Is 605cc going to be too big for me? (photos)

Question

I’m 5’3 140lbs I currently wear a 34C ( or this what I’ve been wearing comfortably) I have my surgery set for January 4th... I’m having such a hard time trying to find someone who has my same body type with that size. Am I trying to go too big?

Gary M. Horndeski, MD · Answer

At size 34 C, each 100 cc of implant corresponds to 1 cup size change.  605 cc implants weigh over 1 lb each and will result in decent.  In your before photograph, your breasts are already low.  Adding implants this large will require incising the inframammary fold to allow the implants to descend.  This may result in a double bubble, further descent and complications.  You need to reconsider the volume to be implanted.  The other alternative to consider is a breast lift using The Bellesoma Method.  This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage.  Vertical scars are avoided, nipple sensation and the ability to breast feed are maintained.  At the same time or later, fat transfers can be performed if additional volume is desired.  Implants are not lifetime devices and half are removed by 9.5 years.
  Best Wishes,Gary Horndeski, M.D.

Donovan Rosas, MD · Answer

Patients often think in terms of cup size when considering augmentation. Unfortunately, devices are sized in terms of milliliters (cc) of volume. This can lead to some confusion when sizing. Additionally, it is important to remember that cup size itself is not standardized with variations from one manufacturer to another. Unfortunately, as many women can attest their cup size in an industry leader such as VS is not necessarily transferable to another brand.
Another point which is often under appreciated is that of anatomy and starting point. Any implant will add volume to the volume which is already present. The implant is additive. A particular volume will not necessarily confer the same cup size to different patients (often times it will not even confer the same cup size to different breasts in the same individual...remember they are "sisters" not "twins"). 
A general rule of thumb is that 125cc can represent somewhere between 1/2 to a full cup size increase. Smaller volume differentials (25-50cc) are typically less consequential representing a volume change of less than a shot glass. However, I have found these numbers, at least anecdotally, to be of little help. Patients often present with notions/goals which do not correlate with these sorts of sterile volumetric assessments.
When sizing patients, there are a number of useful tools including:
-3D imaging (has the added benefit of offering a volumetric analysis of the pre-operative breast)
-Breast sizers (rice bags)
-Goal photos
I also recommend that patients commit to a particular look rather than a cup size. Once a patient settles on a look that pleases them the overall cup size increase becomes less relevant.The key to obtaining a natural result is to stay within the parameters defined by your BWD. This will ensure that you avoid the dreaded "fake" look. 
With regards to your specific question, "too big" is a relative question. The best advice is to respect your BWD.  >600 cc is large on any frame and uncommon (which may be why you are having difficulty finding similar examples).As always, discuss your concerns with a board certified plastic surgeon (ABPS).

Thomas Fiala, MD, FACS, FRCSC · Answer

These implants will likely increase your size about 3 cup sizes - so from a C cup, you might end up in the DDD / F range.  So they are pretty generous in size!  Many would feel this would be disproportionately large, and would end up visually "taking over" your look or make you look bulky in clothes, especially at 5'3".  So, think carefully about what your goal is here - you may wish to reconsider.

Eric Swanson, MD · Answer

Remember, a 605 cc implant size will produce a different breast size in a woman who is already a C cup than a woman who has very little breast tissue. Although large is fine, and surgeons are often too conservative in their recommendations, this may be too much for you. Your skin would be very tight after surgery. Also, be sure your implants are smooth and round, not textured. I think a 500 cc high profile implant would be better. And you would be at least a DD. Larger implants do not create more lift. They are just larger.

Keith Hodge, MD · Answer

Based on the photos, your height and your frame, I would tell you that these implants are going to look large. I think you could drop your volume 50 to 100 cc's and still look very good. Good luck!

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. You are a great candidate for a breast augmentation.  605cc is a large size implant. The size, profile, and shape of the implant is based on your desired breast size/shape, your chest wall measurements, and soft tissue quality.  This decision should be based on a detailed discussion with equal input from both you and your surgeon.  Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and evaluate their results.   
 
 Best wishes and good luck.

Richard G. Reish, M.D. FACS

Harvard-trained plastic surgeon

Daniel Barrett, MD · Answer

Dear vp97,breast implant type and sizing selection is a complicated process and requires a detailed consultation that includes a discussion of your goals, a detailed examination, and a lengthy discussion. But the decision will always start and end with the patient. When it comes to sizing, we have all of our patients find 3 photos of their desired breast size. We ask for naked breast photos because clothing can obscure the true size (push up bras). Next, we consult with patients and go over the photos and take detailed breast measurements during a physical exam. Next, we using a sizing algorithm to determine a range of implants that will work based on the exam and the measurements.Lastly, during the operation, we use silicone sizers in the operating room to see how the size actually looks in the breast. We sit the patient up in the operating room, while asleep of course, and compare the sizer result with their desired look photos. If it is too small, we start the process over with a slightly larger implant. We don't stop until we get the perfect match.Of all of my breast augmentation patients, every one of them has been happy with their size due to this detailed and meticulous process. You don't want to invest time and money into a result that is either too big or too small.You should discuss your concerns with a board-certified plastic surgeon and make sure that your surgeon understands your goals.Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Robert D. Wilcox, MD · Answer

Dear VP97,
  
 
  
600 cc implants are quite large.  You need to keep in mind a few things about using very large implants.  The chance of nipple numbness afterwards is increased.  You may find it hard to buy clothes off the rack if you are a different size top and bottom.  As women approach their 40s, being too busty tend to make one look heavier.  A larger implant also has a higher chance of bottoming out of migrating down the torso, particularly if someone has had a large weight gain and loss in the past.  
Robert D. Wilcox, M.D.

Vasdev Rai, MD · Answer

Any sized implant can be pushed and stuffed in anyone. However for your weight and height 605 cc is over ambitious.

Joseph Franklin, MD · Answer

While there are many factors in choosing the correct breast implant, 605 cc impants are HUGE!  The width of those implants is around 13cm which means that you need to have a very wide chest to accommodate them.  Otherwise, they will migrate toward your underarms.  One other consideration:  Large implants in shorter patients can result in the appearance of weight gain as opposed to just fuller breasts.

Is 605cc going to be too big for me? (photos)

Answers (17)

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