I am a AA, would a 605cc be too big? (photos)

Question

Hello! I wanted opinions on breast implant sizing for an augmentation. I did have a consult and tried on sizes just a week ago. I am very small, AA. I had selected a 605cc SSF. Would that be too big for my frame? I am 5'2" curvy/midsized, currently 175-180lbs. Also which implant profile would give me that full coverage and fullness, modetate-high, high, or extra high? Would the profile also then determine which cc size implant would be best to get as close as the inspiration pictures?

Brian K. Reedy, MD · Answer

Thanks for your question! The issue isn't implants fitting your frame. The issue is will the implants fit in your breast mound. Without proper measurements and an in person consultation, I can't give you an exact answer. I would suggest a few consultations to get opinions and try on implants. Best of luck!

Donovan Rosas, MD · Answer

Choosing an implant size/style is an important decision which is best made in concert with your surgeon. Ultimately, options are based on a number of factors including:
-Chest dimensions: This point is crucial as the width of your breasts defines the available "real estate" on which the foundation of your augmentation is built. This "foot print" is the absolute limit with which you are dealing.  Too "large" is not so much the risk as too "wide." You cannot build a 3 acre mansion on a half acre plot. An implant which is too wide (exceeding the available space on your chest) will generally over hang laterally making it more noticeable and occasionally contributing to discomfort and nerve symptoms (numbness or tingling). This will also contribute to a more unnatural look.
-Tissue quality: This relates to size in the sense that the implant will be suspended by your tissue. Too large an implant may place took large a stress on these suspending tissues leading to healing problems in the short term and bottoming out in the long term.
-Patient desire (what is the look you are hoping to achieve?)
My role as a surgeon is to manage expectations and guide you towards a prudent choice which can satisfy these reasonable goals. Often times, a surgeon can guide a patient toward a size/cc range and patients will make determinations on implant style/profile. Patient seeking more or less projection, or seeking a more pronounced or subtle upper pole volume increase can be guided toward an implant which will help them best achieve their goals. Additionally, technique variations (sub muscular vs. sub glandular) can also aid in obtaining the look you desire.  
There are a number of tools available to help guide patient/surgeon decision making including sizers, 3D imaging and goal photos. Each modality can help better communicate your goals to your surgeon and vice versa.
Ultimately, it is important to not marry oneself to a particular "cc" as oppose to a particular "look." 
Based upon your photos, you appear to be a reasonable candidate for augmentation. Without measurements, it is difficult to offer any real advice. However, your high volume goals may necessitate a step wise increase with incremental augmentation.
Communication is key as you and your surgeon create your custom surgical plan. 
As always, discuss your concerns with a board certified plastic surgeon (ABPS).

Chet Mays, MD · Answer

Thank you for your inquiry!  During your consultation you can try on different implant sizes to see what size you prefer.  We would love to sit down with you and come up with a surgical plan specifically for you.  Schedule a consultation with a Board-Certified Plastic Surgeon to discuss your goals.

Donald Groves, MD · Answer

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

Arif Eroglu, MD · Answer

HelloPeople cannot simply choose and get any breast implant size they want, even if they wish to. Each breast and the skin of the chest have some degree of looseness. The size of the implant that can be placed depends on this looseness and whether it fits under the muscle or beneath the breast tissue. Over time, as the breast skin expands, a larger implant can be chosen. For your height, implants over 500cc are already considered quite large. For the final aesthetic result, factors such as the amount of breast tissue, the shape of your chest wall, and the size of the implant all play a role.

Leila Kasrai, MD, FRCSC · Answer

During your consultation, you surgeon recommends a size range and profile that would be able to achieve your aesthetic goals safely. When you went to your consult, did they say 605cc was appropriate along with a profile? If yes, then trust your surgeon. Based on your inspiration pictures, it seems that you’re aiming for a larger size with more projection.

Warren Schutte, MD · Answer

Your surgeon will be able to guide you safely about whether the 605cc will fit your frame or not. Breast measurements really help guide the maximum cc volume that the breast envelope can safely handle. Based on your goal photos, I would be placed in the highest profile that fits your measurements and desired CC size.

Luis A. Mejia, MD · Answer

Dear EJYoshimi, thanks for sharing your concerns and picture, implants sizes selection are maybe the difficult step in this process, I do suggest to take a sit with your surgeon and talk about it, discuss your desires and listen his or her recommendation about, in order to meet your expectations. However it is impossible to pick or recommend style, shape or sizes without an in person consultation, that provide the chance to get the measurement of key breast parameters. Make sure you go on consultation with a board-certified plastic surgeon. Hope this helps and best of lucks. Dr. Luis Mejia

Daniel Barrett, MD · Answer

Dear EJYoshimi,
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

Ned Snyder, IV, MD · Answer

Thank you for submitting your questions and photos!  There are several factors which can help determine an appropriate implant size.  Based on your build and the inspiration photos, I believe a 600(ish)cc implant, with a high profile, would be a good fit for you.  Some of this may depend on your chest and breast width.  Based on that, your plastic surgeon will be able to tell you what ranges would work well for your body.  The larger size and high profile would be a good choice to meet your goals.  Good luck and thanks again for reaching out!

I am a AA, would a 605cc be too big? (photos)

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