I'm 6ft tall 280lbs trans woman. What would the ideal gummy bear breast implants be for me?

Hello and great question. I appreciate the time you are spending researching this procedure. My name is Dr. Matthew J. Nykiel. I am a Board Certified Plastic Surgeon, a Fellowship Trained Cosmetic Surgeon, and a Breast Augmentation Specialist. 
Silicone(Gummy Bear) implants would be ideal for you. Size, profile, and shape of the implant would be based on your desired results.  
I would definitely recommend doing an in person consultation with a board certified plastic surgeon who specializes in this procedure and who can suggest what is needed. 
I hope that helps! Best of Luck! 
Matthew J. Nykiel MD

Hello and thank you for your question.  The best advice you can receive is from an in-person consultation.  The size, profile, and shape of the implant is based on your desired breast size/shape, your chest wall measurements, and soft tissue quality.  This decision should be based on a detailed discussion with equal input from both you and your surgeon.   Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and evaluate their results.  Best wishes and good luck.


Richard G. Reish, M.D.  FACS

Harvard-trained plastic surgeon
 

Dear Megan b,
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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

To be honest, it really depends. It's best if you seek consultation with a board certified plastic surgeon who can examine you to determine which implant would be best.
There are many sizes of breast implants and the size depends on your desires and the surgeon's judgment.

Thank you for your question!  The question of which kind or what size implants to pick is a tricky one that is usually based on multiple factors including the final size you would like to be and your body's measurements.  However, gummy bear implants that have a textured surface have been shown to be linked to a low but real risk of a kind of breast-implant associated lymphoma called ALCL.  I would recommend going to a smooth round saline or silicone implant.  Hope this helps and good luck! Dr. Schneider

Hi Megan,I have performed many transgender female breast enhancement procedures.  Based on my experience, large implants are needed, The original male chest is typically much broader than a female chest and the amount of breast tissue, even with hormone therapy, is usually sparse.  So, a different approach is needed.The largest silicone gel (gummy bear) implants available are 800 cc in volume and this is usually around the size we end up choosing.  If a larger size is needed, then a saline implant can be used.  The saline implants also only go up to 800 cc, but they have been tested and will tolerate up to 3 times that volume. The sterile saline is added to the empty implant shell after it is in position under the breast . And yes, I have several patients with volumes from 1,000 cc all the way up to 2,000 cc.  Now, the manufacturer will not warranty an implant that has exceeded its intended capacity, but I also have not had any of these implants rupture or break (so far) in over 30 years of placing these larger implants.I would recommend an in person consultation with a Board Certified Plastic Surgeon who performs these types of procedures frequently.  These office visits are very thorough with measurements, photographs, and observing before and after photographs of other patients who are similar in body build and shape to yourself.  The procedure is performed as an outpatient and takes approximately one hour, you would need someone to help you in the first 24 hours.  No drains are used and the sutures are dissolvable.  A virtual consultation can also be performed through the surgeon's website.Good Luck!