6ft, 135lbs, A to C: 500cc too large?

Question

I just had my first consultation I went in saying I want a full "C". I definitely dont want anything too big. After my exam the doctor said I have a concaved sternum and very rounded ribs with a 12.5 diameter and very slight "tube boob" so he recommended a HP saline implant filled to 600cc's. I got him down to 500cc but he was hesitant to bring in any smaller for me to try, those would best balance out my body. I am 6ft tall 135lbs. 34AA bra size. Are 500cc to large? Thanks!

Jed H. Horowitz, MD, FACS · Answer

Breast Implants: Best Size and ShapeThese are very large implants.  First of all,  what is your bra strap size?  At  12 cm diameter, you can’t be more than a 34 possible 32.  Average volume is 325-350 for a 34 a to c  and 250-300 for a 32 a to 32 c.Please also  consider  anatomic gel implants by Sientra.  You may also need a minimally larger implant on the right looking at these photos.

Michael F. Bohley, MD · Answer

The choice of the correct implant type and style needs to take into account your chestwidth and amount of soft tissue coverage.  High profile implants have a narrower base(size-for-size) than moderate or moderate plus, but more projection.  However, they may not give as natural a shape as a more moderate profile device.  Also, silicone gel implantswould have advantages in texture/softness given your lean frame.  Don't hesitate to havea second consult with your surgeon to discuss all of your options.  A second opinion byanother qualified plastic surgeon in your area may also be helpful.

Steven Wallach, MD · Answer

It is difficult from the photos posted to see the concavity of the central chest. It does not look bad in the photos. As for implants, those are very large and they will not look natural.  An exam in person would be best to assess a good volume. You can also do a baggy test to get a rough idea.

Linda Swanson, MD · Answer

With your relatively small amount of natural breast tissue, I would strongly recommend a silicone gel implant to reduce the chances of visible rippling. Given your dimensions, I would go with 410-440cc moderate profile gel implants in a submuscular pocket through an inframammary incision. This will give you a very nice, natural appearing result, although it is not possible to promise an exact bra size since these vary a great deal.

John D. Smoot, MD · Answer

Your questions is a good one but you need to focus on what is possible and not what is wanted. Although you are tall and might be able to have that large of an implant, I feel your breast size and width will not look natural with that size of an implant.  Notice how short your nipple to fold is and could result in your implants being too high or rounded superiorly.  I would talk with your PS and try on sizes to make sure it is right for you.  There are many factors that go into what would look best for you..

Tom J. Pousti, MD · Answer

Thank you for the question and pictures. Unfortunately, online consultants will not be able to provide you with specific enough advice to be truly helpful. Given your questions and concerns, you'll be best off spending additional time with your plastic surgeon communicating your goals carefully. Keep in mind, that there is no reliable correlation between the breast implant size/profile use and specific cup size achieved.
Generally speaking, the best online advice I can give to ladies who are considering  breast augmentation surgery ( regarding breast implant size/profile selection) is:
1. Concentrate on choosing your plastic surgeon carefully.  Concentrate on appropriate training, certification, and the ability of the plastic surgeon to achieve the results you're looking for. Ask to see lots of examples of his/her work.
2. Have a full discussion and communication regarding your desired goals  with your plastic surgeon. This communication will be critical in determining  breast implant size/type/profile will most likely help achieve your goals. 
In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. I have found that the use of words such as  “natural”  or  "too large" or "C or D cup”  etc means different things to different people and therefore prove unhelpful.
 Also, as you know, cup size varies depending on him who makes the bra; therefore, discussing desired cup  size may also be inaccurate.
 The use of computer imaging technology may also be very helpful during this communication process.

3.  Once you feel you have communicated your goals clearly,   allowyour plastic surgeon to use his/her years of experience/judgment to choose the breast implant size/profile that will best meet your goals.  Again, in my practice, this decision is usually made during surgery.
I hope this (and the attached link) help.

Lee E. Corbett, MD · Answer

While at 6'0" your frame could certainly tolerate a 500cc implant I'm not sure you base width will. The base on a Mentor HP 500cc is 13.2cm. The 600cc is 14cm. You can use these but you are going to have a lot of implant displaced laterally as there just isn't that much room between your nipple and your sternum where the muscle inserts. If you want that much volume you might want to consider the ultra high profile implant. There you can get a 595cc implant that has a base of 12.5 cm

Michael Law, MD · Answer

The best way to determine the size you'd like to be is to find several before and after images that look like you before surgery and the way you'd like to look after surgery. The surgeon who is right for you will have images that look like you on his or her website and / or in the office during a consultation.The reason this is important is that cup size varies so much and one person's definition of a C cup may not be your definition of a C cup. Additionally, you need to consider breast implant placement, the shape of the implant and position on the chest wall. Size is just one factor in the end result. The most important thing is to choose a surgeon who has demonstyrated expertise with the kind of result you are hoping to acheive.

Robert Whitfield, MD · Answer

In breast augmentation I have chosen to spend time reviewing
photographs with patients to fully understand their expectation of size and
shape.  Many times this simply raises
more questions.  I will make measurements
and use the implant guides to allow the patient to understand exactly the sizes
that are reasonable for their body type and measurements.

Please find an experienced Board Certified Plastic Surgeon
and member of the Aesthetic Society using the Smart Beauty Guide.  These Plastic Surgeons can guide you on all
aspects of facial surgery, breast augmentation and body procedures including
tummy tucks or mommy makeovers!

M. Dean Vistnes, MD - Account Suspended · Answer

Your best bet if you are trying to decide is to try on sizers of the exact implant you are considering inside a very tight sports bra. This will give you a close idea of what you will look like. More importantly the dimensions or width of the implants need to match and fit your frame and body. If you are working with a board certified plastic surgeon with an expertise in breast augmentation he or she should be able to help you with this in their office. Good luck! best, Dean Vistnes, M.D.

6ft, 135lbs, A to C: 500cc too large?

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