I'm 6' 195lbs and selected 800cc, will they be too large and eventually sag? (Photos)

Question

I had my very first consultation yesterday, and I was extremely surprised by the size of implants I tried on. I am actually worried that they are too large, will feel too heavy, and end up sagging due to size and needing replaced sooner than I'd hoped. I did love the look though. You can see I am not especially thin, and they seem in proportion with my body, but I'd love some opinions on such large implants even though I am a larger framed woman. (6' 195-200lbs)

James H. Rogers, MD · Answer

A number of factors must be considered when selecting the best implant for a given patient. These include the amount of breast tissue and fat coverage, the elasticity of the skin, the width of the breast and the chest wall to name a few. Of course the desired look the patient is seeking is the most important. From your photos , you appear to have significant breast tissue and a wide chest which would allow placement of large implants. I do not find that implants placed in a bra correlate particularly well with how the implants will look in the breasts. With pictures of your desired result, your surgeon should be able to select the correct implant.

Robert Cohen, MD · Answer

You need a formal evaluation by a licensed plastic surgeon and expert in breast augmentations to determine what is best for you and your goals.
Proper breast enlargement is not a ""cookie-cutter"" procedure where the same technique is applied to every patient. Every woman who comes to my practice has unique needs and different goals for her breast augmentation. As a board-certified plastic surgeon, I always listen carefully to each woman's concerns and thoroughly discuss the key points of the procedure. I also take into account their overall height and weight, the size and shape of the underlying chest and ribcage, the tightness and elasticity of the skin, and the amount of natural breast tissue. Prior to the procedure, we discuss and make decisions regarding location of the incision, whether to place the implant under or over the chest muscle, and what type of implant to use (I offer multiple types of silicone gel breast implants, as well as saline implants).
My experience performing thousands of aesthetic breast surgeries in a wide anatomical range of patients enables me to achieve consistently beautiful and natural results that are customized to each patient’s body type and goals. These results are the product of extensive communication, meticulous planning, and skillfully executed surgery.
I suggest consulting with a board-certified plastic surgeon and expert in Breast Augmentation surgeries. - Dr. Cohen

Kenneth Hughes, MD · Answer

Tall women with larger frames and broader chest, shoulders, and hips can often handle larger implants that would make smaller women's chests look overcrowded and heavier. Large implants on shorter patients with breast asymmetry will accentuate that issue as well. In addition,  choosing an implant based on an aesthetic goal that exceeds your anatomic capacity may lead to complications and possibly revision. When the implant cannot be camouflaged under natural breast tissue, the implant is too big.  Implants of 600cc and higher will create more tissue thinning over time, have more potential for rippling, more potential for bottoming out, greater likelihood of breast lift revisions, etc.   I would recommend that you go with the size that boosts your self-esteem, and fits your anatomy.

Donovan Rosas, MD · Answer

There are volume limits based on anatomy. There is only so much size that a breast envelope can accommodate. Occasionally, in cases where patients are seeking very large volumes, staged expansion may be employed or serial augmentation to gradually develop more space.
That being said, I do caution against pursuing such large implants. The risk of complications increases with volume (with risks beginning to increase after 400-500 cc). Regardless of patient size, 800 cc is a large implant and represents a significant tissue stress (nearly 1 and 3/4 pound per side).
My recommendation is greater communication. There always usually more than 1 option for a given BWD (higher profile  greater projection and greater volume). If you are not entirely comfortable with your choice re-open the dialogue with your surgeon.
As always, discuss your concerns with a board certified plastic surgeon (ABPS).
Donovan Rosas MD
Board Certified by the American Board of Plastic Surgery
Member: American Society for Aesthetic Plastic Surgery, American Society of Plastic Surgeons
RealSelf Top 100
RealSelf Hall of Fame

Ted Eisenberg, DO, FACOS, FAACS · Answer

After I measure and discuss goals with my patients, we then look at pictures of women with similar measurements with different size breast implants. My patients tell me that this process is very helpful in determining what size breast implant is right for them. 
Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author             
RealSelf Distinguished Hall of Fame Inductee

Farbod Esmailian, MD · Answer

Given your height you could certainly accomodate a larger implant.  The issues also would be how about your measurements?  You do have some of your own breast tissue which would certainly add to your result.   800 cc is certainly a large implant and although your measurements, height and so forth may be able to accomodate it, you should be aware of the issues that larger implants may cause.  Your own soft tissues will stretch and thin out at faster rate, you have increased chance of capsular contracture as well as nipple sensitivity loss.  These are issues that are more common with larger implants.I would recommend you see additional board certified plastic surgeon to discuss your options.Hope that helps.

Nelson Castillo, MD · Answer

Thank you for your question and photographs. I think you are starting from an excellent position and should anticipate a nice result. Breast implant selection is an exciting, but stressful part of the breast augmentation process as there are so many choices. Unfortunately it is impossible to recommend the best implant style, size or shape without an in-person examination that allows for the measurement of key breast parameters, as well as permits an in-depth discussion as to your desired goals and outcome. Although 800 are very large, your frame would most likely accomodate one in a high profile. I would continue to work with your doctor to select the best implant to reach your goals. Best wishes!

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. You are a great candidate for a breast augmentation. 800cc is a very large size implant. 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

Christopher V. Pelletiere, MD · Answer

While 800cc is a very big implant, you do have a larger frame and naturally can accommodate more volume and still look proportional.  Certainly the larger the implant, the more it can drag the tissues down over time.  However, based on your pictures, you don’t have any sagging currently which nabs that you are starting in a favorable position.  The key with the larger implants is the profile of the implant.  A HP or UHP is usually needed since a Mod+ would be too wide and look more like a pancake in that size.  The best thing to do is to have a few more consultations with board certified plastic surgeons and see what is recommended.  I hope this helps.

Daniel Barrett, MD · Answer

Dear bria0417,
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

I'm 6' 195lbs and selected 800cc, will they be too large and eventually sag? (Photos)

Answers (18)

More Breast Implants Questions

WE SEND PRETTY
EMAILS

Answers (18)

More Breast Implants Questions

How is it possible to place XL breast implants under the muscle?

Should I be concerned about a CUI breast implant?

Will 425cc be too big for me? (photos)

Can I get breast implants with congenital symmastia? (photos)

Would breast implants alone help me achieve fuller perkier breast, or does it look like I need a lift as well? (photos)

Are my breasts tuberous? What sort of surgery is there to fix them? (photos)

WE SEND PRETTY EMAILS

WE SEND PRETTY
EMAILS