650cc Breast Implants? Am I Crazy? (photo)

Hi! I'm approx. an A cup...5'8 135lbs. My PS sd I should get 475ccs, but when I tried on the sizers I felt as if 600ccs looked perfect! So I called them up & chose 650ccs just because I want big. Just between natural & unnatural. I keep thinking about it & look at forums..some say 650cc looks great..others say it's HUGE & not to do that lg. I don't want to get my implants & wish I would have gone bigger. What do you think? What's the max for my size? Will I look freakishly too lg? Help!?!!???!

Doctor Answers 30

Very Large breast Implants

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I don't use breast implants that large in my practice. The result does not look natural and large heavy implants can create a lot of problems long term and short term.

I don't try to convince my patients to go smaller, I simply suggest they select another doctor. Before taking the plunge, you may want you use some insert in to a bra to get a little bit of an experience of what you'd be experiencing. Of course this is nothing like the real thing. But finding clotting to fit properly, getting a massage or even sleeping on to stomach could prove to be uncomfortable. 

In my opinion, great plastic surgery doesn't look like surgery. Ideally, once the recovery process is finished, people forget about the surgery. the result should make life easier. It makes it easier to fin flattering clothing if having body surgery.

If you are set in implants this size, be sure to see lots of photos, ask your platic surgeon about complications and sea to several other women who have had implants this size for a year or more to get their feedback

Raleigh-Durham Plastic Surgeon
4.8 out of 5 stars 123 reviews

650 may or may not be too big

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Sizing is not determined by volume. 650 cc can be way too big on one patient and not big enough on another.

The key factors

width of your chest, a wider chest will need a larger implant

your desired size, that determines projection

your skin envelope, pinch and looseness. If too tight a larger implant will not fit.

In addition a gel implant of the same size "seems" smaller than saline of the same size by 10%. I dont know why, perhaps hydraulic compressibility.

Proportion is key. Try the implant on in clothing too. Dried rice in a baggy helps. 650 cc is about 22 ounces of dried rice.

If you want size but dont want too much superior fullness or an unnatural look consider the teardrop cohesive gel implants, like the Mentor CPG or Allergan 410. They look more natural for the same size.

650 ml implants?!?

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All plastic surgeons want their patients to be happy the moment that we complete surgery and hopefully ten years after surgery.  Heavy large implants over time can stretch and thin the breast tissue making them more visible and difficult for revision surgery.  So choosing the "correct" size implant is probably the most important thing to do with the guidance of your surgeon.  I think sizing before surgery is important but does not  guarantee a result.  We have also been working with Crisalix, a 3D breast simulation model in our office.  We take a picture of the patient and then we can modify it to see what the patient may look like after surgery.  You can "try" on different implant sizes by pressing a button. I always tell patients that this is for fun and may give a rough idea but is again, not an absolute guarantee.  Regardless, you should be careful about a large implant size on a smaller frame.  Please continue to spend preop time with your board certified plastic surgeon for the best results.  My best to you.

650cc implants don't mean you're crazy!

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But it's important to recognize that there are anatomic limits for each and every patient, regardless of their goals. Perhaps your surgeon's recommendation is 475cc because s/he feels that this is your anatomic "limit" based on breast base diameter, muscle tone, skin tightness, and rib cage configuration. Perhaps s/he has little experience with large(r) implants and really is concerned about his/her ability to give you a good result. It's impossible to know what is in your surgeon's mind, and (only slightly more so) what's in yours based on one small paragraph and a couple of clothed photographs.

But that's why you and your surgeon need to have this discussion, in detail!

That being said, just in the past few days I have placed two pairs of 650cc implants, one pair of 700cc implants and two pairs of 680cc implants. None of these women were especially large or "Amazon" women! And since I see each of my patients the next day, I can tell you that none of them looked especially "top-heavy," overly huge, and not one felt she was "too big."

I also used a pair of 325cc high profile implants in a very petite woman, and she looked rather "busty" the next day. Not too big for her goals, but comparatively large compared to the women with double the implant volume. Just goes to show the diversity of women and their results!

What these and thousands of other patients have taught me is that it is their body, their money, and their goals I am being asked to surgically achieve. What they must understand is that I have done this before (they have not) and if they're smart, they should rely on my training, experience, and surgical judgement to best achieve their goals--I am not simply a technician following their wishes and decisions. Collaborative decision-making has always yielded the best results and the fewest re-operations for different size implants!

