Is 650 cc moderate profile going to look crazy!? Does anyone have examples similar? (Photo)

Question

I am getting surgery next week, and my doctor recommended 650cc moderate plus implants based on my BWD. I’ve already had a reduction, but I’m looking for upper pole fullness without making it difficult to wear everyday clothes and look like a pornstar. I’m 5’7” and weigh 132 lbs.

Morad Askari, MD, MBA · Answer

Thank you for your question. A 650cc implant will create a very noticeable increase in volume. Also, adding such a large volume after a reduction could put stress on your skin and breast tissue, potentially leading to premature sagging as the implants settle over time. To achieve upper pole fullness and maintain a lifted, natural look, consider opting for a smaller implant in the range of 350cc to 500cc. These sizes will enhance your volume without overwhelming your frame and are less likely to lead to sagging or require further revisions in the future. I recommend discussing with your surgeon whether a smaller implant might better help you achieve your desired outcome while avoiding the previous appearance you had before your reduction. You might also consider trying sizers during your consultation to see how smaller implants compare to the 650cc option.

Ximena Pinell, MD · Answer

That is a large implant. Your dimensions are an important starting point to picking an implant, but your overall size goals matter! Implant selection is usually done using sizers or an imaging tool so you have a visual of what to expect. I'm sure your surgeon did some of this with you, but checking in to confirm your implant selection might be a good idea!

Chet Mays, MD · Answer

Thank you for your inquiry!   Focus on how the implant looks on you, not the numerical size.  We would love to meet with you to discuss your options.  Schedule a consultation with a Board Certified Plastic Surgeon.

Leila Kasrai, MD, FRCSC · Answer

Have you tried on sizers at your surgeon's office? Sizers are an easy way to see the predicted results of your surgery.

Brian K. Reedy, MD · Answer

Thanks for your question! In my opinion, that is a pretty large implant. I might suggest something a little smaller given that you already had a reduction. That being said, without an in person exam, its difficult to say exactly what you will need. I would suggest trying on implants (if you are able) to see how it will fit your frame. Good luck!

Naveen Setty, MD · Answer

Thank you for your question. Based on your picture and your stated desired outcome, I think a 650 cc implant will be quite large. If you have already had a reduction, adding that kind of volume will likely take you back to where you used to be and eventually lead to some more sagging of your breasts. I would discuss your concerns with your surgeon. A revision lift and a smaller implant may be a better option. Fat grafting also may be an option. Good luck!

Gianfranco Frojo, MD · Answer

I would recommend a lift with a smaller implant. 650cc implants are very large and might provide the "porn star look". I would see a surgeon that is going to carefully figure out the correct surgery and process for you. David Sieber is an excellent plastic surgeon near you in San Francisco with world class outcomes in breast surgery like this.

Daniel Barrett, MD · Answer

Dear ksutyak,
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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Azita Madjidi, MD, MS, FACS · Answer

Looks like you want to reverse your breast size to the one before the reduction. Remember that the weight will make the breasts sag by gravity pulling down. Upper pole fullness needs high profile implants or highly cohesive implants so they don't collapse.

Gerald Minniti, MD, FACS · Answer

That's not the way to select the right implant for you; the same implant can impart wildly different results on different people. Really. If your surgeon hasn't sized you with purpose build sizers, my preference, or used 3D morphing photography, then don't have surgery with that surgeon.

Is 650 cc moderate profile going to look crazy!? Does anyone have examples similar? (Photo)

Answers (18)

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