615cc/585cc SRX implants. Will it look proportionate to my body? (Photo)

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

Thanks for your question. Without seeing preop pictures and doing a formal evaluation, it is hard to comment on your particular case. In short, these sizes will not be "proportionate" b/c they are simply very large. The photo you've posted however is arguably not proportionate either, and so it might be a matter of saying that you just like this "look" better. The number one predictor of implant malposition, asymmetry and the need for revision is large volume of the implant. Statistically, implants over 350cc have higher risk of the above. That however must be tempered to the individual. It is crucial to use dimensions when planning so that the implant will "fit", but it is also equally important to asses the quality of the breast tissue, skin, etc.The implants that have been chosen exceed each of your base diameters.  A larger implant is heavier and the more weight present, the higher likelihood of implant malposition. This is particularly true in the long run. I personally would not use this large a size b/c  I believe the risks are too high. If you are having second thoughts, I would recommend visiting with your surgeon again.Best of Luck!

Dear krshuey,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

My best advice: more communication.
It is definitely worth spending more time (prior to the date of surgery) with your plastic surgeon to discuss further.  As you know, it will be important for many reasons, that you feel comfortable that you and your plastic surgeon are on the "same page" prior to proceeding.
 Ultimately, careful communication of your goals (in my practice I prefer the use of goal pictures, direct examination/communication in front of a full-length mirror, in bra sizers, and computer imaging) as well as careful measurements (dimensional planning) will be critical.
Generally speaking, the best online advice I can give to ladies who are considering breast augmentation surgery (regarding breast implant size/profile selection) is:
1. Concentrate on choosing your plastic surgeon carefully. Concentrate on appropriate training, certification, and the ability of the plastic surgeon to achieve the results you are looking for. Ask to see lots of examples of his/her work.
2. Have a full discussion and communication regarding your desired goals with your plastic surgeon. This communication will be critical in determining breast implant size/type/profile will most likely help achieve your goals. 
In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. For example, I have found that the use of words such as “natural or fake look” or "D o DD cup” or "proportionate" etc may mean different things to different people and therefore prove unhelpful.
Also, as you know, cup size varies depending on him who makes the bra; therefore, discussing desired cup size may also be inaccurate. Again, the use of computer imaging has been very helpful during the communication process, in our practice.
3. Once you feel you have communicated your goals clearly, allow your plastic surgeon to use his/her years of experience/judgment to choose the breast implant size/profile that will best meet your goals. Again, in my practice, this decision is usually made during surgery, after the use of temporary intraoperative sizers.
I hope this helps. Best wishes for an outcome that you will be very pleased with. 

It is always hard for anyone to give advice when they’ve never met or examined someone. I would have to say those implant sizes are definitely on the big side. In 22 years of practice I have never used anything that large for a primary breast augmentation. Outside of reconstruction for cancer that is still on the big side. I’m hoping that you tried on sizers at your consultation and looked at either computer imaging or before and after photos with similar sizes to be sure that is a lucky were going for.   Not everybody has the same opinion of an ideal result.  I personally feel there are more  potential problems when going too big.  If you are not comfortable with the choices you have made thus far contact your surgeon and try to re-discuss your options or meet again before your surgery to be sure you are both on the same page. Best of luck,

It is important that you get the appearance you want and photographs are a good communication tool, often better than descriptions which might mean different things to different people.Trying on the size implants recommended by your surgeon may be an easy way for you to decide if that size gives you the proportions you seek. If your surgeon has computer imaging, that can also help you visualize the results of different implant sizes, shapes or types.