600 or 800 Cc's over or Under the Muscle? Will These Achieve my Goal? Thank You (photo)

Dear Jennifer,

Simply stated your implants will be too big and your goal look is a bit over the top. Over time the implants will stretch the skin and produce saggy breasts.

Dr. ES

It is very difficult to determine the exact size and shape implant you will require to best match your ideal breast image without an examination by a board certified plastic surgeon. Not just any board certified plastic surgeon, but one with many years of frequently performing breast augmentation surgery including different approaches, techniques and implant choices. This is because several measurements not to mention your breast characteristics are needed to determine the optimal implant size and weather above or below your mucsle to obtain your goals. Without knowing these dimensions it would be difficult to make this determination. For example, the existing base width of your breast will determine, in many cases, the maximal volume per implant profile that you can accommodate. To illustrate; a 100 cc difference may make a significant difference with a narrow base width breast, but much less of a difference if you have a wide chest wall and wide breast “foot print”. Therefore, just because your friend may have a great result with let’s say a 600 cc implant to make her go from a “C” cup to a “DD” cup size does not mean that you will have the same result with the same size implant. . Further simply placing implants in a bra to determine the size best for you is not always accurate as the bra often distorts the size, is dependent on the pressure the bra places plus the implant is outside your breast and not under it among other variables. Computer software morphing programs that automatically determine the best implant size can be helpful in some but not all cases (e.g. doesn’t work well in my experience with existing implants, sagging or asymmetric breasts). Using “want to be” photos like you provided are useful if simply provided to the surgeon. I would also consider using the new FDA released IDEAL saline implant which has silicone like feel yet saline. See the below link.

    600 cc implants may be a better choice, because 800 cc implants very rarely fit anyone.  This may produce more of an abnormal look.

I would suggest putting the implant under the muscle.  I also would not necessarily focus on cc's but rather on BWD and profile.  I would suggest you use an Allergan style 45 gel implant. This will give you a full round look.  If you go to a saline implant  to get more cc's you will get more distortion than you want.

It sounds like being made too large is not going to be a problem.  I don't use implants that large but it sounds like you want to go with the larger size, and I say, God bless you, go with the 800!

It's good you clarified that you want a "full round porn-star" look, rather than a natural look, since they are two very different looks. It's also good you show pictures of your desired look, because the breasts in those photos are larger than a DD cup.  Saline implants in the 600-800 cc range will accomplish your goal in terms of size, but I would caution you against it. Generally speaking, the larger the implants, the larger the problems. In addition to the usual risks of capsular contracture and implant rupture or leak, 800 cc implants will place a lot of stretch on your skin, and you can get stretch marks on the breasts, along with premature drooping. They will also put pressure on what breast tissue you have, and distort your natural inframammary fold, because the volume has to go somewhere, and there is only so much room to go up and in (before you get uni-boob). Obviously we all have different preferences, and you can always find a surgeon who will do this for you. I recommend only having this type of surgery done by a board certified plastic surgeon. Just know what you're getting yourself into before you start, and plan your budget for the possibility of additional surgery.