I am 5'8, 150 lbs, do you think 575cc implants will be to big for me? (photos)

Question

I am 5'8, 150 pounds, curvy through hips/butt. I had a full anchor lift last year and now I'm going in for stage two of having implants, my dr wanted to do it in two stages because of the degree of my sagging. I have chosen 575cc mentor mod plus silicone under the muscle and now I'm starting to panic that it will be to big.. I just want to balance my body.

Jose Perez-Gurri, MD, FACS · Answer

Based on your photos, it appears as though you have a great deficiency in the upper pole of your breasts. It also looks like more than a few years have elapsed since your original "anchor" surgery. Personally, I like adding volume by way of an implant insertion when I perform my breast lifts. I feel that the eventual result gives a fuller more pleasing contour to the breast. That being said, throughout my 29 years of private practice, I have performed many breasts lifts without an implant insertion at the time. It seems to me that a 575cc implant is on the larger side. Remember that everything that goes up eventaully must come down and the bigger the implant the stronger the supporting tissues must be in order to keep it in place. Your breasts contain stretch marks and therefore I would caution you against placing too big of an implant.Although sizers can give a patient a fair-good representation of what they might look like post-op, it is simply that.... a representation. Without having the benefit of examining you and evaluating skin and soft tissue, texture, elasticity and taking measurements,it's very difficult to come up with a concrete answer as to what size will best suit you. I wish you the best.

Adam Tattelbaum, MD · Answer

In my own practice we keep silicone gel
implants of all sizes available for patients to try on in a testing
bra.  This is not a perfect teaching tool because under the muscle
implants tend to lose some projection, but because my patients look it actual
implants on their frame I find it the most helpful.

I encourage my patients to bring a friend or
friends for a second or third opinion, and to bring a few different shirts.

I suggest as you look at implants you think
about the relationship between the width of the breast and the width of the
shoulders and hips.  Two wide will make you look top heavy, too narrow
will make the breasts look like torpedoes. I personally like to see the outer
curve the breast have balance with the curve of the hip.

Once we hone in on the right diameter we then
look at the projection of the breast which changes the cup size.  At the
correct diameter we can use a high moderate or low profile implant depending
upon the patients goals.

Depending upon the starting
situation, and the degree of droop we adjust accordingly

Shlomo Widder, MD · Answer

Dear Suzi,   Thanks for submitting your pictures. It is difficult to give you an appropriate answer without having the circumference measurements of your chest and breasts. From your pictures it appears that you are a B cup. Let's assume that you are a 34 B cup. A 575 cc implant will increase your cup size by almost 4 sizes, which means that you will end up with 34 DDD.  If you are 36 B cup you will end up with 36 DD+. Is that what you had in mind ?  For me it is excessive. A 34 D or  36 D looks to me more appropriate considering your body shape and structure.  To acheive that size you will need 300cc or 350 cc implants respectively. Always, consult with board certified plastic surgeons and check the before and after pictures to make sure that you like the results.                    Best of luck,                                        Dr Widder

Asif Pirani, MD, FRCS(C) · Answer

You need to have a thorough sizing session to determine the best size for you.  Your doctor is trying to use a large implant to fill out your breast envelope.  Make sure you like this size.  If it's too big for your taste, a revision lift may need to be done.

Ryan Neinstein, MD, FRCSC · Answer

I like the two stage approach its very conservative, you obviously have very stretchy skin which is likely why your doc wants to use large implants to fill them out

Andre Aboolian, MD · Answer

that will make you DD.  Have the surgeon show you patient's similar to you with that size implants.  If DD is what you want then 575cc is good.

Kenneth R. Francis, MD, FACS · Answer

Dear Suzi,575cc breast implants are large.  You can definitely count on a DD cup breast at least with that size implant.  If that is your goal, then proceed.  There are sizing systems that use "dummy" implants that can give you an idea of what a 575cc implant would do for you.  Or, a more simple baggy test with rice can sometimes suffice.  Good luck!

Darryl J. Blinski, MD · Answer

It depends upon "what" you are looking to achieve. Not what I think works for you.... My guess is you desire a very full breasts so a 500 to 600 cc implant will provide that appearance.///

Jeffrey Zwiren, MD · Answer

For a woman of your size and build every 200 cc of implant volume will increase your breast cup by one size.  Therefore a 575 cc implant would be expected to increase your breast size by 3X.  If this is what you are seeking then it may be fine.  An examination would be needed to be sure that the base diameter of the implant you select is a match for your existing base.

Jourdan Gottlieb, MD · Answer

Much will depend upon your size goal. Hopefully you have had a chance to try on sizer implants to help choose what you would like your surgeon to use.I would caution against implants that large because of the likelihood of recurrent sagging.Balance is in the eyes of the beholder. Many patients would feel balanced at your current size. Implants that size my give you up to a 3 cup size increase.All the best.

I am 5'8, 150 lbs, do you think 575cc implants will be to big for me? (photos)

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