Without a personal examination, as well as experiencing the actual surgical findings at the time of your operation, it is truly impossible to answer your questions truthfully. Based on the (incomplete) information given, most of my colleagues here think that 650cc implants are "too big." They may be right.

But they could be wrong too, and you could end up having a second operation to place the very size of implants you were discouraged from utilizing.

The only way I see to honestly address this "stalemate" is to obtain several more in-person opinions from ABPS-certified plastic surgeons with lots of experience in breast surgery who have had the opportunity to examine you, talk to you, and listen to your goals. See what they think. Ignoring a patient's sizing impressions is foolhardy, IMHO.

Ignoring several qualified surgeons who have examined you in person would be equally foolhardy. So get going and don't have surgery until you feel confident that you and your surgeon are on the same wavelength about implant size and profile. Best wishes! Dr. Tholen

Richard H. Tholen, MD, FACS
Minneapolis Plastic Surgeon
4.9 out of 5 stars 263 reviews

Implant Selecton Process

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Generally speaking,larger implants increase the risk of complications such as implant malposition, which can be very difficult to correct longterm.  In order to make an accurate size recommendation, I would need to assess your chest wall and breast mound measurements and characteristics.  Unfortunately, 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

Large implants

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A 650cc implant is a large implant by any standard, and is very large for someone with a small frame.  That doesn't mean that it can't be done, you just need to know the consequences.  The recovery will be quite long and you will have a lot of discomfort from an implant that size.  Also, you will irreversibly cause tissue damage to your breasts.  Women who select smaller implants tend to have fewer long term problems and are happier overall.

Dennis Dass, MD
Beverly Hills Plastic Surgeon
4.8 out of 5 stars 185 reviews

650cc breast implants are considered large

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Thank you for your question.  The best way to determine the right size implant for your is based on your tissue measurements-what is your existing breast width, how stretch is your tissue, how thick, etc.  These measurements give the plastic surgeon a way to determine the best size implant for you.  We know that implants can have negative effects on breast tissues and the key to a successful augmentation is to balance the size of the implant with the impact on the tissues. Assuming that a 650cc implant does not really fit you, which it probably does not, we have to also assume that this large implant will have a negative impact on your tissues over time such as excessive stretch and others.  Your plastic surgeon will advise you about the tradeoffs of selecting an overly large implant.  In my practice, for most patients, 650cc is an overly large implant.  It is very common for patients to think they should have chosen a larger implant.  This is usually not because they did not select the right size implant, but because the postop swelling contributes to the size initially and when this swelling resolves and the implant settles, the size appears slightly smaller.  One cannot chase postop swelling with larger implants.  In other words, no matter what size implant you have, you will always have swelling that resolves, and a larger implant will change this.  Hope this helps. 

Tracy Pfeifer, MD, MS

Tracy Pfeifer, MD
Manhattan Plastic Surgeon
4.8 out of 5 stars 29 reviews

650cc Breast Implants? Am I Crazy?

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There is no way to give you an accurate recommendation on size.  We do not know your chest measurements.  You need to be examined to find out if skin and muscle (if you are going under the muscle), will stretch enough to accomodate 650cc implants.  Finally, you did not mention what profile implants you want or that your PS recommended.  There is a big differece in dimensions and projection between a moderate profile 650cc implant and a high profile 475cc implant.

Finally, sizers in your bra are very inaccurate in determinaing an appropriate size.  I would recommend showing your PS pictures of what you desire and follow their recommendation.

Rigo Mendoza, MD
Tampa Plastic Surgeon
4.4 out of 5 stars 40 reviews

650cc Breast Implants? Am I Crazy? (photo)

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No way ANY of us can advise without a frontal nude posted photo. Or seek additional IN PERSON opinions in your area/city. 

Breast implant sizing with Vectra 3D

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Dear Tishaann,

while 650cc may sound large at first, your breast dimensions and skin envelope may accommodate larger implants. You are a perfect example of a patient who can benefit from Vectra 3D breast imaging. You can visualize your desired outcome with different breast implant sizes and make the best choice with your plastic surgeon. Please see the link below to find a surgeon near you who can provide this service for you. Best of luck. 

Kevin Tehrani, MD, FACS
New York Plastic Surgeon
4.7 out of 5 stars 115 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.