Can U Fit Any Size Implant Under the Muscle ?

Question

im a size B cup and want to go to a size DD cup ive been told the because of the size of implant i'll have that not possible to go under the muscle is that right or not ?.

J. Jason Wendel, MD, FACS · Answer

Yes, there are limits to how large an implant can be placed under and over the muscle for that matter. It all depends on how tight your skin, breast, and muscle tissue are. It also depends on the base diameter of your breast and width of your chest/rib cage. If you have a very tight breast pocket and are narrow chested, then you may want to get a reasonable sized and allow your body to heal. You can then decide if at some point you want to go bigger. This may not be advisable though. It is known that very large implants have a greater chance of having long term complications. Discuss this specifically with your plastic surgeon.

Jed H. Horowitz, MD, FACS · Answer

limitations of the volume are not just the muscle..  
	
		how loose is your skin
	
		have you had a pregnance
	
		weight gain and loss
	
		body weight
	
		body size
	
		breast size
	
		chest size

Steve Laverson, MD, FACS · Answer

Your surgeon probably believes it is not in your best interest to go under the muscle with the size implant you desire. Although possible, it may not be advisable. The larger the implant is, the smaller the portion of that implant will actually be under the muscle. A full profile globular implant windowshades the muscle superiorly. If you have a low breast or a large skin envelope, the implant settles low, and will not be covered by much pectoralis. Beyond a certain size, what's the point of elevating the muscle to put it over 10-25% of an implant??

David Shafer, MD, FACS · Answer

Breast implant size should be determined by your anatomy.  Not all implants can fit in all people.  The diameter of your implant is determined by the diameter of your own breast.    If you post pictures, we may be able to give you some general advice.  However an in person consultation would be necessary to give you specifics as you would need a complete examination and consultation.

	 

	Good Luck.

Ralph R. Garramone, MD · Answer

The goal of a breast augmentation is not to place the largest implant possible, but to place the appropriate sized implant. Just like it would difficult for you to wear a shoe that is two sizes too small, it is not ideal to place an implant that is too large for the chest..  If the implant is too big for the chest and the breast and the muscle it just doesn't work. Implants that are too large are often the cause of problems which very require additional surgery to correct.

	A consultation with a board certified plastic surgeon will help you understand these issues and help you to understand what size implant or range of implants will work best for you.

Kris M. Reddy, MD, FACS · Answer

You may not be a candidate to move from B to DD Cup. There is a limitation on the size that can be implanted based on your anatomy. The size of the implants are based on a combination of a patient's goals
and objectives and her anatomy. In order to provide a natural looking
augmentation, the surgeon needs to evaluate many factors including soft
tissue coverage, skin laxity, chest wall width, breast imprint width,
the shape of the breasts and relative level of constriction to ensure
that the breast implants are appropriate for your body. Consult in
person with 3 experienced and expert board certified plastic surgeons to
understand your options.

Paul Gill, MD · Answer

Yes, there are anatomic limitations in implant selection.   The larger the implant, the higher the risk of complications. In order to make an accurate size recommendation, I would need to assess your chest wall and breast mound measurements and characteristics.  Unfortunately, there is not a general rule of thumb or objective criteria to implant selection.

	Your plastic surgeon will perform several measurements of your chest wall and breast anatomy and determine a range of implants that both fit your chest wall and reach your desired goals.
	The next step is to try on this range of implants in the office with your doctor.   The key to this success is showing your surgeon the body proportion you desire with a bra sizer and allowing your surgeon to guide you to the right implant.   It will be much easier to communicate in implant cc's than cup size when determining the appropriate implant for you.
	I wish you a safe recovery and fantastic result.
	Dr. Gill

Thomas Fiala, MD, FACS, FRCSC · Answer

Yes, there are most definitely size limitations.

	In general, it's important to match the implant size to the frame size of the patient.   But tissue tightness plays a role too.  So, there is a size limit.  Using an implant beyond this size could increase the risks of tissue thinning, pocket expansion, wound healing problems, future surgeries and revisions.  So, it becomes significantly riskier.

Steven Wallach, MD · Answer

I could not say for sure t hat every single size of implant can go under the muscle. It really depends upon yoru soft tissue laxity and the sixe you want. The best way to know is to go for an exam and discuss yor goals with the doctor. Good luck.

Robert L. Kraft, MD, FACS · Answer

There is a limitation on how large an implant can be used.  Your own chest width is important.  Too large an implant will not only look odd but is more likely to produce complications, including extrusion and significant sagging.  The goal in breast augmentation surgery should be to produce a natural appearing breast and not to set the patient up for problems down the road.

Can U Fit Any Size Implant Under the Muscle ?

Answers (14)

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