I am 5'6" and 145lbs. Is 650cc HP saline too big? I am currently a 34B and I'd like to have a 34DD breasts. I really don't want to go bigger than that. Also, are there any risks or dangers with having a large implant?
Answer: Large implants, large risk When large implants are placed, predictable and bad changes occur, causing problems that may be unfixable. The large implants require large dissection underneath the muscle (or worse under the breast). This creates a large "pocket". Skin thins; it is just doing what it is told when a large foreign object is placed- thin out! Implants can actually protrude from the skin. Nipples are much more likely to become numb from surgery. Droopiness occurs much more quickly, requiring breast lifts in the future. Revisional breast surgery in patients who have had very large implants in the past is very risky for complications, even in the best of hands. The chance of revision surgery is much higher. The results of that revision surgery are far worse than for normal size implants. The internal pocket is simply huge, and the existing techniques for reducing the size of those capsules are weak. The implant can erode into the ribs, causing a change in their shape. The implants are no longer hidden by the natural breast tissue. They ripple more and show more, and are more palpable. Increased risk of loss of nipple sensation. A double bubble problem can occur, where the implant and the silhouette of the old breast are simultaneously visible. They can have the unintended consequence of making patients look "matronly" . Stretch marks are common and untreatable. If a pocket is made that is large, the muscle is often removed from the chest bone (sternum) and "jumps" when it is used. This problem is not usually fixable. It is not uncommon to see women who have spent $60,000 plus total on their breasts after several revisional surgeries, and still don't look good. Large implants are not a good idea.
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CONTACT NOW Answer: Large implants, large risk When large implants are placed, predictable and bad changes occur, causing problems that may be unfixable. The large implants require large dissection underneath the muscle (or worse under the breast). This creates a large "pocket". Skin thins; it is just doing what it is told when a large foreign object is placed- thin out! Implants can actually protrude from the skin. Nipples are much more likely to become numb from surgery. Droopiness occurs much more quickly, requiring breast lifts in the future. Revisional breast surgery in patients who have had very large implants in the past is very risky for complications, even in the best of hands. The chance of revision surgery is much higher. The results of that revision surgery are far worse than for normal size implants. The internal pocket is simply huge, and the existing techniques for reducing the size of those capsules are weak. The implant can erode into the ribs, causing a change in their shape. The implants are no longer hidden by the natural breast tissue. They ripple more and show more, and are more palpable. Increased risk of loss of nipple sensation. A double bubble problem can occur, where the implant and the silhouette of the old breast are simultaneously visible. They can have the unintended consequence of making patients look "matronly" . Stretch marks are common and untreatable. If a pocket is made that is large, the muscle is often removed from the chest bone (sternum) and "jumps" when it is used. This problem is not usually fixable. It is not uncommon to see women who have spent $60,000 plus total on their breasts after several revisional surgeries, and still don't look good. Large implants are not a good idea.
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CONTACT NOW Answer: Dangers and Risks of Large Breast Implants? Thank you for the question. Yes, larger breast implants can be problematic (more so than smaller breast implants), both physically and psychosocially. Therefore, careful patient selection is key. On the other hand, some of my happiest and most grateful patients, our patients with “extra large” breast augmentation surgery. You may find the attached link, dedicated to “extra large” breast augmentation concerns, helpful to you as you learn more. Best wishes.
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CONTACT NOW Answer: Dangers and Risks of Large Breast Implants? Thank you for the question. Yes, larger breast implants can be problematic (more so than smaller breast implants), both physically and psychosocially. Therefore, careful patient selection is key. On the other hand, some of my happiest and most grateful patients, our patients with “extra large” breast augmentation surgery. You may find the attached link, dedicated to “extra large” breast augmentation concerns, helpful to you as you learn more. Best wishes.
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December 9, 2013
Answer: Is 650 too big? Hi, the general consensus is that anything over 450-500 starts to be considered a large implant and a 650 is a significantly large and heavy implant especially with saline. large implants have associated downsides like faster sagging and more skin thinning over time, not to mention weight. based on your height and weight, you can probably achieve your goal with a smaller silicone implant, but without a formal consultation by a qualified surgeon it is impossible to give accurate advise.
