750cc - I Want to Be Large

Yes, this is a larger than average breast implant.

There are numerous increased risks associated with this, and I am sure I will not even touch on half of them, but consider the following.

The size of the implant has been associated with:

1.Increased risk of loss of nipple sensation
2.Increased risk for long term breast ptosis (sagging)
3.Increased risk for chest wall deformation (curving of the ribs)
4.Increased risk of rippling or palpable /visible creases
5.Increased risk of lower pole tissue attenuation (thinning of the tissues of the breast)
6.Increased risk of secondary revisionary procedures
These are a few of the risks off the top of my head. Please discuss with your surgeon.

Most importantly, remember that although you are seeking breast enlargement, many women present complaining of breast overgrowth desiring breast reduction. These women report limited physical activity, neck/back/shoulder pain, shoulder grooving from bra straps, numbness in the fingers, rashes beneath the breasts, etc.

Many of these women feel significant relief with reductions as small as 300 cc yet you are considering adding twice that to your breasts. Think it over carefully.

I hope this helps.

Choosing the right size in breast augmentation is one of the most difficult decisions. 750 cc is way to big. It will permanently damage your breasts. A good way to pick the right size is to base it on chest width. If you want to go bigger get then go up one profile Bigger is definitely not better. Smaller likely is.

If your breast is larger to begin with you can get a larger implant. In general the larger the implant gets the more unstable the long term results are. Therefore a reputable plastic surgeon would try to protect you from your own desires if he or she thinks that a procedure is harmful to you.

From your photo is not clear that you need any breast augmentation. It is important not to place too large an implant as firstly it does not look natural & secondly it is unhealthy (can cause backpain, stretchmarks, increase the chances that future surgery will be needed etc.). The implants basically sit in position without any attachment to the chest wall itself unlike real breast tissue which is attached to the chest wall by ligaments. If you place a very large breast implant the constant pull of gravity on this larger heavier implant will eventually stretch out the skin, cause drooping etc. That is why these implants are associated with much higher reoperative rates than smaller lighter implants.

This is a bad idea that will cause problems longterm, many which cannot be fixed.  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

Thank you for the question.

Much of the final “look” achieved after breast augmentation surgery  depends on several factors:
1. The initial shape, size (volume of breast tissue), symmetry of the patient's breasts. In general, the better the  preoperative breast appearance the more likely the breast augmentation “look” will be optimal.

2. The experience/skill level of the surgeon is important in determining the final outcome. For example, the accurate and gentle dissection of the breast implant pockets are critical in producing  long-term  well-placed breast implants. I personally think that these 2 factors are more important than any others, including type (saline or silicone)  or model (low/moderate/high profile)  of implant.

3. The type of implant used may  determine the final outcome, especially if the patient does not have significant covering breast or adipose tissue. For example, some surgeons feel that silicone implants have a more natural look and feel than saline implants because silicone gel has a texture that is similar to breast tissue. Each patient differs in the amount of breast tissue that they have.  If a patient has enough breast tissue to cover the implant, the final result will be similar when comparing saline implants versus silicone gel implants.  If a patient has very low body fat and/or very little breast tissue, the silicone gel implants may provide a more "natural" result.
On the other hand, saline implants have some advantages over silicone implants. Silicone implant ruptures are harder to detect. When saline implants rupture, they deflate and the results are seen almost immediately. When silicone implants rupture, the breast often looks and feels the same because the silicone gel may leak into surrounding areas of the breast without a visible difference.  Patients may need an MRI to diagnose a silicone gel rupture.   Saline implants are also less expensive than the silicone gel implants.
Other differences involve how the breast implants are filled. Saline implants are filled after they’re implanted, so saline implants require a smaller incision than prefilled silicone breast implants.
On May 10, 2000, the FDA granted approval of saline-filled breast implants manufactured by Mentor Corporation and McGhan Medical. To date, all other manufacturers’ saline-filled breast implants are considered investigational.
As of 2006, the FDA has approved the use of silicone gel implants manufactured by the Mentor Corporation and Allergan (formerly McGhan) for breast augmentation surgery for patients over the age of 22.

4. The size and model of breast implant used may  make a  significant difference in the final outcome. Therefore, it is very important to communicate your size goals with your surgeon.  in my practice I find the use of goal pictures to be very helpful.  in your case you could use your own before breast-feeding pictures as the goal. I have found that the use of words such as “natural” or “C cup” or "fake looking" or "top heavy" means different things to different people and therefore prove unhelpful.
Also, as you know, cup size varies depending on who makes the bra; therefore, discussing desired cup  size may also be inaccurate.
Also, as you know, cup size varies depending on who makes the bra; therefore, discussing desired cup  size may also be inaccurate.
I use  intraoperative sizers and place the patient in the upright position to evaluate breast size. Use of these sizers also allow me to select the breast implant profile (low, moderate, moderate plus, high-profile) that would most likely achieve the patient's goals. The patient's goal pictures are hanging on the wall, and allow for direct comparison.
I have found that this system is very helpful in improving the chances of achieving the patient's goals as consistently as possible. 
By the way, the most common regret after this operation, is “I wish I was bigger”.


I hope this helps.

Implants of this size will destroy all natural anatomic contours of your breasts and result in the need for multiple revisionary surgeries in upcoming years. There are surgeons who will perform this type of surgery, but it is not in your best interest to pursue it. The larger the implant, the more problems with malpositioning, neck and back pain, and tissue thinning over time. Make sure you inform yourself thoroughly about the risks associated with large implants before pursuing this.

No. 750cc implants are very large.  The larger the implants the more the risk of problems.  Overfilling to 1100cc will void the warranty and cause scalloping of the implant and thining of the skin.  Discuss your goals with a reputable plastic surgeon.

The answer is, yes, you'll be big.  But no, this is NOT a good idea at all.  I doubt that implant size would even fit onto your chest wall.  I'm sure you'll find someone willing to do the surgery for you, but many excellent board-certified plastic surgeons wouldn't consider it.

First, getting larger implants such as these are not really a great idea, second overfilling them to that volume will not be safe.