Is 700cc ultra high profile implants too big for me? (photos)

Question

My surgeon suggested 700cc ultra high profile silicone implants for me to achieve the look and desired attributes that I would like. I am nervous that they will be too big/look odd. I am 5'7 120 pounds with a long chest and torso Currently have 325cc silicone implants I woukd like more projection, cleavage and upper fullness, breasts closer together

Donald R. Revis Jr, MD · Answer

Good morning!Proper implant selection is probably the single most important factor in having a breast revision. My approach is careful measurements of your chest, reviewing goal photos with you, and having you try on implant sizers in the office over your current implants. With this combination approach works well to help you decide what size will really allow you to reach your goals. If your surgeon does not have sizers in the office, which all surgeons who perform breast augmentation should have, then you may perform the rice test at home, which is described on this site as well as many other sites. There are very few places on the internet you can see real photos of real patients with large implants where the site actually tells you how many cc's the patient has. Because of this lack of information, I have created a page where you can view patients clinical and candid photos, from 600cc all the way up to 2500cc. I have attached a link to this XL Breast Augmentation revision photo gallery- hope it helps!

Jed H. Horowitz, MD, FACS · Answer

Additional elective cosmetic #surgery is a personal choice. As with all cosmetic surgery, results will be rewarding if expectations are realistic. If you do decide on a revision to #increase your implant size or choose a different implant, the #pocket will need adjusting and often a breast #lift is also be necessary to better #support the new implant. Additionally, a mesh for further support may be helpful depending on the #implant size and skin #elasticity. A different type or wider implants may also be an option if deemed a candidate. 
It's best to consult with a board-certified plastic surgeon who is specialized in cosmetic breast surgery. Such is most suitable to perform your breast #augmentation. You will then greatly improve your chances of getting the result you desire, and, decrease the need for #revision surgeries. Aside from checking board-certification, it is suggested that you look at before and after photos of the surgeons actual patients, and read patient reviews. Gathering all of this information will help you make a well-informed #decision. Please be advised that each patient is unique and previous results are not a guarantee for individual outcomes.

James D. Frost, MD · Answer

I think you are getting the trend of these answers.  Yes, a 700 cc implant is too large for you.  Implants of this size are generally used for breast reconstruction for a woman who has no breast tissue remaining.  Even then, this would be an implant used for a woman of larger stature, not someone who is a lean 120 pounds.I must add that I much prefer a natural result.  If you seek an obviously fake, porn star result, then 700 cc may be your choice.I believe you would be disappointed with this choice in the future.  The resulting stretching may be difficult or impossible to correct if you changed your mind down the road.

Jaime S. Schwartz, MD, FACS · Answer

I appreciate your question.Large implants can cause you a lot of problems long-term. Due to the size it probably won't stay up high and give you the cleavage you want Anatomic implants have more projection per size and might be a better choice.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

Rian A. Maercks, MD · Answer

Patients looking for a big and augmented appearing look are commonly very satisfied with conventional breast augmentation practices, however the sad truth is that those looking for a large and natural appearing augmentation are frequently disappointed.  This is why I departed from the conventional "under the muscle" augmentation with round projecting implants long ago.  I find the widely separated and abrupt appearance very dissatisfying and the muscular animation or "jumping" really disturbing.  This is why I use  a technique called "Cold-Subfascial Breast Augmentation" in my practice to deliver scarless and natural appearing full breasts with true cleavage and superior pole fullness.  I also prefer lower profile anatomically shaped implants to create a naturally sloping form. The problem with a 700 cc HP implant under the muscle is that there is no support for the implant and the muscle has a lot of leverage to continue to push the implants down and out producing even worse of a low and separated appearance.  Subfascial revision can support and shape the implant allowing you to go bigger and get true medial cleavage and superior pole fullness with support!  I hope this helps!All the best,Rian A. Maercks M.D.

John L. Burns Jr., MD · Answer

A 700 cc implant is very aggressive for your height and weight.  I would suggest 3D imaging to simulate the change before choosing such a large implant.  You definitely want to avoid over expansion of your muscle and skin envelope which could lead to bottoming out.

Nelson Castillo, MD · Answer

Thank you for your questions.  700cc ultra high profile silicone implants are large, and depending on your skin quality and frame, will exert a lot of weight on your natural breast tissue and skin.  Using implants of this size comes with increased risks of implant visibility/rippling, thinning and stretching of your breast skin, and more rapid sagging, but without an in-person examination to determine a few key breast parameters, and a frank discussion as to your goal appearance, it is difficult to make any specific implant recommendations.

Michael J. Brown, MD · Answer

Hi,

Thanks for posting your question. I am happy to try and help you. It is
important to remember that a board certified plastic surgeon will be your best
resource when it comes to an accurate assessment of your situation, and
concerns. Your single picture is not really enough information to answer your
question.

Having said that, as a rule of thumb you will not be able to see a difference
in breast implant appearance unless you go up or down at least 75-150 cc. The
height, weight, frame and current implants and desires are what really pushes
the meter.

So a small framed women with 300cc ranged devices should be able to see a
change with 75 cc. This would be the case if she wanted to fill out the bras
better and not necessarily go to the next bra size. If she wanted to go up a
size and fill it out, it may be 150+ cc to achieve that.

A larger women with the same sized implants would probably not even notice the
75 cc bump. So their scale would shift and she may need 125 cc to notice some
difference and even more to go up and fill the next bra size.

So it is not a cut and dry situation. You would be best served going to see a
plastic surgeon personally to get the best advice after examination and
discussions about what your goals are.

Best wishes,

Dr. Michael J. Brown
Northern Virginia Plastic Surgeon

Darryl J. Blinski, MD · Answer

Without even posted self photos can not even venture a guess. Best to seek in person examinations and try on breast sizers.....

Gary W. Cox, MD · Answer

Hi.  700cc is a very large implant.  Your are right to have some concern.  You need to become very comfortable with your decision before moving forward with your plan.  While a implant that large may help you with many of the goals stated in your question, but make sure you understand other changes that will occur with an implant that large.  Some things that come along with an implant that size may not be desirable long term and need to be considered up front.Good luck.

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