39 reviews

550cc too large?

If the implant fits your breast width (and there are no unusual issues such as tight, constricting skin), then "the eye of the beholder" will be the ultimate judge.  In other words you may have a natural looking result, but you will have to decide what is right for you.  As a rule of thumb I find about 200cc often makes one cup size.  Good luck!

Andrew Stewart, MD
Charleston Plastic Surgeon
3.8 out of 5 stars 8 reviews

Are 550cc Silicone Implants to Large??

This is a difficult question to answer without an in person exam. Some measurements and photos would help some. 

There are many variables that go into the decision. Patient goals are primary, but are tempered with the limitations of the breast dimensions, and skin distensibility. As a rule, we try not to use implants wider that the width of the breast. As an example, a 550 cc high profile Allerghan implant is 13.5 cm wide. That may be wider than your breast, and if so may contribute to a less than desirable outcome, causing perhaps one variant of what is called a"double bubble" and/or excessive extension of the breast over the side of the chest into the axilla. 

When you ready for an in person consultation, RealSelf has listings of surgeons in your area. You should consider cross referencing the listings from the The American Society of Plastic Surgeons (plasticsurgery dot org). A listing in the ASPS website assures you that your surgeon is not only board certified,  but also is a member in good standing of the major plastic surgery organization in the U. S.

Thank your for your question, best wishes.

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

Breast implant size

Hello. Thanks for your inquiry. We actually do a measurement of the breast width and can calculate the best size as well as too large a size for a person body frame chest width .  Also best to decide based on your skin envelope and history of previous augmentation.  Good luck

Sanjay Lalla, MD, FACS
West Orange Plastic Surgeon
4.8 out of 5 stars 48 reviews

550 cc Breast Implants Too Large for Me?

Thank you for the question.

Unfortunately,  there is no way to generalize about the largest breast implant that will be safe to use for you without direct examination.  There are many variables involved in the decision-making process when it comes to selecting the best breast implant size/profile for any given patient.

The best online advice I can give to ladies who are considering breast augmentation surgery 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're looking for. Ask to see lots of examples of his/her work.

2. Have a full discussion 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 means different things to different people and therefore prove unhelpful.
 Also, as you know, cup size varies depending on who makes the bra; therefore, discussing desired cup  size may also be inaccurate.

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 hope this helps.

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 1,486 reviews

Proper implant size choice

Thank you for your question. Picking the proper implant size is something that creates alot of anxiety among women planning the procedure. Ideally, implants should be chosen based on more than just their volume. The base width of the implant should be matched to the width of your breast, and the projection chosen to fit your desired look and the characteristics of your breast skin. This allows the implant to be chosen on a 3 dimensional basis rather than by just volume alone. This will give more predictable and natural results. 

With that approach in mind, we can consider the original question. Depending on your chest width and overlying skin, you may be able to have a 550cc implant placed. This would be especially true if it was a higher profile implant, which would be more narrow and appear smaller but with increased projection. Ultimately, the best choice for you would be made during a consultation and the ensuing discussion.

Jeffrey Rockmore, MD
Albany Plastic Surgeon
4.9 out of 5 stars 67 reviews

Breast implant size

I consider two factors when selecting implants for my patients:

1.Dimensional planning
2.Gel Implant Sizing system

Dimensional planning – The measurements of your chest wall are taken. Also, the breast dimensions including the height, width, and current dimensions of each breast form the basis of dimensional planning. Based on these measurements, the implant size is recommended. This will give you a unique breast implant that is suited for your body frame. However, there are some limitations of what size we can recommend. For instance, some implants may just be too big for a narrow chest wall. Your surgeon can review this with you during the consultation.

Gel Implant Sizing system – During the preliminary breast implant consultation, you will be provided with an option to “try on” a variety of implant shapes and sizes. You can also visualize the possible outcomes of your surgery which helps you to get that perfect size to give you the shape that you longed for. This way your preferences are known and you can then pick a range of implants that will “fit” just right to give a soft natural fuller look.  If you have decided on saline implants, then based on the gel sizer you select, we can guide you to the saline implant that achieves a similar look.
Hope this helps.
Dr. Basu
Houston, TX

C. Bob Basu, MD, FACS
Houston Plastic Surgeon
4.7 out of 5 stars 209 reviews

Implant Selection Process

In order to make an accurate size recommendation, I would need to assess your chest wall and breast mound measurements and characteristics.  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

Paul S. Gill, MD
Houston Plastic Surgeon
4.8 out of 5 stars 86 reviews

550 too big

Unfortunately, you have not told us your bra size.  If you are size 32 or 34 each 100 cc of implants will correspond to 1 cup size change.  If you are size 36 or 38 each 200 cc of implant will correspond to 1 cup size change.  The best position for implants is retro-pectoral.  In someone your size, it may not even be possible to fit a 550 cc implant under your muscle.  If you try to put too large an implant under the muscle it will descend inferiorly and laterally, progressively move down your chest wall and you will be dissatisfied with the appearance.  Remember that your goal is to achieve beautiful breasts.  Beauty is determined by many factors including position of the breast on the chest wall, symmetry, skin tone, cleavage and last of all volume.  Once you go over a DD, it is very difficult to find clothes or bras that fit.

Gary Horndeski, M.D.

Gary M. Horndeski, MD
Texas Plastic Surgeon
4.6 out of 5 stars 222 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.