Textured 525cc implants, high profile over the muscle. Am I getting what I want?

Question

I'm 5'7", 160 lbs. My surgeon and I agreed on 400cc but I wanted to go bigger. I also wanted textured as I am going I to pro wrestling. I wanted fullness in the upper pole and I also desires the fake look. We agreed on 525cc textured silicone, high profile over the muscle. Should I go bigger? He said because I am taller and thicker I could easily do 800cc but it would be huge.

Earl Stephenson, Jr., MD, DDS, MBA · Answer

In my opinion they're very few people augmentation that could tolerate and 800 mL implants. Your original plan sounds reasonable and I would stick with that.

Thomas Trevisani, MD · Answer

Implant size can best be determined by a cooperative sizing process. That means that trying different volumes in a bra with the Surgeon's staff will allow the patient to arrive at a volume that she can embrace. The more involvement you have- the better you will feel- and the final be yours in conjunction with the surgeon's ability and willingness to comply.

J. Jason Wendel, MD, FACS · Answer

Thank you for your question.Without pictures and your measurements, particulary your base width diameter, it is impossible to say.  If you desire the fake look, then go with a high profile implant, not moderate or moderate plus.To be sure, see two or more board certified plastic surgeons for a complete evaluation to make sure that you are a good candidate and that it is safe for you to have surgery.I hope this helps.

C. Bob Basu, MD, MPH, FACS · Answer

In terms of breast implant sizing, there are several factors that plastic surgeons consider when recommending implant sizes. I consider two factors when selecting implants for my patients:1. Dimensional planning2. Gel Implant Sizing systemDimensional planning – The measurements of your chest wall are taken. Also, the breast dimensions including the height, width, and current dimensions of each breast form the basis of dimensional planning. Based on these measurements, the implant size is recommended. This will give you a unique breast implant that is suited for your body frame. However, there are some limitations of what size we can recommend. For instance, some implants may just be too big for a narrow chest wall. Your surgeon can review this with you during the consultation.Gel Implant Sizing system – During the preliminary breast implant consultation, you will be provided with an option to “try on” a variety of implant shapes and sizes. You can also visualize the possible outcomes of your surgery which helps you to get that perfect size to give you the shape that you longed for. This way your preferences are known and you can then pick a range of implants that will “fit” just right to give a soft natural fuller look. Hope this helps.Dr. BasuHouston, TX

Steven Wallach, MD · Answer

It is best to be seen in peson to determine whether a specific implant is good for you. Best to be seen in person.

Robert Singer, MD · Answer

The best cosmetic result in any
particular breast augmentation patient depends on a variety of factors,
including: your individual anatomy, realistic expectations, a thorough
discussion with the plastic surgeon about the options, and an understanding of
the pros and cons of any particular implant choice. Proper sizing is not just
about the number of cc’s. The thickness of your tissue, breast dimensions which
include the width, height, and projection, as well as chest wall width all need
to be considered when choosing an implant. Trying on implant “sizers” of
various shapes and volumes while wearing a tight t-shirt, bra, or bathing suit
at a preoperative visit will help you and your surgeon choose the optimal
implant.

Keep in mind that following the
advice from a surgeon on this or any other website who proposes to tell you
what to do without examining you, physically feeling the tissue, assessing your
desired outcome, taking a full medical history, and discussing the pros and cons
of each operative procedure would not be in your best interest. I would suggest
that  plastic surgeon bge  certified by the American Board of Plastic Surgery
and ideally a member of the American Society for Aesthetic Plastic Surgery
(ASAPS) or the Canadian Society for Aesthetic Plastic Surgery (CSAPS)  that you trust and are comfortable with. You should discuss your
concerns with that surgeon in person.

Robert Singer, MD FACS

La Jolla, California

Curtis Wong, MD · Answer

in what is being recommended but you really have to choose the size.  Use sizers and see what you will look like because taller women can handle larger volumes with ease.  800 cc's is big but if you body can handle it and are accepting of the longterm risks, then go for what you want... YOLO!

Joseph L. Grzeskiewicz, MD, FACS · Answer

Based upon your stated goals, placing textured high profile round implants above the muscle will give you a "fake look" with the most fullness on the upper pole.  I also would suggest textured implants as this type of implant has been shown to have a lower incidence of capsule contracture, especially in the sub glandular, or over-the-muslce position.  As to size, that is something you will have to work out with your surgeon.  I suggest you undergo a sizing exercise in which you are able to try on sizers of known volume so that you can look in the mirror and assess your appearance.  Just remember, larger implants are associated with higher complication rates, too.  Good luck.

Brooke R. Seckel, MD, FACS (retired) · Answer

Considering the fact that you are April Ressler I would seriously consider having her breast implants placed beneath the chest muscle.  My concern about large textured breast implants underneath the breasts is the risk of visible rippling and palpability.  In addition considering the occupation I would consider under the muscle a safer alternative.  For more information breast implant size please read the following link:

M. Dean Vistnes, MD - Account Suspended · Answer

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! best, Dean Vistnes, M.D

Textured 525cc implants, high profile over the muscle. Am I getting what I want?

Answers (11)

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