Would 600cc work for me? (Photo)

There is no such thing as too large for
you. You in fact have a perception of what you want to look like.
The surgeon cannot tell you what you like. It is as ridiculous as
them telling you what your favorite color is or picking out your new car for you.
They can guide you, but if your perception and their rigid,
non-scientific approach don't mesh, find another surgeon.The best way
to determine the size that fits your personal perception of the perfect breast
is to try on sizers. This way you can see how they fit on you, how they add to
your current volume, and whether they fit your frame. Although the surgeon can
guide you, only you will be able to tell what is the right size. Try on sizers.
HP implants, which are a more modern shape than moderate profile
implants, fit most women better. They have a more appropriate base diameter for
the average women's chest. Mentor HP profile saline implants have base
diameters that range from 8.8 cm (very narrow) to 13.8 cm (moderately wide).
The majority of women in my practice have base diameters in the 11 to 13
cm range. The HP implants fit them well. The moderate implants have
much wider base diameters for the same volume (often in the 14 to 15.6 cm
range). These implants are too wide for most women that I treat. So
when the base diameter is measured and correlated with the diameter of the
implant, it is most often necessary to use HP implants to achieve the volume
the patient is requesting. At the volume selected, my patient's base
diameters are too small for moderate profile implants. Measuring a diameter and
then telling the patient what volume they can have (in high, moderate or
moderate plus implants) in my mind is backwards. The patients should be
allowed to choose the volume. Then the surgeon carefully considers the
base diameter, projection, profile, manufacturer, and fill material that will
achieve the patients goals of size as well as qualitative look (natural,
intermediate, or bold upper pole fullness or projection), all the while taking
into consideration the patient's anatomic features that will affect the
outcome. HP implants can be made to look very natural or very augmented,
depending on where in the range the implants are filled to achieve a particular
volume. At the low end of the fill range, HP implants do not have the upper
pole fullness that most people associate with the fake look. On the other hand,
a fake over-augmented look can be created with a moderate profile implant if it
is overfilled (a common practice for surgeons that commonly use moderate
profile implants). In addition, too wide an implant will put the volume past
the anterior axillary fold, which in my opinion, looks more fake than upper
pole fullness. So there are many factors that need to be considered.
The experience of the surgeon and the degree to which they explain the
options to you is of utmost importance. Obviously all of my patients look
at photographs and we evaluate the look they are desiring in great detail.
For me, high profile implants are the first choice. I rarely find an
indication to use moderate or moderate plus implants. This does not make me a
better surgeon, or a worse surgeon. Look at the outcomes and judge for
yourself. The outcomes should stand on their own. The subtlety in
the final outcome is not achieved by which profile implant is used, it is
determined by the skill in the creation of the pocket, the choice of volume,
and where in the range the implant is filled. Don't let the doctor tell
you what would look good on you. They cannot tell what you perceive to be
the best size.

It is very difficult to determine the exact size and shape implant you will require to best match your ideal breast image without an examination by a board certified plastic surgeon. Not just any board certified plastic surgeon, but one with many years of frequently performing breast augmentation surgery including different approaches, techniques and implant choices. This is because several measurements not to mention your breast characteristics are needed to determine the optimal implant size to obtain your goals. Without knowing these dimensions it would be difficult to make this determination. For example, the existing base width of your breast will determine, in many cases, the maximal volume per implant profile that you can accommodate. To illustrate; a 100 cc difference may make a significant difference with a narrow base width breast, but much less of a difference if you have a wide chest wall and wide breast “foot print”. Therefore, just because your friend may have a great result with let’s say a 350 cc implant to make her go from a “A” cup to a “C” cup size does not mean that you will have the same result with the same size implant. . Further simply placing implants in a bra to determine the size best for you is not always accurate as the bra often distorts the size, is dependent on the pressure the bra places plus the implant is outside your breast and not under it among other variables. Computer software morphing programs that automatically determine the best implant size can be helpful in some but not all cases (e.g. doesn’t work well in my experience with existing implants, sagging or asymmetric breasts). Using “want to be” photos however are useful if simply provided to the surgeon as I will further explain in the below link.#breastaugmentation#findingtherightsize#BA

Hello! Thank you for your question. In general, implant size does not correlate with bra cup size. The cup size itself will vary from manufacturer to manufacturer as well as who is doing the actual measurements. Thus, cup size is never a reliable indicator for your breast size. I typically encourage my patients not to communicate her desires in cup size but more on the actual look and appearance. Good communication between you and your surgeon of your expectations is warranted - choosing your surgeon wisely is the first step. Discussion of your wishes and having an honest and open dialog of your procedure is mandatory (e.g, implant type, incision, placement, lift, etc). I have found that photographs brought by the patient is helpful to get a visualization of the appearance you wish for in terms of size, shape, fullness, etc. In addition, your surgeon's pre and postoperative photographs should demonstrate a realistic goal for you. Once this has been accomplished, allow your surgeon to utilize his/her best medical judgment during the procedure to finesse the best possible result for you after preoperative biodimensional planning and fitting the right implant for your breast width. Hope me that this helps! Best wishes for a wonderful result!

