650cc Max For My Body? (photo)

I would say most likely that size is way too big for your frame.  You will have near symmastia (breasts almost touching in the middle) and the implant will be so "wide" it will extend off of the side of your chest wall.  The skin of the breast can only "stretch" so much at any given time and the further you push it the more likely you will have complications and need revision surgery (eventually).

Hello. The most important factors for determining the size of implants that could be used on a patient include width of the base of the breast, the size of your thorax and the amount of breast tissue and skin you have. Without this information it is impossible for me to decide what implant you can have. I can say that 650 cc implants are extremely large and rarely used.

 

Jaime Perez, MD
Breast Augmentation Specialist
Plastic Surgery Center of Tampa

Thank you for your question.  This is a very common question for women trying to decide on a breast implant. 

 

There are a number of issues in selecting an appropriate breast implant for augmentation.  Probably the most important first step is seeking the assistance of a qualified plastic surgeon during a consultation at the office. He or she can then examine you and help determine which implant is best for you given your exam.  Important factors to take into consideration is your goal size (example pictures from magazines can be very helpful), the width of your breast, how much excess skin you have, and the position of your nipples.  Without photographs, it is difficult to make any kind of recommendations. 

 

For a more natural look, you will want an implant that has a diameter that is smaller than the width of your breast. If a 550-650cc implant is wider than your breast, you will have a very unnatural look.  Your plastic surgeon can help guide you down this sometimes confusing road!  Good luck.

Samantha, you are trying to understand and make an educated decision.  This is very important.  You are on the right track.  

The answer is that 550-650 implants are probably not too big, but you must accept trade-offs (potential adverse consequences) resulting from this decision.  If the implants are too small and you are not happy, this is an adverse consequence as well.  By going larger, your skin (and nerves and soft tissue) are stretched more, become thinned out over time, and may or may not sag.  The models you show look sexy, but have obvious (un-natural) implanted appearance which works in some situations, but maybe not others.  Pregnancy and weight fluctuations change breast size, shape, and appearance.  The incidence of rippling and wrinkling, implant edge visibility, numb nipples, and other problems is higher with larger implants.  That being said, many many women are very happy with large implants, so you should go with your gut understanding it is impossible for you and for your surgeon to predict the future.    Your skin envelope will be tight initially, but expands to accommodate the implants during 6-12 months following augmentation.

Thanks for your question and pictures.  It is difficult to give accurate advice on size of implants without a good exam.  Measurements of your chest would need to be made to determine the size of implants that can be placed safely.  Also, placing such large implants can lead to significant issues in the future, so you should have a detailed discussion with a board-certified plastic surgeon before proceeding.

Thank you for the question and photos!  Cup size is a measure of the amount of breast projection from your chest wall.  It does change depending subjective measures as the brand or the person measuring you.  

It appears that you desire a fake, augmented appearance of your breasts.  Certainly, large implants, such as that which you desire, is possible.  It should be cautioned that such large implants may have issues down the road with the overlying breast/skin.  It will be a very difficult problem to fix, if/when revisionary/exchange procedures are needed.  That being said, the most important determinant for breast implants should be the breast width.  Fitting an appropriate implant size/profile to match your breast width will give you the most aesthetically-pleasing results.  

Another evaluation and examination by a plastic surgeon to get measurements of the above as well as skin quality, stretch, and distances will assist you in determining and choosing which procedure/implant would be the right one for you.  I hope that these answers help you!  Best of luck!

  If you are a small B cup and your chest wall width is large enough to place a 650 cc HP implant, then you may be able to get to a DD or larger, based upon a number of factors.  Find the plastic surgeon with ELITE credentials who performs hundreds of breast augmentations each year.  Kenneth Hughes, MD Los Angeles, CA

There are several variables in determining implant size.  When recommending implant size for my patients, I consider the followings: 1) patients' anatomy (height, weight, chest width, chest height, amount of breast tissue) and 2) patients' desired look/goal.  Without knowing your chest measurement and breast tissue amount, I cannot give you any recommendation.  650cc will most likely give you a very full look.  You should visit with board-certified plastic surgeon who will examine you.  Try implant sizers to get a rough estimate of the size you may want.  As you know, bra/cup size will vary depending on the brand.  Good luck with you.

I consider two factors when selecting implants for my patients:

1.Dimensional planning
2.Gel Implant Sizing system

Dimensional planning – The measurements of your chest wall are taken. Also, the breast dimensions including the height, width, and current dimensions of each breast form the basis of dimensional planning. Based on these measurements, the implant size is recommended. This will give you a unique breast implant that is suited for your body frame. However, there are some limitations of what size we can recommend. For instance, some implants may just be too big for a narrow chest wall. Your surgeon can review this with you during the consultation.

Gel Implant Sizing system – During the preliminary breast implant consultation, you will be provided with an option to “try on” a variety of implant shapes and sizes. You can also visualize the possible outcomes of your surgery which helps you to get that perfect size to give you the shape that you longed for. This way your preferences are known and you can then pick a range of implants that will “fit” just right to give a soft natural fuller look.  If you have decided on saline implants, then based on the gel sizer you select, we can guide you to the saline implant that achieves a similar look.
Hope this helps.
Dr. Basu
Houston, TX

To give you a remotely decent recommendation, you will need to post  good front and side view pictures of your breasts. My personal opinion though without even seeing you is that 650cc is quite large on most body types. If you're only 5'4, this size may be overwhelming to you. Again, that is my own opinion. Your plastic surgeon's office should let you try on implants so that you may see different sizes and how you'll ultimately look. Just be careful, the bigger you go, the more they weigh and the more south they will head on you with time. Augmentation doesn't defy gravity.