How Will my Body/Breasts Handle 500 CC Implants?

I am 26 years old. I am 5'8, 135 lbs, and have breastfed 1 child. My breasts are a 34 B. Having spent a lot of time doing the rice test, I would strongly prefer a 500 cc implant. My doctor initially recommended around 400 cc but agreed to doing 500 cc is that is what I choose. Is this considered a large implant, taking my stats into consideration? How much more at risk am I for complications by choosing 500 cc's instead of 400 cc's. Doesn't seem like a huge difference.

Doctor Answers 14

Breast implants (500 ccs) are really big.

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How to pick breast implant sizes?  500 cc's will look fake, but read on.

1) This is the most common type of question on RealSelf.

2) It is the surgeon's job to pick the right breast implants, not the patient's. Implant selection is really pretty technical.

3) Make sure your surgeon REALLY understands the look you want. Mentioning a cup size is not enough. Show your surgeon pictures of breasts you like.

4) Then your surgeon has to tell you if your chosen look is realistic for your anatomy. The most common mistake is to go too big.

5) I recommend that the surgeon NOT make a final implant choice in advance, because this is just an educated guess.

6) The surgeon should have a large inventory of different size and shape implants available in the operating room.

7) Then the surgeon can put sterile disposable implant SIZERS in your breasts during surgery, to see what a particular implant really looks like inside you. This is how to make the best choice. A sizer costs only $45, and takes all the guess work out.

8) Finally, the sizer is discarded, and the correct breast implants (based on what you want and on your anatomy) are opened from the operating room inventory, and put in your breasts to complete the operation.

Manhattan Plastic Surgeon

500 cc Implants

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In my opinion you will NOT have a "natural" look if you decide to go with the 500cc implants. You will want to go with an implant that is close to the width of the bottom of your breast. Also, another concern may be the incision site for the implant. It would have to be underneath the breast. There is no way, based on the size of your areloa, that a 500 cc implant would fit that way. I think these are all important factors to consider when choosing size.

Miguel Delgado, MD
San Francisco Plastic Surgeon
4.8 out of 5 stars 81 reviews

Breast implant size

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500 cc implants on your body frame will probably give you a D cup breast and I think that it is possible to get you to that size. It will increase tension on the skin so that you are at a higher risk of wound disruption and infection, which may lead to loss of the implant. Perhaps you and your surgeon can compromise on 450cc. In general, postpartum women can handle a larger implant like a 500cc implant because the skin has been stretched out by pregnancy and breast feeding. Visit with your plastic surgeon again and maybe he can be the final judge of implant size by using a sizer during the operation to see if you can candle a 500 cc implant. I think you can.

Good Luck,

Leo Lapuerta MD

Triple Board Recertified Plastic Surgeon

Leo Lapuerta, MD
Houston Plastic Surgeon
4.3 out of 5 stars 48 reviews

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500 cc implants

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500 cc implants are quite large and may be too big for your frame.   A full exam and discussion would be performed during consultation.  500 cc implants may be too wide for your frame and may lead to sagging more quickly than smaller implants.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

How Will my Body/Breasts Handle 500 CC Implants?

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In Southern California where I practice, many women choose implants much larger than 500cc, even if they are small framed and have small breasts.  The main thing is that you understand the potential ramifications, and if you choose to have 500cc, that your surgeon chooses a profile that will best match your breast diameter. Good luck!

Amy T. Bandy, DO, FACS
Newport Beach Plastic Surgeon
4.9 out of 5 stars 109 reviews

Breast implant size

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It is very important to communicate your size goals with your surgeon.  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 “C cup” or "fake looking" means different things to different people and therefore prove unhelpful.
Also, as you know, cup size varies depending on who makes the bra; therefore, discussing desired cup  size may also be inaccurate.
I use  intraoperative sizers and place the patient in the upright position to evaluate breast size. Use of these sizers also allow me to select the press implant profile (low, moderate, moderate plus, high-profile) that would most likely achieve the patient's goals. The patient's goal pictures are hanging on the wall, and allow for direct comparison.
I have found that this system is very helpful in improving the chances of achieving the patient's goals as consistently as possible.
By the way, the most common regret after this operation, is “I wish I was bigger”.
I hope this helps.

Choosing an implant

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A lot depends on your base volume.  It is best to match the base volume of the implant to the base width of the breast to get the best results.  Otherwise the breast will be very wide.  If you do want  to be very large then I would consider going with a Moderate profile plus / style 15 or even a high profile or style 20.  This would give you a larger more projecting breast without giving you a very wide breast.  Discuss this with your plastic surgeon.

Breast implant size

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Please read my other posts about choing implants. You should not choose implant size based on volume, but on the dimensional fit to your natural breast. There are a whole array of implant with the same volume that will give you different looks. Start with the lowest profileand work yourself up to larger implant according to dimension (i.e. width and profile or projection). The volume will take care of itself. In general, large implant produce higher rates of complication, especially as the proportion of your breast increasingly comprised of the implant. That is, the larger you go, the more your breasts will act and feel like whatever implant you chose, not like your natural breast.

There is no absolute right answer. You have to have an in-depth discussion with your surgeon and be in agreement with each other's philosophy and desires and risks factors.

Robin T.W. Yuan, M.D.

Robin T.W. Yuan, MD
Beverly Hills Plastic Surgeon

Appropriate implant selection

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Thank you for sharing your photos.   I would need a few more measurements to offer an accurate assessment on which implants are best.    Generally speaking, the risk and complications of implant surgery go up proportionally with larger implants.

Unfortunately, there is not a general rule of thumb or objective criteria to implant selection.

Your plastic surgeon will perform several measurements of your chest wall and breast anatomy and determine a range of implants that both fit your chest wall and reach your desired goals.

The next step is to try on this range of implants in the office with your doctor.   The key to this success is showing your surgeon the body proportion you desire with a bra sizer and allowing your surgeon to guide you to the right implant.   It will be much easier to communicate in implant cc's than cup size when determining the appropriate implant for you.

I wish you a safe recovery and fantastic result.

Dr. Gill

Paul S. Gill, MD
Houston Plastic Surgeon
4.8 out of 5 stars 94 reviews

500 cc Implants

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Yes, these are very large implants!  Given your anatomy, there will be a price to pay over time for implanting these large devices.  As the others have stated, soft tissue changes do take place as a result of the forces caused by large implants.  400 cc might be more than your tissues can safely handle.  These concerns can easily be addressed in a quality consultation.

Brian M. Braithwaite, MD
Chicago Plastic Surgeon

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.