I am considering 500 cc saline implants but wondering if it's too big? (Photo)

This is always a difficult decision for some. In my opinion, the best thing to do is have a thorough sizing session. I provide my patients with a range of about 3-4 implants that are appropriate for their specific measurements. I then have them try these implants on in a special sizing bra. With this process, my patients have been able to choose their own implants. I have found this to be the best method for implant sizing. Be sure to see a board certified PS in your area. They should be willing to spend the time with you doing this. Best of luck!

It's best to lose the weight before your surgery because you never know how your weight loss will affect your results. It may contribute to sagging.

I don't think there's anything wrong with 500 mL implants but because of a large volume I would at least consider using silicone gel for aesthetic reasons.

It really depends on your goal. 500 ml implant seems big for your body habitus. If proportion is what you are looking for, you will likely need a small implant and vertical mastopexy as you already have some breast volume and laxity of the breast tissue. Make sure you discuss your desires and goals carefully with your plastic surgeon so you can have satisfaction from your procedure. These are costly procedures and it is imperative to take time in planning what is right for you . . .

Your implant choice is a very personal one, and what may be too small or big to you can be very different for someone else. It is difficult to tell based only on a front view of your photo how much fullness you need. Typically 500cc implants will result in the patient wearing a D or DD bra size (or even larger if she started with more breast tissue) depending on the bra manufacturer since there is no standardization of bra cup sizes. Also, larger implants will make you appear a little heavier so you may want to take that into consideration.

Appears as a good option. But you may need to consider a lifting operation also. See your surgeon to discuss... 

You appear to be of a reasonable size already.  Although 500 cc implants are fairly large, if they are under the muscle you may not see a huge difference with silicone because of the amount of breast tissue you already have. Implants that size will usually raise the bra size AT LEAST 2 cup sizes.  The key issue is that you match the diameter of the implant fairly closely to the width of your breast so the profile of the implant is important as well.If you are really worried about this, try to find someone with a 3D Vectra Camera system where they can take a 3D picture of your breast and simulate any implant size and profile on your frame.  Loot at the link below to find someone near you with this technology.

You can do a baggy test with the volume that you chose to see if it is too little or too much. It will give you a rough estimate.

I'd suggest you consider silicone implants to achieve a soft more natural look.  In terms of sizing, to help my patients achieve their goals, 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

Thank you for your question. looking at your photo it appears you have some degree of ptosis or sag. If your base diameter is around 12-12.5cm, a fill of 500cc saline implant with an infra-mammary incision, dual plane approach, would provide both a slight lift and fullness of the upper pole. Your post surgery size would most likely be a D or DD. I recommend trying on some sizers prior to surgery to see your level of comfort with the breast size.