Thank you for your question.  Unfortunately without any photos of you or an in person exam, it is difficult to determine which size implant will best help you achieve your overall desired goal.  Schedule a consultation with a board certified plastic surgeon.  At the time of your consultation you will be further evaluated and have the baility to utilize sizer impolants to visualize the way each size implant looks on you.  Then together with your surgeon you can create a surgical plant o best help you achieve your overall desired goals look.Best regards,Dr. Lane F. Smith, MDPlastic SurgeonLas Vegas, NV

It's hard to determine your best implant size without specific breast measurements and an in person exam. Remember to choose a board certified plastic surgeon who actually takes the time to measure you and examine your breast pocket. The goal of breast augmentation is to optimally fill your breast pocket, not to overstuff or understuff it. At my practice, we utilize a series of 5 breast measurements that help me determine the implant size, which in turn helps me deliver a 24 hour recovery. Do your research and choose a surgeon who takes the time to sit down with you and discuss your goals/expectations to determine the best size for you. In general, high profile implants give a more rounded, shelf look and moderate plus implants tend to give a more natural look. Also, remember that sizers will only give you a rough estimate. Good luck!!!

There is no right answer here.  Picking an implant size is one of the most difficult choices patients have to make when having breast augmentation surgery. There are a few things to consider when choosing size.  a) the size should fit within your chest diameter to prevent medical complications ( Synmastia-communication of the breasts caused by violation of the chest midline by medial migration of one or both implants).b) a larger implant can cause excessive stretching of the skin and this can cause thinning of the tissues and complications down the road such as bottoming out of the implants or visibility of implants through the skin.c) To maintain your outcome you will need to wear a supportive bra most of the time.d) the larger the implant the higher the risk of nerve damage and loss of sensation to the nipples.d)t is easier to go larger if too small versus going smaller after being too largee)larger implants have a higher number of revisions than smaller implantsUltimately, it is your decision as a patient. If you have thought this all through and you are committed to the appearance in the above pictures you posted, you can proceed to achieve this look. Keep in mind that the choices you make now may have consequences for you in the future. Best of luck!

Kailamarie:  Based on the measurements you provided I think 600 cc is going to be too large for you.  Such large implants can also lead to problems such as thinning of the skin or malposition of the implant over time.  It sounds like your PS has picked out great sizes for you.Best of luck to you!G. Robert Meger MD

Thank you for your question. Based on your height and weight 600 cc fill implant may be too large to give you a natural look, especially if you are have a decent amount of breast tissue.  However, it is difficult to say without having full chest measurements or seeing you in person.  You also may want to consider a silicone implant versus a saline.  It sounds as though you have most of your breast fullness on the base of your breast. Adding a saline implant to it would not had as much upper pole fullness as a silicone implant wound.  More upper pole fullness would help you to achieve a look in the pictures you posted.Best of luck to you.

Thank you for your question. Without a physical exam and measurements I am unable to tell you what implant size would be most appropriate for you. Be sure to be seen by a board-certified plastic surgeon and spend time trying on "implant sizers" to determine what size gives you the look you desire. Based on your height and weight 600cc seems like it would be a very large implant and with larger implants comes a higher risk of complications. Best of luck, Dr. Kludt

I appreciate your question.

The size of implant best of you is dictated by your
chest wall measurements. Once we determine that we can choose the profile
based on what you want or need to achieve.  If you are seeking a natural look,
then the diameter of the implant should be equal to or, more ideally, smaller
than the width of your breast. The breast width is a measurement of how wide
your breast is at the base, which should be measured at the level of the
nipple. Choosing an implant that is smaller in diameter than your breast width
will avoid the "side breast" fullness that is often associated with a
more artificial appearance. Other than that, you should choose the
implant based on volume, not on the dimensions of the implant. You should
choose a board certified plastic surgeon that you trust to help guide you in
this decision.

Silicone will give you a fullness at the
top (upper pole fullness).

Silicone implants come pre-filled with a
silicone gel and are the softest implant available. They feel more natural,
which makes them a good option for women with less natural breast tissue; but
they require a larger incision. It may be more difficult to realize if this
type of implant has ruptured, so it is important to monitor them with annual
follow-up visits. Additionally, because this implant contains a more liquid
silicone (less cross-linked), if this implant should rupture, it will leak only
into the scar capsule formed around the implant but may cause some discomfort
or implant distortion.

Anatomic gummy bear implants might be a
good choice to give you volume.

These highly-sought-after, anatomic
implants offer a look that more closely resembles the natural silhouette of a
breast, and, therefore, are a very attractive option for individuals seeking a
natural-looking, aesthetic primary breast augmentation. Additionally, these
implants are an especially excellent option for patients undergoing restorative
or corrective breast surgery because they provide more stability, shape, and
reduced incidence of capsular contracture. Compared to other types of silicone
gel implants, the silicone in the cohesive gel implant is more cross-linked;
therefore, should the implant shell “rupture,” it maintains its shape and
silicone does not leak.

During your breast augmentation
consultation, you should feel the different types of implants available, and try
on various implant sizers in front of a mirror to help you to get an idea of
how you will look following the surgery. You should also bring pictures of the
look you would like to achieve, as well as a favorite top to wear when trying
on implant sizers.

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