A number of factors must be considered when selecting the correct volume implant for each patient. The breast size, and width, the width of the chest wall, the tightness of the skin coverage are just a few. What you want your breast to look like is also very important. While a 500 cc implant is fairly large, it may not be too big in your case. Select a good surgeon, communicate your desired outcome, and trust them to select the best implant for you.

Depending on the individual anatomy and desired results, estimations and measurements and the decision about the type of the implants to be used should be made for each patient individually along with a detailed mutual conversation and a physical examination. The elements that form up the breast shape and size and the overall frame can be different in each person. It will be best to consult a board certified plastic surgeon who is experienced in cosmetic breast surgery in person and discuss your goals and options after a physical examination.Hope this helps,Ali Rıza Öreroğlu, MD FEBOPRASEuropean and Turkish Board Certified Aesthetic, Plastic and Reconstructive SurgeonIstanbul, Turkey

Hi. There are other factors that come into play when making this type of decision. Has the patient had kids? Did she breast feed? How much laxity of skin is there? Posting photos in a blouse and wearing abra does not accurately reflect the condition of your breasts. I could not give you an accurate assesement and recommendation without the benefit of the above. Always seek out the opinion of a surgeon certified by the American Board of Plastic Surgery with years of experience in cosmetic breast surgery. Furthermore request to see before and after photos of previous patients by that doctor....not a clinic or surgery center. Do your homework......research and verify the doctor's credentials. Have they had problems with the Board of Medicine, disciplinary or otherwise. Any law suits? How about the center, clinic or facility? Are they accredited by a national organization or do they just have State approval. Understand that at the current time, there are three nationally recognized organizations responsible for the highest levels of patient safety, AAAASF, AAACH and JCHO. You owe it to yourself to position yourself for the best possible results but under the most stringent safety regulations, If you have kids, even more so. How about anesthesia? Will you have a medical doctor certified by the American Board of Anesthesiology or a certified nurse anesthetist (CRNA)? Understand that there is no substitute for research. Cosmetic surgery, no matter how simple it may be to the patients, are invasive procedures and as such carry certain risks and complications. In our office, as in others, we use TouchMD which is a web based program in which patients have the ability to load their picture unto the program. I then evaluate them and can actually draw on the picture to show a potential patient where the incisions would be located and how the procedure is to be realized. It's all done to comply with HIPPA which is the federal law that protects the patient's medical information. Look them up. good luck, Dr PG

Questions regarding implant sizing are best answered in direct consultation with a board-certified plastic surgeon who can examine you in person, listen to your goals, and address your options with regards to implant style, shape, volume, etc. In fact, it might not be a bad idea to get a couple of consultations so that you can get differing perspectives from different plastic surgeons. I don't know what your goal cup size is, however, based on your pictures, I would think that 500 cc's would be very large on your frame. That is just a thought based on pictures, however, so take it with a grain of salt!

Hello and thank you for your question. The best advice you can receive is from an in-person consultation. It would be helpful to know your individual breast measurements in order to determine if 500cc is an appropriate size for you. 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. The most important aspect is to find a surgeon you are comfortable with. I recommend that you seek consultation with a qualified board-certified plastic surgeon who can evaluate you in person. Best wishes and good luck. Richard G. Reish, M.D. FACS Harvard-trained plastic surgeon