Would 510cc be too large? (Photo)

Question

Hi, I had went for a BA for a bigger size. I had a 3d vectra done to determine what would look right on me. I went with moderate profile of 510cc saline implants. I weigh 125lbs, 5'1, and I do have wide hips. I wanted something to go with my frame. So I would want to be a small D in size.

Clark Schierle, MD, PhD, FACS · Answer

The exact choice of size that will work best for you is an important decision that you should make with your board certified plastic surgeon. 3D Vectra imaging and simulation, the Mentor gel sizing system, rice filled implants at home in your bra, and bio-dimensional analysis are all methods that can be employed to help you come to a decision. Because size is such an important component of decision making in breast augmentation our office employs all of these techniques with each patient to ensure the highest rate of satisfaction possible. Good luck with your decision!

Edwin C. Pound, III, MD · Answer

Based on your pictures, I think that 510 cc's would be too big on your frame, especially with a moderate profile type implant.  It will probably wrap around into your armpit!  I don't particularly like video imaging.  I think that you can do lots of things on a computer that you may not be able to replicate in real life.  If you have questions, I think your best bet is to get a second (maybe even a third) opinion with a board-certified plastic surgeon who can examine you in person and discuss your options with you.  That way, you can get differing perspectives.  This is an important decision so spend your time, do your research, and get it right the first time.

Armando Soto, MD, FACS · Answer

Hi there-The appropriate selection of breast implants for any individual patient should (IMHO) depend on a lot more than just the patient's goals, although obviously this is a very important factor. Details of your examination are equally important, as is the input of a responsible and talented surgeon.Without meeting you for a careful consultation and examination, it would not be possible to answer your question responsibly, but I would say that what Dr. Pousti wrote is excellent advice.

Darryl J. Blinski, MD · Answer

Maybe but only in person examination would allow a definitive response to sizing issues..................

Kenneth R. Francis, MD, FACS · Answer

Dear Breasia,That size implant will likely make you larger than a small D cup, especially with what appears to be B cup breasts already.  Also, you seem to have very tight skin and might not accept an implant that large comfortably.  Good luck!

Steven Wallach, MD · Answer

510 cc implants may be too large for your chest. An exam in person would be necessary to determine this. Best of luck.

Robert Singer, MD · Answer

The best
cosmetic result in any particular breast augmentation patient depends on a
variety of factors, including: Your individual anatomy, realistic expectations,
a thorough discussion with the plastic surgeon about the options, and an
understanding of the pros and cons of any particular implant choice. Proper
sizing is not just about the number of cc’s. The thickness of your tissue,
breast dimensions which include the width,
height, and projection, as well as chest wall width all need to be considered
when choosing an implant. Trying on implant “sizers” of various shapes and
volumes while wearing a tight t-shirt, bra, or bathing sit at a preoperative
visit will help you and your surgeon choose the optimal implant.

There are no manufacturers' standards for cup sizing in the bra industry. The
cups of a 32 D and a 38 D are significantly different. Cup size varies from
manufacturer to manufacturer and even within styles from any particular
manufacturer. There is also no
direct correlation between an implant size or shape and resultant cup
size.

Keep in mind that following the advice from a surgeon on this or any other
website who proposes to tell you exactly what to do without examining you,
physically feeling the tissue, assessing your desired outcome, taking a full
medical history, and discussing the pros and cons of each operative procedure
would not be in your best interest. I would suggest that your plastic surgeon be
certified by the American Board of Plastic Surgery and ideally a member of the
American Society for Aesthetic Plastic Surgery (ASAPS) that you trust and are
comfortable with. You should discuss your concerns with that surgeon in person.

Robert Singer, MD FACS

La Jolla, California

Tom J. Pousti, MD · Answer

Thank you for the question. Ultimately, careful communication of your goals (in my practice I prefer the use of goal pictures, direct examination/communication in front of a full-length mirror, and computer imaging) will be critical.  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 are 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 "small D cup” or "bigger size" 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.  Again, the use of computer imaging has been very helpful during the communication process, in our practice.3.  Once you feel you have communicated your goals clearly,  allow your 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,  after the use of temporary intraoperative sizers.I hope this (and the attached link, dedicated to breast  augmentation surgery concerns) helps. Best wishes.

David B. Reath, MD (retired) · Answer

Rather than be polically correct, let me say that I think implants in the 500 cc range are going to be too big for your frame. Of course without seeing you I cannot be certain. However 510 cc in a person who is only 5' 2" seems excessive. Further, unlike some of my colleagues I am not a fan of computer imaging to determine breast implant size. I think that using sizers is a much better way to visualize how a certain size will work for you.However if you have concerns about the size you are choosing -- and it sounds like you do-- you should comsul again with your plastic surgeon and discuss this further. All the best.

Would 510cc be too large? (Photo)

Answers (9)

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