Size of implants impact complication rate?

Very good 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 fort he American Society of Plastic Surgeons, I commend your thought process.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

This is a question that plastic surgeons wish more patients would ask. 300 cc's would generally be considered a conservative size for most patients. Considerably larger implants, especially those that do not fit a patient's based with / chest wall measurements, are more likely to result in malposition complications such as synmastia and bottoming. Larger implants, especially those that do not fit a patient's measurements may also result in an increased risk of sensory loss to the nipple areolar complex.  I do not think there has been a proven association between larger implants and capsular contracture.

This is an interesting question and one that is not discussed enough, in my opinion.  Implant volume does affect complication rate, but not necessarily capsular contracture.  Larger implants are more likely to rupture over time, more likely to bottom out or suffer other malposition, and more likely to ripple and/or be noticeable upon palpation.A 300cc implant is a very reasonable size for most women, and should keep you free from elevated levels of rupture, malposition, etc.  Sientra's latest data shows an elevated rupture rate above 360cc (2.7% vs 2.1% at ave. 6.5 yr follow-up) for example.Capsular contracture is much more dependant upon surgical technique, and, to a lesser extent, implant texture and position above/beneath the pectoralis.