Will 500cc implants under the muscle look small?

Thanks for your question- your height and weight are helpful, but not enough information to get you a reliable answer.  Sizing for breast implants is a complex issue and helping patients figure out the right size is one of the aspects of  plastic surgery that requires expertise on the part of the surgeon.  Many surgeons do things differently, and so it's hard to give an opinion about your surgeon's advice.  Largely it also depends on how you want to look- athletic?  proportionate? full-breasted?You should seek out a surgeon who's before and after photos look like you you want to look, and then get a consultation that provides you with a comfortable plan.   For example, with my patients I don't make women choose an implant size at all.  I have them use sizers and a bra to show me how they want to look, and I use intra-operative sizers during the procedure to see how various implant volumes and shapes appear in order to achieve their postoperative goals.  That way there is not a lot of uncertainty by the patient regarding which implant size they have chosen.  They rely on me to get them the look that they want based on my techniques and attention to their wishes.  I tend to get it right :)My way is no better or worse than other successful surgeons, it's just how I do things.  Some surgeons use 3D imaging, other surgeons go only based on measurements.  With my sizing and operative techniques I end up basically never doing revisions for size (rarely at all for anything), and it works for me.  A good, experienced surgeon with a low revision rate, good before and after photos, and a great reputation should provide you with a consultation and a plan that you are comfortable with.Best wishes,Dr. L

The implant selection should be based on a combination of your desired size, soft tissue dynamics, breast base diameter and skin elasticity.  I recommend an in-office examination as well as a detailed discussion with a surgeon who you are comfortable with.   Finally, make sure your surgeon is a Double-Board Certified Plastic Surgeon certified by the American Board of Plastic Surgery (ABPS), a member of the American Society of Plastic Surgery (ASPS) and the American Society of Aesthetic Plastic Surgery (ASAPS).Best,Dr. DesaiBeverly Hills Institute for Aesthetic Plastic SurgeryHarvard Educated, Beverly Hills & Miami Beach Trained, Double-Board Certified Plastic Surgeon

I routinely perform a 3-d simulation for all of my breast augmentation patients in order to properly assess and size each patient so they are ultimately happy with their final size and profile.