LARGE breast implants: breast augmentation (photos)

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.

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!

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! 

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

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!