Do You Agree with my Decision for 650cc Saline Implants Under the Muscle? (Photo)

Hello,

You are going to get tons of upper pole fulness, don't let the moderate profile fool you.  You can't have your cake and eat it too.  Large implants, in your case inappropriately large implants for your anatomy, always create upper pole fulness regardless of profile, and will never leave anything remotely 'natural' in appearance.  In addition to significant upper pole fulness, the implants you are contemplating put you at risk for malposition, double bubble, and severe rippling.

You should reconsider the whole concept of 'I want... ' a particular cup size, and instead allow the surgeon to tell you what implant fits your anatomy.  This will substantially reduce your risk of complications by 10 fold, and give you a long lasting result.

Just take a look at the other posts about women and their problems after surgery; this website is full with them, unfortunately.  90% could have been avoided with proper implant sizing.

Best of luck.

It is hard to say precisely what might look best on you without measurements, but based on your photo, I would suggest that 650cc of any style is going to look too big for you. If you don't want too much upper pole volume, you likely will need to choose an implant that is closer to 350cc than 650cc. The lower profile will minimize some of the upper pole volume, but a 650 moderate profile implant is really wide in diameter and would be a rather unusual choice for you, in my opinion. 

I would strongly discourage the 650. So has everyone else, to that should tell you something. Implants are like shoes. If they don't fit, they won't work out right. Your chest looks like it is 12-13cm width. That would be the starting point for looking at implant choices. I almost never use HP implants in primary augmentation. The implant is too round, looks unnatural and can cause indention of the chest wall. I think you would be better off with a more conservative volume (like 350CC Moderate Plus Profile). I would also use silicone. Saline is an inferior product that does not look or feel as natural. It also has a problem with deflation and has a higher contracture rate. Best of Luck!

Hi, based on your picture and your height and weight i can venture that 650 saline implants would give you the opposite of what you are looking for. although this is not very scientific, but please expect your cup size to increase to over a DD and expect significant upper pole fullness and an unnatural result with the 650s. I think you would be better served by a smaller silicone implant and i recommend you get at least another opinion in that regard, from a qualified plastic surgeon and that you review before and after photographs of other patients with that size and smaller.

I believe that if you go with a 650 cc implant that this would be too large for you.  This will be detrimental to your skin over time.  Consider down sizing your implant size.

Dr. ES

It is a general rule that 175 cc of volume will increase your breasts by one cup size. You say you want natural looking small to mid D breasts. If you receive saline 650 cc implants, you will go up by almost 4 cup sizes and will not look natural. You have a slender body and will look out of proportion with such large implants ( and you will definitely have upper pole fullness). I would not recommend going larger than 400-450 cc (especially with saline implants which are a litttle more firm and projecting). A good way to test sizes is to get a D bra with no padding and then put rice into panty hose (1 oz rice is 30 cc). So 650 cc of volume woud be around 22 oz of rice. Put the "rice sizers" into the bra and see what you think. I suspect that you will find that it is far too much volume for your frame.

Regards,

Daniel A. Medalie, MD

 

      Dear Vixengal,

         I appreciate the photo with your height and weight. Based on this information without an exam....yes, I think 650cc is too big for you. Have you tried using sizers to determine how large you want to be? They can be helpful in determining what a patient considers a "small to mid D" and what I may consider that to be. I would suggest something smaller in the 400-450 range. Besides that, I think you are exposing yourself to a higher risk of post-op complications including the double-bubble, bottoming out and diminished nipple sensitivity. We as experienced BCPS should not be afraid to help and guide our patients to make better choices when it comes to sizing. What the patient wants is not always in their best interest. I would strongly recommend that you revisit the sizing issue with your surgeon before you proceed with surgery.

650cc implants are very large implants and will 100% give you upper pole fullness. If you don't want upper pole fullness (which I am confused because you say it like it is a "bad" thing), then you may want to reconsider implant size. I agree with my colleagues that 400-500 cc implant is probably more appropriate.  Also, you may need a high profile implant based on your photos.

Dear vixengal,

   It all comes down to the correct measurment. Your picture shows to me a small A cup breasts and not a B cup as you say. This is not unusual. Many of my patients overestimate their breasts size because of Victoria secret or other such outfits that make their cup size smaller , so that you feel better about yourself.  You did not mention your chest size , but based on your height, lets assume that it is 34 inches. To go from a small 34A to a full 34D  you will need, roughly, 600cc of saline. If your chest size is 32 inches you will need 500cc . A 36 inches will require 700cc.  There is no guaranty, but usualy it is within 1/4 size + or -. I hope that you are seeing a board certified plastic surgeon who is familiar with measurments.

                      Best of luck,

                                                   Dr Widder

Thanks for the pictures and information. In my opinion the size is too big for you. Especially in a moderate profile it will be wide for your frame. I would think a 450cc range moderate plus would be more natural. Good luck, You can always go bigger in the future but once stretched out by a big implant the damage is done and a lift is needed to remove the extra skin.