I'm a 34C considering 500cc. Is it too much?

I appreciate your question.

The size of implant best for 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

Hello,Based on your specific measurements and existing anatomy, there will be a small range of implant sizes and projections which fit you. My patients find it helpful to try on the implant sizers in the office with a form-fitting T-shirt in order to get an idea of how they will look. I recommend that you share your concerns with your Plastic Surgeon so that they can guide you through the planning process. What looks like "too much" or, "just enough"  can be quite subjective and it is best that you decide the look you like. All the best

Hello, it is difficult to advise you about implants without a proper assessment.  Implants of this volume could look very large on a petite person, but on a person will a full-figured frame they might not look disproportionate.

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!

You should first try on implant sizers with a non-padded bra and see what size makes you happy and how you will look in clothes. Your surgeon must then evaluate your skin, breast tissue, and history to see if your skin can safely hold the size you have selected. Many problems with breast implants arise from selecting an implant that exceeds the ability of your skin to hold it properly.

Thanks for your question. It is impossible to answer your question with confidence without an examination and discussion about your desired outcome. Off the cuff, 500cc implants with a preop underfilled C-cup of breast tissue sounds like a lot. That will put you in the DD or more range. Perhaps that is what you want? Best of luck!

Greetings! I find that breast size is a very personal choice and should be made carefully by YOU after consultation with your plastic surgeon. A surgeon can only help to guide you but cannot make the decision for a particular breast size. A 500 cc is a very big implant, but patients can have nice results in most cases.  I think you and your surgeon are pretty close to finding a good size. Consider returning to the office and try sizers again while comparing and contrasting 500 cc to some bigger and some smaller sizes and see how they look on your frame. Sizing helps to make patients feel more comfortable with the choice they're making. Best wishes always, Dr. Aldo

500cc is within the range of possible implants for you.  It will make you at least 2 cups larger and if that is your goal, than you will do well.Make sure that the implants are not too wide for your chest.  Wide breasts can make you look heavy.Best Wishes,Nana Mizuguchi

Dear h1044,

It is hard to determine whether that is a
suitable size without seeing a picture of you or knowing your measurements.
What we like to do in our office that has been very successful is to let you
try on a sizing bra with that size implant sizer and see if you like that look
or not.

I hope this has been helpful.

Robert D. Wilcox, MD

Dear h1044:In terms of picking the right implants to
achieve your
goals, generally speaking, 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