LARGE breast implants: breast augmentation (photos)

Question

Hello, I'm 5'9 185lbs wide chest & hips 38c would I have to see a ps specialist that does x large Implants? I'm going for BIG breasts with maybe a slight slope 800cc-900cc. I read a lot of ps dont like doing big Implants is this true? I feel as though women my height & size implants between 500cc- 650 tend to look average size. I have thick skin and a good amount of breast tissue my nipples are upturnt but most of the volume is at the bottom. I want saline behind the muscle.

Gary Lawton, MD, FACS · Answer

I believe that you will have to locate a plastic surgeon that has the experience and respects the patients requests for large implants.  800 to 960 implants are commonplace in these practices. 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.
 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.  The experience of the surgeon and the degree to which
they explain the options to you is of utmost importance. 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 implant.
Don't let the doctor tell you what would look good on you. There is no maximum.  They cannot tell
what you perceive to be the best size. That is up to you.

Amy T. Bandy, DO, FACS · Answer

Larger framed women tend to need larger implants to give a balanced look.  During consultation, I go over pro's and con's of large implants with you, and do sizing to determine the ideal volume that you will need to get the desired look that you want.  Sometimes it takes staged surgery; in other words 2 or more surgeries to get you to the desired size that you want, but it all depends on your own tissues and breast dimensions.  Good luck!

Mathew A. Plant, MD, FRCSC · Answer

The reason that most surgeons don't like doing large implants is because the larger the implant the more likely there will be complications, both immediate and long-term. One of the main issues is bottoming out, and when you describe that your volume is already concentrated at the bottom it sounds like you'd be at a particularly high risk of that. The only way to know for sure is to book a consultation with a board-certified plastic surgeon near you to see what your options are. Best of luck!

Aldo Guerra, MD · Answer

Large breast implants? I really do appreciate the question that you’re proposing about large breast implants! Large breast implants can be highly gratifying to a small subset of women who are looking for extremely large breasts However, it is well known that the larger the implants the greater the risk of having revision surgery to keep those large breast implants will be in the future. There is no doubt in my mind, that having extremely large breast implants and accomplishing your goals will make you happy but the most important question I ask myself is how long will this patient be happy for? I discuss this point with all of my patients who wish to have extremely large breast implants before committing to surgery. You will find that there are many qualified plastic surgeons who can do a very large breast implants, but I think you should discuss with them when you go for your consultations your expectations for revision surgery and the overall costs of maintaining very large breast implants In your life!Wishing you a wonderful future, Dr. Aldo

Dallas Buchanan, MD · Answer

Thank you for your pictures and questions. There is no plastic surgeon out there with special expertise and training in "large implants." If you find someone who is advertising this or trying to say they have special expertise, I would not go to that person. Any plastic surgeon who is board certified by the American Board of Plastic Surgery can help you discuss your goals and pick what would be right for you. The first thing you need to know is that implants only go up to 800 cc and if you want to go larger than that, you would need to choose a saline implant and have it "overfilled" to over 800 cc. It may be possible that your frame and breast measurements would accommodate an implant that large but a consultation would be needed to determine that. Usually implants that large are very wide and most women are not able to have a wide implant without causing poor results. You also may need a highly projecting implant to achieve your goals which can look somewhat unnatural. The reason most surgeons do not "like" to place large implants in patients is because often it is the wrong choice for that patient and despite what the patient thinks they want in terms of cc size, that actual implant will not fit them properly and give a good result. In addition, large implants have significant weight and often age poorly, requiring frequent and premature revision surgery which comes at a significant increased cost for the patients, not to mention eventual dissatisfaction and poor cosmetic outcomes over time.Hope this helps!

Stan M. Valnicek, MD · Answer

Thank you for your question.  It is certainly possible to place large implants but there are some things to consider:
1.  Some patients have a larger frame and can more readily accommodate larger implants as an initial surgery.
2.  The larger the implant is relative to the breast base dimensions, the less support there will be for its weight - particularly laterally and inferiorly.
3.  Depending on the position of your breast tissue relative to the underlying muscle as well as skin quality and natural upper pole breast tissue thickness, you might be better off with a subglandular pocket as opposed to submuscular.  There are tradeoffs with this.  A frank discussion with your surgeon is best and there are always compromises with any decision that is ultimately made.
4.  Some patients will have a better long term result if the procedure is staged.  What I mean by this is placing an intermediate 400-600 cc implant initially and planning to swap to the larger size later once the pocket has stabilized around the smaller volume.  This allows greater predictability and pocket positional control.  In my practice this group of patients has had the least amount of long term issues.
5.  Patients with tight lower poles (short nipple to fold distance) are particularly challenging with larger implants since the skin has to stretch so much to accommodate the lower half of the implant.  The degree of stretching varies on multiple factors and can be difficult to achieve or control despite the best effort on everyone's part. 
In your specific case, you are tall and have what sounds like a good starting breast shape.  You might do just fine with large implants in a single stage.  I would find someone well trained and qualified in your area and have a thorough discussion including their experience with large implants as well as their policy for re-operation and revision if needed.  There are definitely more issues with oversized implants and this is perhaps why many surgeons prefer to stay more conservative with the services they provide.

Joshua D. Zuckerman, MD, FACS · Answer

Thank you for your question.  It sounds from your description that you can support a fairly large implant.  800-900cc, either saline or silicone, can indeed be implanted safely with proper surgical technique - but these are indeed very large implants.  I'd recommend seeing a board-certified plastic surgeon who offers 3D imaging, in order for you to virtually "try on" several different implant sizes pre-op.  This will allow you to accurately select the implant that will give you the result that you're looking for.

Thomas Fiala, MD, FACS, FRCSC · Answer

Even in a lady your size, this is still a very large implant!  It may not be possible to get this behind the muscle and still have it look nice in one step. While I have used implants of this size in the past, it's more typical for this volume to be done after a previous augmentation to the 500-600 cc range.

Thomas Trevisani, MD · Answer

Without photos- it is impossible to comment accurately what you're a candidate for. Your height and weight indicate that you may need the larger high profile implants. I personally have limits as to the implant size I will insert. The goal is to meet the patient's needs within a range of flexible acceptability. Only  an in person physical exam can give you the best options.

Eric A. Weiss, MD, FACS · Answer

Due to your size large implants may be mandatory to look good. Silicone implants may feel better as they are lighter than saline. However it's your choice. I feel comfortable placing larger implants as long as your body has the tissue characteristics to support them. Eric Weiss MD

LARGE breast implants: breast augmentation (photos)

Answers (16)

More Breast Augmentation Questions

WE SEND PRETTY
EMAILS

Answers (16)

More Breast Augmentation Questions

Dental Xray Seven Weeks Post Op Breast Augmentation

Severe acne after my breast augmentation. Was it caused by surgery? When will it go away or how to treat it? (Photo)

WBC is 2.91. What can I do about this?

Will smoking affect my lab work test?

Is "roundness" of the upper pole more a result of the volume of the implant or the projection?

Is a 285 cc implant too large for 5'4", 115 32AA size?

WE SEND PRETTY EMAILS

WE SEND PRETTY
EMAILS