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Answer: Is 650 too big? Hi, the general consensus is that anything over 450-500 starts to be considered a large implant and a 650 is a significantly large and heavy implant especially with saline. large implants have associated downsides like faster sagging and more skin thinning over time, not to mention weight. based on your height and weight, you can probably achieve your goal with a smaller silicone implant, but without a formal consultation by a qualified surgeon it is impossible to give accurate advise.
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July 28, 2019
Answer: Always easier to go bigger later GIven your description of your frame, I would recommend a smaller sized implant, perhaps in the 400-500 cc range, to give you a dramatic improvement without overstretching your tissues. Once these tissues have been stretched out by very large implants, I think it is difficult to maintain a natural look to your breasts. Also, as you get a little older the tissues will thin, and then if you want to downsize the implants a bit, it will be very difficult to do so without adding the additional scars of a breast lift. If however you decide later on that you want to be a bit fuller, it is easy to do so through your existing incision without adding new ones. In general, I advise my patients to be a bit more conservative than what you're describing. In the end, however, it's your body and your choice, as long as you and your surgeon have an honest discussion about the pros and cons of the implant choice, and you are willing to accept the possible risks.
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CONTACT NOW July 28, 2019
Answer: Always easier to go bigger later GIven your description of your frame, I would recommend a smaller sized implant, perhaps in the 400-500 cc range, to give you a dramatic improvement without overstretching your tissues. Once these tissues have been stretched out by very large implants, I think it is difficult to maintain a natural look to your breasts. Also, as you get a little older the tissues will thin, and then if you want to downsize the implants a bit, it will be very difficult to do so without adding the additional scars of a breast lift. If however you decide later on that you want to be a bit fuller, it is easy to do so through your existing incision without adding new ones. In general, I advise my patients to be a bit more conservative than what you're describing. In the end, however, it's your body and your choice, as long as you and your surgeon have an honest discussion about the pros and cons of the implant choice, and you are willing to accept the possible risks.
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April 8, 2009
Answer: Bigger might not be better on the long term! Choosing the ultimate size implant is one of the most important decisions. Several factors contribute to that proper range of sizes: 1-The breast and chest wall dimensions. 2-The amount of skin and soft tissue available to cover the implant. 3-The relative location of the nipple,fold in relation to the chest wall. During your consultation with a board certified plastic surgeon all these factors will be evaluated and a healthy range of sizes will be advised based on the patient request for size increase. Your 650ccHP saline will be inflated to at least 700 per the implant company recommendations. This is a very large implant. In patients with very little breast tissue (A Cup) this could be what it takes to reach a D cup. In general it is hard to expect a natural look in this situation. Large implants have their problems e.g over stretch of the breast tissue and the skin, possible implant malposition and later drooping etc. Every patient is different but in every case I do, I observe while the implant is getting filled and there is always a great natural breast shape achieved with moderate size implants. Hope that helps!
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Answer: Bigger might not be better on the long term! Choosing the ultimate size implant is one of the most important decisions. Several factors contribute to that proper range of sizes: 1-The breast and chest wall dimensions. 2-The amount of skin and soft tissue available to cover the implant. 3-The relative location of the nipple,fold in relation to the chest wall. During your consultation with a board certified plastic surgeon all these factors will be evaluated and a healthy range of sizes will be advised based on the patient request for size increase. Your 650ccHP saline will be inflated to at least 700 per the implant company recommendations. This is a very large implant. In patients with very little breast tissue (A Cup) this could be what it takes to reach a D cup. In general it is hard to expect a natural look in this situation. Large implants have their problems e.g over stretch of the breast tissue and the skin, possible implant malposition and later drooping etc. Every patient is different but in every case I do, I observe while the implant is getting filled and there is always a great natural breast shape achieved with moderate size implants. Hope that helps!
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