About what size would silicone 500cc high profile be?

Question

I understand that implants fit differently on every person (size wise) just like bras run differently (size wise). On a general note, about why size would silicone 500cc high profile be?

Gerald Minniti, MD, FACS · Answer

Hello,If you really understand that bra cup sizing is unpredictable, why ask?  We don't even know your breast size now, not that it matters. When you're ready to have surgery, visit a few ABPS certified/ASAPS member surgeons that prioritize tissue based implant sizing. Once you've got that number, try it on using sizers, an unpadded, tight bra, and look in the mirror.  Usually the surgeon is set up to do this for you. Best of luck!

Andrew P. Trussler, MD · Answer

Breast implant volume is listed in cc's. About 150 to 200 cc is about one cup size, though this is variable depending on the patient size and the profile of the implant. The end result will depend on skin elasticity, existing breast tissue, breast implant pocket (above or below the muscle), and implant size. A 500cc breast implant will give a significant volume change to a patient who has not had implants before and who is of normal size.

M. Scott Haydon, MD · Answer

Thanks for your question and I can appreciate the frustration. A 500CC is a very large implant in anyone. If you start off with a C cup then obviously the end result will be even bigger. The appropriate implant must be based on measurements of your chest wall. Once that is done and your desired look is conveyed, the surgeon can give suggestions. Using the Vectra 3D imaging software, simulations can be done to demonstrate outcomes. Best of Luck!

Jaime S. Schwartz, MD, FACS · Answer

I appreciate your question.

It depends on your chest wall measurements and existing breast tissue as implant size does not accurately correlate to a bra size.  It also depends on the brand and style of bra you wear as size varies from manufacturer to manufacturer.

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 and restorative breast surgery.

Best of luck!

Dr. Schwartz

Board Certified Plastic Surgeon

#RealSelf100Surgeon

#RealSelfCORESurgeon

Robert Singer, MD · Answer

The best cosmetic result in any particular breast augmentation patient depends on a variety of factors, including: Your individual anatomy, desired outcome, 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 C and a 36 C are significantly different. Cup size varies from manufacturer to manufacturer and even within styles from any particular manufacturer. Nor is there a direct correlation between implant shape or size and 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

Ven Erella, MD · Answer

Thank you for your question. Final cup size depending on the existent breast volume and size of the implant. Here the 500 cc is constant and variable is person breast tissue, hence final outcome depending on that. In general 500 cc considered big implant.  There is a mentor sizing system in our office which helps the patients to ease and understand the look. Please consult with a board certified PS for evaluation.

Tom J. Pousti, MD · Answer

Thank you for the question.  There is no accurate/reliable/predictable correlation between size/profile breast implant utilized and cup size achieved. 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.

***Given your concerns, I would suggest that you schedule additional time to spend with your plastic surgeon communicating your goals, preferably prior to the date of surgery.

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 "D or DD cup” 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.

Ronald V. DeMars, MD (Retired) · Answer

The implant does not determine your cup size. That is determined by the combination of your natural breast tissue and the implant. So without an exam your question cannot be appropriately answered. And of course the profile and projection of the implant will also figure in to the answer. But 500cc is definitely larger than average.

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