Bowling Ball Look? (photo)

Hi, I'm 5'4 123 lbs with 550cc Mentor mod plus silicone under the muscle, nearly 3 months post op. I love my size, but I feel I have a highly unnatural looking result. Is this common, is it the placement, size, or profile of the implant? Is there anything that can be done for them to look more real or do I have to downsize for a more natural looking result? Do they just need to drop more?

Doctor Answers 15


Unfortunately, without a complete history and physical exam and through pre operative photography there is not enough information to make an informed plan, please consult your surgeon or another local board certified plastic surgeon

Bowling ball breast implant appearance due to very large implants

Thank you for your question and photographs. The appearance of your breast implants which you describe is bowling ball is due to the fact that you have had very large implants placed. Considering the size of your implants your result is very acceptable for 500 cc implants placed in breasts with somewhat low riding nipples.

If you want your breasts to look more normal and a combination of smaller breast implants and a lift may help. Please consult your plastic surgeon.

It's all about proportions

More than likely it has to do with the large size of  implant on your petite frame.  If you desire a more natural look, you may opt to exchange them for a smaller implant. Best to wait a full year after surgery before considering an exchange.

Bowling Ball look

You have large implants relative to your chest size and height and weight. You say the size is great, therefore the look cannot be changed. You need smaller implants if you want to look more natural.

Norman Bakshandeh, MD, FACS
New York Plastic Surgeon
4.9 out of 5 stars 14 reviews

Breast Implant Proprotions


  The implants seem to be too large/wide for your frame. They may drop a bit more in the upcoming months but the overall appearance will not change significantly. Allow for a few more months of healing before considering further surgery to downsize and/or lift the breasts if needed.

Pedy Ganchi, MD
Ridgewood Plastic Surgeon
4.9 out of 5 stars 69 reviews


With very large implants, they overtake your upper chest. They are too wide and too larger probably for your frame.  

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 24 reviews

Revision breast augmentation should give you more natural shape.


1)  They will not drop on their own.

2)  The profile is fine.

3)  The implant pockets are too high and a little asymmetrical.

4)  I would go slightly smaller.

George J. Beraka, MD (retired)
Manhattan Plastic Surgeon
4.8 out of 5 stars 9 reviews

Implants too large

There are a number of things that make these look unnatural. The implants seem too large for your general proportions, they extend beyond the chest wall toward the arms, and the nipples and areolas are too low


If you really want to maintain this size, doing a breast lift will improve that aspect of the appearance. Overall I would prefer to see smaller implants and a lift to get a more appropriate look.


Discuss these with your surgeon. Best wishes. 

Bowling ball look after breast augmentation

When the breast is over augmented there is not enough breast tissue to hide the implant and the breast becomes round and ballooned out. If you really want natural then you should consider a moderate profile implant which is smaller and a better fit to you.

Peter E. Johnson, MD
Chicago Plastic Surgeon
4.1 out of 5 stars 39 reviews

Bowling ball look

It is difficult to tell how much can be imputed to the angle of the photography. It may well be that the pockets weren't adequately dissected. However, these implants are extremely large for your frame and they are increasing the effect of gravity on your breasts. If you don't need a lift now, you will likely need one down the road.

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.