600 CC's enough for me?

Question

Im 5'4, 140 lbs and a "C/D" cup currently & getting my saline BA in 3 weeks. My doctor told ne the office wont do implants over 650cc so i planned to get 650cc in one breast and 600cc in the other, but im curious as to where that will be enough to give me the big fake look im going for?

Nelson Castillo, MD · Answer

Thank you for your question and photographs. Breast implant selection is an exciting, but stressful part of the breast augmentation process as there are so many choices. Unfortunately it is impossible to recommend the best implant style, size or shape without an in-person examination that allows for the measurement of key breast parameters. It sounds as if it may be wise for you to "try on" several of the implants so that you can have a better visual representation as to what they would look like. Best wishes!

Edwin C. Pound, III, MD · Answer

Selecting the appropriate volume implant to use is a very individual decision.  Putting in implants is not like putting bumpers on Chevrolets.  Each patient is different.  You might get a lot of differing opinions on this website, but none of them is as good as the opinion of someone who can examine you in person, listen to your goals, and then help you select the proper size implant to use.  Some doctors base their recommendations on very specific measurements and other criteria.  Some simply go by their experience.  I would suggest scheduling more than one consultation with a board-certified plastic surgeon in order to get a couple of opinions before you make a  decision.

Vincent N. Zubowicz, MD · Answer

There good sizing systems that allow you to try on a given volume prior to the time you get to the operating room. Because of the large diameter of a 600 mL implant a higher profile might be indicated in your particular case. The plastic surgeon will explain this to you.

Aldo Guerra, MD · Answer

Thanks for this question Raven. The bigger you go the more fake they will appear increasing your chances of looking like the photos you mentioned. However, there's no way to guarantee your results. You can read about choosing sizes in the link below. Best wishes, Dr. ALDO :)

Christian Subbio, MD · Answer

650 cc is a very large implant, and certainly will give you the obviously-augmented look you are going for.  Make certain you discuss with your surgeon for the long-term implications of such a large implant on the skin and soft tissues.  Going so large often means consequences such as needing a lift if the tissues stretch out over the next few years.Best of luck!
Dr. SubbioBoard-Certified Plastic SurgeonNewtown Square/Philadelphia, PA

Steven J. Rottman, MD, FACS · Answer

Thank you for your question. "Tissue based planning" relies on your chest and breast measurements and is the safest way to ensure good long term results. Your surgeon should determine what size and projection are necessary to give you your desired result based on your body's measurements. The best way to assess and give true advice would be an in-person exam. Please see a board-certified plastic surgeon that specializes in aesthetic breast surgery. Hope this helps and good luck with your surgery.

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question.  The
best advice you can receive is from an in-person consultation. 600cc is a large implant.  From your description, you desire a large style breast appearance.  The size,
profile, and shape of the implant is based on your desired breast
size/shape, your chest wall measurements, and soft tissue quality. 
This decision should be based on a detailed discussion with
equal input from both you and your surgeon.   
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Reza Momeni, MD, FACS · Answer

Sizing of breast implants has to be done IN PERSON, based on measurements of the breast and chest, not based on height, weight, and cup size.  Be sure to discuss your goals and concerns with your board certified plastic surgeon and consider the pros and the cons. Be certain your surgeon is properly certified.  I've attached a link where you can start your search.

Lawrence Scott Ennis, MD, FACS · Answer

The best way to pick implant size is based on your breast and chest width and not the volume. As the implants get bigger, they get wider. When the width of the implant fits the width of your chest, it will look nice and fit your frame. If the implants are too small, you will have a gap between them and they may look too far apart. If they are too wide, they will make you look top heavy as they may be too wide and stick well out past the sides of your chest. There are ways to get a bigger or smaller look.This can be done by picking a different implant profile. The higher the profile, the narrower the base width of the implant. If someone has a very narrow chest and wants to be big, they should consider a higher profile implant. If someone has a broad chest and they do not want to be too big but want to avoid the gap and still have cleavage without projection, they should consider a lower profile implant such as a moderate. There are options in between these such as the moderate plus. I prefer the underarm approach so there is no scar on your breast. The new silicone is the only way to go as far a rippling as the new silicone ripples much less than saline, especially in the larger implants. I personally prefer the smooth round implants under the muscle placed through the under arm to give you the most natural look and feel. This also leaves you no scar on your breast. 
 Dr Scott Ennis - Plastic Surgeon – Destin, Fl