575cc moderate plus silicone implants. Does this size seem appropriate? (Photo)

I think it’s too big. You might not think so at first but over time you’ll realize you should’ve gone smaller. 450 c is still plenty big. I never go over 500. I have hear many times “what was I thinking?”

Hello and thank you for your question. Honestly, a formal in-person evaluation would be needed to determine the best treatment. There are several reasons for this:
1) Bra sizes vary based on the clothing store (for example, Victoria's Secret tends to upsize everyone by a whole cup size)
2) Most women do not wear the proper exact fitting bra size for their bodies
3) The exact volume (in cc) needed to change cup size is different for different body types (e.g. 32A to 32D requires a different implant size than 38A to 38D)
4) Be careful NOT to fall into the trap most women do- they see a certain implant size (e.g. 285 cc) or perhaps their friend had a certain size, and they want or request this or another size based on that. Everyone's body is different- 285 cc implants on your friend might look VERY different than they would on you. Be very careful not to make this mistake, because the goal is to find the right size and shape for YOU- for your particular body and your breasts.

Because of those multiple factors, and because it is KEY to fully evaluate your breasts in person to make a full set of precise measurements to select the proper implant for you (incorporating factors like amount of breast tissue, implant type, base width, projection, etc), answering your question really would need a formal personalized consultation- to say anything before that would simply be guessing, which would be both unfair and unhelpful to you.

Your breasts are such a KEY area of your body and your femininity- therefore, you should ONLY trust an experienced aesthetic plastic surgeon. As such an expert, I have had extensive training and experience with complex aesthetic surgeries under a multiple world-renowned experts in the field. I’d recommend for you to setup a formal consultation with me (or another plastic surgeon who is extremely comfortable with aesthetic plastic surgery procedures) for a formal consultation to thoroughly discuss your surgical goals, undergo a formal examination, evaluate all your options (surgical and nonsurgical), and decide on the best procedure(s) and type of anesthesia for your specific case. I hope this helps!

Dr. Donald Groves
Aesthetic Plastic Surgeon

The process of selecting an implant is one of the most important aspects of breast augmentation. I would go see a board-certified plastic surgeon (ideally with 5 years of plastic surgery residency training and a 1 year aesthetic fellowship). I would go see a surgeon who has the ability to perform 3D preoperative imaging to show the potential results utilizing tissue-based measurements. Based on your native tissue measurements, I think it is highly unlikely that you are able to accommodate a 575cc implant. Additionally, large implants will create large problems over time such as soft tissue stretch, lateralization, difficult revisionary future cases, and potential other issues. I would highly consider downsizing and discussing this with your surgeon.

Dear Graceful869676,
breast implant type and sizing selection is a complicated process and requires a detailed consultation that includes a discussion of your goals, a detailed examination, and a lengthy discussion. But the decision will always start and end with the patient. When it comes to sizing, we have all of our patients find 3 photos of their desired breast size. We ask for naked breast photos because clothing can obscure the true size (push up bras). Next, we consult with patients and go over the photos and take detailed breast measurements during a physical exam. Next, we using a sizing algorithm to determine a range of implants that will work based on the exam and the measurements.Lastly, during the operation, we use silicone sizers in the operating room to see how the size actually looks in the breast. We sit the patient up in the operating room, while asleep of course, and compare the sizer result with their desired look photos. If it is too small, we start the process over with a slightly larger implant. We don't stop until we get the perfect match.Of all of my breast augmentation patients, every one of them has been happy with their size due to this detailed and meticulous process. You don't want to invest time and money into a result that is either too big or too small.You should discuss your concerns with a board-certified plastic surgeon and make sure that your surgeon understands your goals.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Thanks for your question! Without seeing you in person, it's difficult to give you an exact answer. However, 575cc on a 5'2" patient sounds quite large. To achieve a D-DD, I may recommend something in the 400cc range. Good luck!

Hello and thank you for your question!

Implant sizing is a very subjective and personal process. Could those size implants fit in your frame/measurements? Yes, very likely especially with a higher profile/narrower implant with more projection. Will you be happy with that size implant and the "look" it will give you? Only you can answer that question and your surgeon should do his best to make it so you can answer that for yourself.

If you have not tried on physical sizers inside of bra/clothes, that would be the next best way to determine if you like the look/feel/weight of implants around that size. In my opinion, 575/600cc will definitely get you up 3+ cup sizes (i.e. A to D/DD). If you are a "true" B cup instead of an A cup, you may end up larger than DD. (again this depends on the person and also where they shop for bras). When patients in my practice choose implants much higher than 400cc+, I also counsel them on the weight of "larger" implants (i.e. it is possible to then have some of the same symptoms that our breast reductions patients have, such as neck/back/shoulder pain).

Good luck on your journey!

Size is determined by base width of breast, skin pinch quality and desired volume change.If you are 5ft 2 inches and 116 pounds— this size implant will not only stretch our your skin and breast parenchyma,. You will definitely look matronly, and your clothes will not fit. In addition, you will definitely need a breast lift in the future. I would stay in the 350-375 cc range. Btw, every 150cc is 1 cup size.

After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size breast implants. They also get to see what they would look like when the breasts have fully dropped and fluffed and in clothes. You get to see actual results and the surgeon' s experience and not a virtual idea of what can be achieved. Women tell me that this process is very helpful in determining what is right for them. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Unfortunately, you have not told us your bra size. If you are size 32 or 34, each 100 cc of implant corresponds to 1 cup size change. If you are size 36 or 38, each 200 cc of implant corresponds to 1 cup size change. From this, you can determine the volume required to achieve your desired goal.

Best Wishes,

Gary Horndeski, M.D.

Going from a full A to DD is aggressive and the tissue might not support the large implants over time. I'd suggest a more modest volume which should hold up better. Bottoming out is an issue with larger implants on smaller breasted women.