Will 700 CC over the muscle be too big? (Photo)

Dear nicky,    Thanks for submitting your picture. A side or oblique view would have been very helpful to determine the level of your droopiness.  From your picture , you appear to have level 2 droopiness, which means that you will need at least a mini lift ( donut, purse string ) in order to obtain an attractive looking breasts. As far as the implants size, it is difficult to answer your question without  the measurements of your chest and breasts circumference.  Let's assume that you are 36 B cup. 700 cc implants will bring you to a 36 DDD.  If you are 38 B cup you'll end up 38 full DD.  As long as you understand what you are getting into, that's fine, but in my humble opinion this is too big. Always consult with board certified plastic surgeons and check their before and after pictures to make sure that you like the results. Also, make sure that their pictures are numerous and consistent and that they have good reviews.                                   Best of luck,                                                       Dr Widder

Yes,
700 cc implants over the muscle are too big, will extrude inferiorly and
laterally requiring revision and you will be dissatisfied. From your photograph, you have ptosis of the
breasts and stretch marks. You would
benefit from a new technique called Breast Augmentation with Mini Ultimate
Breast LiftTM. Using only a
circumareola incision it is possible to reshape your breast tissue creating
upper pole fullness, elevate them higher on the chest wall and more medial to
increase your cleavage. Through the same
incision, implants can be placed.
Aligning the areola, breast tissue and implant over the bony prominence
of the chest wall maximizes anterior projection with a minimal size
implant. Small round textured silicone
gel implants placed retro-pectoral look and feel more natural, are more stable,
less likely to ripple or have complications needing revision. Implant profile is irrelevant in the
retro-pectoral position since the muscle compresses it. Best Wishes,Gary Horndeski, M.D.

The average volume in the US is 350 cc. So a 700 cc implant tends to
be too large for most women. The best way to determine what you would like would be to try on sizers in the office.  Kenneth Hughes, MDLos Angeles, CA

Thank you for your question and photos.  In short, 700 cc implant is a very large implant.  Your goal size for your breast and the type of look you are going for are important factors in deciding what size implant is best for you.  As far as that large of an implant over the muscle, it is generally not a good idea.  Implants above the muscle have a much higher rate of scar tissue formation than under the muscle.  This can lead to distortion of the implant and even wrippling or wrinkling of the skin which can be visible to others.  Make sure to seek the advice of a board certified plastic surgeon.  It's often helpful to talk with more than one surgeon as well to get a new perspective.  Best of luck to you.

I would reconsider a subglandular implant.  Placing implants under the muscle helps decrease risks like tissue thinning, rippling, and capsular contracture.  700cc is also a very large implant.  I would recommend going on another consultation to see what others say

I never want to throw darts at other surgeons, but I think that you are getting some bad advice. 700 cc implants are quite big. Your skin envelope is quite thin. To me, you are the perfect example of someone who needs a conservative sized implant placed under the muscle. You do not have good soft tissue coverage and an implant placed over the muscle will not do well over time. And a 700 cc implant just seems awfully big, unless you are really wanting an unnatural result. No offense intended to your surgeon, but I would at least seek a second opinion.

That implant size is pretty large and your breasts look like they're slightly saggy, which means that within a short time, you'll be wanting a breast lift. The rate of sagging will only accelerate if you go over the muscle without a lift.

You should try sizers to 'see' what you will look like.  3 cups of rice in a nylon stocking will provide a volume of 720 cc's which will be a little larger then what you are considering - use an unlined bra and see what you will look like as your height allows you to handle larger sizes.

Why not a donut lifting with 500 cc sub muscular placed implants as another option? Please respond so we can all understand where this 700 cc came from//// 

Thanks for your question,Determining breast implant size can be a very difficult process for patients.  It is always a good idea to have an in person consultation with an established plastic surgeon.  A consult should include consideration of many factors including your desired size and look, as well as your own tissue thickness.  In general, placing implants under the muscle helps reduce risks like tissue thinning, rippling, and capsular contracture.Additionally, a 700cc implant is quite large. I would recommend seeking at least one more opinion before making your decision.