I am at a loss and so unsure, should I do the 650 or 700cc HP gummy? (photos)

Thank you for your questions and photos! Putting a bigger implant in a breast thats already sagging is a horrible idea.  You are definitely a candidate for a breast lift! I recommend seeing a board certified plastic surgeon who will give you direct answers.  Best of luck!Dr Dhaval Patel
Double Board Certified 
Plastic Surgeon 
Hoffman Estates
Oakbrook
Orland Park
Chicago 

You
have nursed a 4 year old for 3 years and your breasts sag.  From your photograph, your breasts are long
vertically.  If you undergo implantation
with a 650 cc or 700 cc implants, which weigh over 1 ½ lbs, your breasts will
hang even lower.  I recommend a breast
lift using The Bellesoma Method.  This
will reshape your breast tissue creating upper pole fullness without implants,
elevate them higher on the chest wall and more medial to increase your
cleavage.  Vertical scars are avoided,
nipple sensation and the ability to breast feed are maintained.  At the same time or later, fat transfers can
be performed if additional volume is desired. 
Best Wishes,Gary Horndeski, M.D.

Hello,The difference between 650 and 700 is 50 cc, or about 7% of the total volume of 700. This is a meaningless difference. Informing your doctor of your subjective desires (looking 'full and round') will never make the implant selection 'cut and dry', and will always be up to the individual observer whether that was achieved. No surgeon will ever be certain if you are going to be satisfied, even when the implants in question are in the realm of over-sized. If you don't understand this, then you really shouldn't have surgery. Best of luck!

A 50cc difference is not that much when considering an implant in the size range you desire.  In fact, I tell patients even if they are 100% decided on the "perfect" implant size for them, I still need  about a 10% allowance to ensure the implant fits properly.In-person sizing is great, but it has little to do with how your particular skin and breast tissue will hold the implant, nor does it predict what will be a pretty shape.Use it as a guide and communicate with your surgeon so they can get you the result you desire

You are only talking about a 7 1/2% difference in volume. You probably wouldn't even know the difference. It is impossible for your Dr. to know exactly what you picture in your head. But going back to what I said before, you probably would not be able to notice any difference, so don't drive yourself too crazy. Have fun with it.

If you are a good candidate for either the 650 or 700, then I would go with the larger size.  98% of women all think they could have gone a little bigger once they are all healed.  However, if you want roundness, I would increase the projection by using a High Profile Xtra or Ultra High Profile.  A 700cc HP is a pretty wide implant, and I doubt, based on your pictures, that you are truly a 15.5cm breast width.  A Mentor 700cc HPX would provide better roundness, the same volume, and limit the width.  I hope this helps.

Each individual is different, therefore, questions regarding the appropriate size, shape, type, etc. of implants to be used is best answered in consultation with a board-certified plastic surgeon who can examine you in person.  Still, at volumes such as 650 to 700 cc's, the difference in results should be negligible.

Hello and thank you for your question.  The
best advice you can receive is from an in-person consultation.   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

Thank you for your question and photographs.  Breast implant selection is an exciting, but stressful part of the breast augmentation process as there are so many choices. Unfortunately it is impossible to recommend the best implant style, size or shape without an in-person examination that allows for the measurement of key breast parameters, as well as permits an in-depth discussion as to your desired goals and outcome. When speaking of implants in the 650 and 700 cc size the difference in sizes is small and I would recommend selecting the size that gives you the best visual representation as to what they would look like.  Best wishes!

Dear Onthegomomma13,Breast implant type and sizing selection is a complicated process and requires a detailed consultation that includes a discussion of your goals, a detailed examination, and a lengthy discussion. But the decision will always start and end with the patient. When it comes to sizing, we have all of our patients find 3 photos of their desired breast size. We ask for naked breast photos because clothing can obscure the true size (push up bras). Next, we consult with patients and go over the photos and take detailed breast measurements during a physical exam. Next, we using a sizing algorithm to determine a range of implants that will work based on the exam and the measurements.Lastly, during the operation, we use silicone sizers in the operating room to see how the size actually looks in the breast. We sit the patient up in the operating room, while asleep of course, and compare the sizer result with their desired look photos. If it is too small, we start the process over with a slightly larger implant. We don't stop until we get the perfect match.Of all of my breast augmentation patients, every one of them has been happy with their size due to this detailed and meticulous process. You don't want to invest time and money into a result that is either too big or too small.You should discuss your concerns with a board-certified plastic surgeon and make sure that your surgeon understands your goals.Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery