600cc Breast Implants to Achieve D Cup Too Large?

I am going in for my breast implants in a week, and I'm having second thoughts about the size. I am 25 years old, I have one child, and I don't have any sagging or stretch marks on my breasts. I am currently an A cup and I would like to be a full natural D cup. My surgeon and I decided on 600cc cohesive gel implants. I'm wondering if they will end up looking too big. Is 600cc too big? If not, how big will my breast end up being?

Doctor Answers 27

600 cc? and you want to look natural?

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I've never once seen 600cc implants look natural...at least in my opinion of what natural is.

I've also never seen an A cup patient wth 600 cc implants whose tissue wasn't damaged from the weight and pressure over time.

If you want to be natural, forget about the cup size. Go to a surgeo who can measure you and determine on objective grounds the ideal sized implant to fill your breast envelope. My bet is that it isn't more than 350cc...

Los Angeles Plastic Surgeon
4.6 out of 5 stars 49 reviews

600cc is a larger than average implant

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A 600 cc implant is larger than average. Some of the data in the breast implant brochure mandated by the FDA for reading prior to breast augmentation suggests that the risk of complications is higher in individuals with implants exceeding 350cc.

That having been said, 600cc may achieve your goals but it is not likely to be natural. Try sizers on once again prior to surgery and walk around with them for an hour or two. Make sure you like the look and are comfortable with the weight. Expect that other procedures will be required at a later date.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
4.9 out of 5 stars 86 reviews

Implants and Bodies are different

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Every individual has a different body shape and there are various size, shape and profile differences of implants to accommodate everyone up to 800cc per FDA regulations.  Having said that, size varies by one cup size per 150cc approximately.  600cc should reach your goals if a D cup is what you want.

600 cc breast implants too large?

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In a word Yes. 600cc breast implants are too large. They can compromise the skin, can result in a higher  possibility of re-operation in the future, and higher risks of complications like bottoming out. Also, breast implants of that size will never look natural. 

Michael Law, MD
Raleigh-Durham Plastic Surgeon
4.8 out of 5 stars 123 reviews

It depends on your proportions

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I certainly agree with the comments above. 600cc implants are generally considered large, but cup size is proportional to bra size. If you're a 40 bra band size, 600 cc may be right for you. If you're a 32, 600cc will be larger than a D.

In your surgeon's office, try on a set of sizers and see what 600cc looks like on your body. That's a good way to tell if you're overdoing it.

Finally, we've got a 3D scanner so you can see a close representation of what various sizes of implants would look like. Not many offices have the technology, but it really helps people visualize what results may be achieved.

600 cc implants are large, but...

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The implant size that you choose is dependent on many things, particularly your size and shape, as well as the postoperative outcome that you are looking for.  That said, 600cc is a large implant and you would need to be quite tall and broad to have such an implant provide you with a natural look after surgery.  If you are uncertain about the recommendations of the surgeon, get a second opinion locally by another board certified plastic surgeon.

Implant Selection Process

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600 cc implants are on the very large size of what I use in my practice.   It is well known that larger implants cause more frequent implant complications.    In terms of size, 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 95 reviews

Natural it won't be, but 600 cc may be the right size.

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The size of the implant has to be put into the context of your chest width and how tall you are. I have seen patients who are 6 feet tall, where 600 cc is only a 38 C cup. I have also seen patients where it is a 34 DD cup.

I would discuss options with at least two board-certified surgeons. Have them show you examples of women who look like you and whose results are at least 3 years out.

Francisco Canales, MD
Santa Rosa Plastic Surgeon
5.0 out of 5 stars 35 reviews

Breast implant sizing helps get an idea of what to expect

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There are many variables to consider in determining an implant size. At you exam your plastic surgeon takes measurements to determine dimensions of implants that would suit as well as evaluating your breast tissue to see if you can accommodate the implant size chosen.

I have all of my patients take an implant that will be used as a sizer in a sports bra to give you an idea of what to expect. This is in no way a perfect predictor but it does allow you to see what change you might expect as a result of surgery.

600cc is a larger implant for a first time augmentation although I have used them (and larger). I would recomend you discuss your concerns with your plastic surgeon.

Best of luck.

Dr Edwards

Choosing the right breast implant size!

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Hello lexx1803, 

Every surgeon uses a different angle when working with patients to determine what size implants will give them the outcome they want. I am a fan of The Rice Test and "Wish For" photos from patients. These tell me exactly how much volume they are comfortable with and what they're picturing for themselves. I have no idea what was the method your surgeon used or what took place, but THEY should be the one giving you answers to all of these questions! I can tell you that I think, 600cc are large. It's almost the largest they make! But what is important here is to have a solid discussion with your surgeon beforehand about your wants and making sure their methods for helping you choose a size are satisfactory. It is a collaborative process.Hopefully when asked, your surgeon will better discuss how you will work together to determine the best amount of volume to add, therefore implant size. 

We have our breast augmentation patients use The Rice Test. It's a fun, tactile, activity that helps you determine how big you want to go! The whole point of this test is not for you to have to determine how many cc's you want, it's simply to know how much volume gives you a look that makes you happy. It is a close approximation to what you think looks good for you – on your body, with your clothes.Simple as that. (There are newer gadgets out there if you want to be fancy and use them, but for the added costs, I just don't think they're any better than the old reliable Rice Test.) In addition if you can provide after photos of outcomes you admire, we can really see what you're visualizing for yourself. 

Relating and utilizing the implant diameter, projection and size to the relation of a patient’s body measurements and current breast volume are part of the process for an experienced surgeon. Patients are never expected to make a determination on this detail at my practice. What cup size or implant size you end up is really not as important as how happy you are with what you look like. My best advice is to be concerned with what you look like with a specified amount of added volume, not what that exact volume is. Patients focused on the cc's of their implants often end up with outcomes they are unhappy with and don't understand why they don't look the way they thought they would with a certain number.

William Aiello, MD
Orange County Plastic Surgeon
4.9 out of 5 stars 65 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.