First time breast enlargement considering 600cc?

Based on your height and weight this would be considered a large implant. The most useful measurement that we often use in predicting if an implant size is suitable is the base width of the breast. This is essentially how wide your current breast is. When choosing an implant we usually like the diameter of the implant to stay within 1cm of the base width. For example: if your breast is 12cm wide, then the widest implant that we would recommend would be around 13cm in diameter. We would also consider skin stretch. If your skin is relatively tight it may have difficulty accommodating a 600cc implant. Lastly, you have to consider the long term effects on skin stretch. The larger the implants the more they tend to droop over time. From a surgical perspective, it is always a simpler surgery for you to upsize in the future, rather than trying to downsize.

Hello, thank you for your question. It is hard to tell without proper photos; a physical examination is needed. A board certified plastic surgeon will be able to guide you to the correct size implant measurements and desires measurements of the chest wall and breast imprint width as well as knowledge of all breast implant sizes and profiles should make this process easy.)
Implants of 600cc and higher will create more tissue thinning over time, have more potential for rippling, more potential for bottoming out, greater likelihood of breast lift revisions, etc.

This sounds like a very large implant for a small frame. The problem with implants that are sized too large is that over time, especially as you are young, this heavy implant will push against your own native breast tissue and cause atrophy, or loss of that tissue. It is important for my patients to choose an implant that fits their frame. An implant this large is likely too wide for you and can make you look top heavy, which women don't want. Have a discussion with your doc and always feel comfortable getting a second opinion.

It is difficult to comment without the benefit of any photos, but 600cc does sound too big for you. It may get you to a E cup, but they will probably look too big on your chest and unnatural. Also with time, they will tell on your back and by their weight will tend to stretch the skin envelope and make the breasts droopy.

For optimal outcome, please consult a fully qualified plastic surgeon, who has specialist qualification in plastic surgery 'FRCS Plast' after having being trained adequately in the field of plastic surgery, is registered on the 'Specialist register for Plastic surgery' with the General Medical Council and has been considered competent enough to be a member of the 'BAPRAS' (British Association of Plastic Reconstructive and Aesthetic Surgeons) and 'BAAPS' (British Association of Aesthetic Plastic Surgeons) at the least.

Dear tish125L,
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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

After I measure and discuss goals with my patients, we then look at pictures of former patients with similar measurements with different size and style breast implants. My patients tell me that this process is very helpful in determining what size breast implant is right for them. They also get to see what they would look like when the implants 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. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee.

The implant size you are considering is large. It will make you several cup sizes larger and give you a very full look. The implants are heavy and over time will likely sag, so be sure to use good support. Your surgeon has examined you and spoken with you about your goals. He/She is your expert in assisting you in selecting the best implant for you.

I can't say for sure without a full consultation, but 600 cc is a large implant for a primary augmentation. While it is possible, consider getting at least a second opinion to help make sure that it is a safe and reasonable option for you.

The size you are considering is a very large and heavy implant and is too big for most women. Large implants carry more risks of sagging and thinning your breast tissue and are heavy on your neck and shoulder. During your consultation, you will be measured to see what range of sizes best fits your frame and tissue. Please do not choose an implant that is too large for you.