Hi. I'm 5' 7" and 153 pounds, originally agreed on 550cc but think that might be too small. Should I ask for 600 cc?

I saw my plastic surgeon yesterday and we agreed on 550 mL but after looking online at girls my same height and weight it doesn't seem like they will be very big I am also having a full breast lift I am naturally a large C. What size will like the ones I have the lift and 550 cc?

Doctor Answers 6

Best breast implants for me?

Thank you for the question. 

  

 Generally speaking, the best online advice I can give to ladies who are considering breast augmentation/lifting 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.


Generally speaking, patients undergoing the breast augmentation/lifting combination operation should understand that it is significantly more complex than breast augmentation surgery only and that it is associated with will a significantly higher risk of complications and need for additional surgery.  Again, it will be important that you educate yourself regarding the pros/cons/risks/complications associated with breast augmentation/lifting surgery.



 Remember, that during breast lifting surgery, some skin is removed, thereby limiting the "space" available for breast implants. On the one hand, breast augmentation surgery is expanding the breast skin “envelope” while breast lifting is (by definition) tightening up the breast skin envelope. These 2 forces are counteracting each other. Therefore, it becomes important to remove the appropriate amount of breast skin and to use the appropriate size/profile of breast implants to balance these 2 forces appropriately and to allow for achievement of the patient's goals while minimizing risks of complications. 



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 "D or DD cup" etc means 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 (and the attached link, dedicated to breast augmentation/lifting surgery concerns) helps. Best wishes for an outcome that you will be very pleased with.


San Diego Plastic Surgeon
5.0 out of 5 stars 1,485 reviews

Choosing implants

Your best bet when you are trying to decide on implants is to try on sizers of the exact implant you are considering inside a very tight sports bra. This will give you a close idea of what you will look like. More importantly the dimensions or width of the implants need to match and fit your frame and body. If you are working with a board certified plastic surgeon with an expertise in breast augmentation he or she should be able to help you with this in their office. Good luck!

Dean Vistnes, M.D.
Vistnes Plastic Surgery
San Francisco Bay Area

#drdeanvistnes #breastaugmentation

M. Dean Vistnes, MD
Bay Area Plastic Surgeon
5.0 out of 5 stars 47 reviews

Hi. I'm 5' 7" and 153 pounds, originally agreed on 550cc but think that might be too small. Should I ask for 600 cc?

Thank you for your question.  An examination is necessary to give you a proper answer.  Breast implant size should be based on a measurement of the base width of your breast.  Considering the fact you're having a breast lift I would be concerned with the possible effect of such a large implant compressing blood supply to the nipple areola and causing wound healing problems.  For more on sizing please read the link below:

Implant volume

It is difficult to tell you what might be right for you without an exam. If that is one of the volumes suggests by your surgeon, you might want to try a baggy test.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 28 reviews

Implant size

Hello and thank you for your question.   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.  This entire surgery can be performed with a small incision technique.  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.
Harvard-trained plastic surgeon

Richard G. Reish, MD
New York Plastic Surgeon
5.0 out of 5 stars 122 reviews

Difficult to answer

without pictures or an in person physical exam. You will not notice a significant difference between 550 vs a 600cc implant. Your implant needs to fit your base diameter and you need to speak with your surgeon regarding what "look" you desire to help him/her choose the style of implant to use. 

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.