600cc is to Big? Age 27, 5'3, 125, A Cup After Weight Loss?

600cc seems like a big implant just because of the number "600", but how big they look on someone depends on so many different factors.  The most important factors include height and weight, amount of breast tissue, how firm the breast tissue is, characteristics of the skin, and width of your breast base diameter and the shape of your chest wall and rib cage.

 With that said, there are certain bits of information that you provided that would steer me against recommending a 600cc implant.  You are 5'3" and 125 lbs.  You describe yourself as athletic.  600cc implants should look very large on someone of your height and your weight.  600cc implants on most women of your frame generally don't make them look athletic.  They do make you look very full though.  So, it all depends on your goals and how big you want to look ultimately.  Also, with a 45 lbs weight loss, your skin may be not as elastic and tight and so, the weight of 600cc implants may make your breasts sag over time.  Large implants that sag on a small framed woman can also make them look heavier.  

 

So in summary, 600cc may be too big, but I would recommend seeing a board certified plastic surgeon and be examined to see what implant range may give you the look that you want.

Thank you for your question and the photos.

Getting sized for breast implants is much more involved than it seems at first thought. It requires a full consultation with detailed questions to see exactly what your goals are, short and long term. It also requires precise measurements of your current breast dimensions, the dimensions of your chest wall, as well as preoperative photography, standard or 3D imaging.

To see what the best options are for you, see two or more board-certified plastic surgeons in your area for a full and complete evaluation to make sure you are a good candidate and that it is safe for you to have surgery.  I hope this helps.

You did not provide a picture so I wonder if you might not be a better candidate for a breast lift plus/minus a breast augmentation after your weight loss.  Some patients can lose 4 or 5 pounds and all of it is in their breasts.  Others can lose 20 or 30 pounds and none of it is in their breasts.  You know better than anyone how your breasts respond to weight gain/loss.  The main factor involved, however, is the shape of the breasts.  All an implant will do is add volume to your breasts.  It will do nothing to lift them.  If you are happy with the shape of your breasts now and just want them fuller then perhaps a breast augmentation is all that you need.  If your breasts are sagging somewhat then a breast lift may be in order.  This is something you will need to discuss with a plastic surgeon who can examine and advise you.  While 600 cc's seems like a fairly large volume for someone with your dimensions, sometimes that is what it takes.

You have a common situation: too much skin and too little breast tissue causing deflated droopy breasts.  This condition can be addressed with a) a large implant, b) a breast lift requiring scars, or c) both, which usually means a smaller implant and minimal scars.  Most of my patients, athletic or otherwise are very unhappy with a large implant alone, especially if they are under 5'5".

The sizing process prior to augmentation is very important.    As a plastic surgeon, we carefully consider your breast base diameter, skin pinch and various other measurements compared to your desired cup size and volume.     

 

Based on your body frame and desired goals, we will recommend a range of implants that meet your goals.   Occasionally, your goals cannot be reached based on your breast measurements.   It is at this point that your plastic surgeon can inform you of this.

 

I think in office sizing is a critical process to arriving at the appropriate implant selection.   It is often very educational to a patient to see what their desired implant size looks like in clothes and a fitted bra.   It is much better for them to realize this is not the right look prior to surgery, compared to after.


I hope this helps.

Dr. Gill