Are implants larger than 800cc possible?

I appreciate your question.

The larger
the impacts the higher the complication rate especially in the long-term.

There has
also been a recently published article that studied the effect of larger
implants on the spine.

>400cc was
associated with changes in the spine.

As someone
who sits on the patient safety and public education committees for the American
Society of Plastic Surgeons, I do not recommend 1400cc.



The best way
to assess and give true advice would be an in-person exam.

Please see a
board-certified plastic surgeon that specializes in aesthetic and restorative
breast surgery.

Best of luck!



Dr. Schwartz

Technically there are no FDA approved implants larger than 800cc in the US currently available for either breast augmentation or breast reconstruction.  Currently a surgeon can order a 800cc saline implant and overfill it to maybe 850cc and that would be the largest FDA approved implant.  If you find a surgeon offering or willing to place a larger implant than this please be aware that you are not getting a FDA approved implant.  There are currently studies going on at several places in the US where larger implants are being investigated for their safety in breast reconstruction patients but it may take years to get these approved or released for general use.

Yes, it is possible to have implants larger than 800 g, but there are few issues you should consider. First, you may have to accept implants that are not FDA approved and have your procedure outside the US, or have overfilled saline implants. I would strongly advise against using 'stacked' implants, which is something that was tried in the early days of breast enlargement, causing several problems.Big implants (and for some surgeons the definition of big starts as low as 350cc) cause permanent, non-reversible changes to your breast tissues. It may be very difficult to go back to a smaller size without accepting very long scars and a rather poor shape. Most of the risks of the procedure, including infection and exposure of the implants, are significantly higher with very large implants. If you feel comfortable with this, do make an appointment with a surgeon that has specific experience of breast augmentation with large implants and listen carefully to what is achievable and what the downside of this decision can be.What you have in mind is possible, but that doesn't mean it is the right decision for you.

I would suggest starting with the American Society of Plastic
Surgery(ASPS) and/or the Aesthetic Society of Plastic Surgery (ASAPS) to obtain
a list of well experienced board-certified plastic surgeons.

Then, I would suggest you visit a few surgeons whose practices concentrate on
aesthetic surgery. Ask to see before and after photos. As for that large, anything is possible. It just depends are you willing to accept the risks of the poor result, infection, tissue loss, skin destruction etc.

Best wishes,

Dr. Michael J. Brown
Northern Virginia Plastic Surgeon

Hi, tlewis121.Although saline implants can be overfilled to greater than 800cc, I don't think you will find a reputable plastic surgeon agreeing to 1400cc implants.As the implant size increases, you will have more physical symptoms (back/neck/shoulder pain) as well as problems with healing, capsular contracture, ptosis, etc.Please consider carefully.

Thank you for the question. The use of breast implant volumes greater than 800 cc is certainly possible and sometimes necessary depending on the patient's body type and goals.   Of course,  some patients' starting anatomy does not allow the use of larger breast implants safely.You may find the attached link, dedicated to larger breast augmentation surgery outcomes helpful to as you learn more. Best wishes.

Be careful what you wish for. The larger you go the more the tissue has to hold. The muscle and skin can only hold an implant so long before it lets go and problems will occur.  Think twice act once!

Hi tlewis121,Thank you for your question, and I think there are two ways to look at this.  Can you find implants greater than 800cc?  Yes, you can.  Saline implants can be overfilled in the operating room above 800cc.  Also, although I have never done it I understand that some surgeons have "stacked" implants together.  Should you have implants larger than 800cc?  Not in my opinion.  The larger the implants you have, the more stress you put on your breast tissue, and in the long-term the more complications you are likely to experience.  Please consider strongly the advice of the surgeons you have seen.

Yes, that is my specialty and I am able to obtain them for my patients. There are several ways to get the fake look-either with overfilled saline implants, custom XL silicone implants or XL tissue custom expanders.It depends really on what cc size to want to get.
You can think of a saline implant as a balloon. The manufacturer recommends an overfill of about 20cc but they have been shown to be able to be filled much more than that. They do start loosing their shape and can significantly distort the appearance of your breasts. 
 I do overfill espcially since the FDA has restricted saline and silicone implants to a maximum saline shell size of 800cc and maximum silicone size of 800cc. I do not know why that number was picked arbitrarily. 
So, I do do breast reconstructions greater than that with XL tissue expanders which do pride a greater diameter and projection and upper pole fullness and allow the size to be adjusted either up or down. Also, the shell of the saline implants are very thin and can dreflate more easily. You may want to visit my site below which explains everything, esp for XL sizes which is my specialty, either initially or revisional surgery.