Is a 600cc silicone moderate profile gummy bear implant under the muscle going to cause significant stretching of skin? (Photo)

Tall women with larger frames and broader chest, shoulders, and hips can often handle larger implants that would make smaller women's chests look overcrowded and heavier.  I would recommend that you go with the size that boosts your self-esteem, and fits your anatomy.  Implants of 600cc and higher will create more tissue thinning over time, have more potential for rippling, more potential for bottoming out, greater likelihood of breast lift revisions, etc. 
Kenneth Hughes, MD, ABPS Board Certified Plastic Surgeon
Los Angeles, CA

It's hard to recommend an implant size without examining you in person.  Every doctor uses his/her own way to choose a size for patients.  I would recommend going over sizing with your plastic surgeon if you're not quite sure about the perfect size for you.  

Hello, 600cc implants are on the large end of the implant spectrum.  How they will look in a person's body depends on their breast and body type.  For example, in a petite person with smaller breasts these implants would look very large, but in a very tall person with large breasts the result still might look proportionate.  Your surgeon will be the best source of advice about sizing because a proper breast exam is required.

The implant selection should be based on a combination of your desired size, soft tissue dynamics, breast base diameter and skin elasticity. I recommend an in-office examination as well as a detailed discussion with a surgeon who you are comfortable with. Finally, make sure your surgeon is a Board Certified Plastic Surgeon certified by the American Board of Plastic Surgery (ABPS).Best,Dr. DesaiBeverly Hills Institute for Aesthetic Plastic SurgeryHarvard Educated, Beverly Hills & Miami Beach TrainedDouble Board-Certified, Double Fellowship-Trained Beverly Hills Plastic Surgeon

Hello,Choosing an implant size should not be a subjective or unpredictable process. It's easy to see what you'd look like with a given size, simply use premade sizers in your doctors office or make rice sizers at home. This will help you determine if 600 cc is right for you. The other very important issue is being sure that your body can hold that size implant. This requires biodimensional analysis, which is more that just match your breast width to the implant diameter. In fact, looking at the photo of your breasts suggests that your nipple to fold distance may be too short to accommodate an implant of the volume; you'll either be left with a low nipple position with high riding implants, or severe double bubble. It's important that you see a surgeon who's not afraid of telling you no. Yes, large implants cause substantial changes to your body, including stretching and thinning of your tissues. 

Dear Fierce7060,
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

sagging can occur and is related to size of implants.  It is variable from patient to patient depending on skin type.  Personally I would never go that big.  I’ve seen many patients that later regret getting such large implants.  My personal recommendation is not to go that large.

I do not think that it is helpful to classify breast implants as "big"...  these types of classifications are not helpful given that everything depends on the patient's anatomic starting point and goals.     
In other words, it is not necessarily that a specific breast implant implants is "big" or problematic;  it is that the use of a breast implant that is TOO  large for a patient's frame can be problematic.  
The use of a larger breast implant (than what is safely "allowed" by the patient's anatomy) can be problematic;  potential problems include breast implant displacement/malpostion issues ( such as bottoming out, lateral displacement, symmastia...)  and/or significant breast implant rippling/palpability.
Keep in mind also that there are many variables that come into play when determining the specific aesthetic outcome achieved with breast augmentation surgery.  The patient's starting point, for example will determine to a great degree what can be achieved but surgical maneuvers can also play a significant role.  Exactly how/where the breast implant "pocket" is dissected and which breast implant size/profile is selected will play a big role when it comes to final aesthetic outcome achieved.
 My best suggestion: select your plastic surgeon carefully. Make sure that he/she is a board-certified plastic surgeon who can demonstrate significant experience achieving the types of outcomes you would be pleased with. Then, communicate your goals carefully as well.  The use of goal photographs and computer image may be very helpful during the communication process.  Remember that terms such as "D or DD cup" may mean different things to different people; best to avoid the use of cup sizes as a reference point. After doing so, your plastic surgeon will be able to tell you whether or not the desired outcome is realistic (or what you should realistically expect), given your specific anatomic starting point.
 Best wishes.

Hello. Thank you for your inquiry. It is important to have an in-person assessment regarding your concerns as it is difficult to determine virtually.

Exact end results and cup sizes are usually quite difficult to calculate as everyone has a different starting point.

There are many different factors that go into choosing a breast implant size which will correspond with your body dimensions while concurrently achieving your aesthetic results. Some of these factors are: Implant size (CC's), Implant profile (Low, Moderate, High), Placement of the implant (Subglandular vs. Dual Plane) etc. We utilize smooth round cohesive silicone gel 'gummy bear' implants for the best results.

During a consultation your aesthetic goals are heard and taken into account with the measurements of your breasts and the integrity of your tissue, as well as level of ptosis (sag). From here we collectively can find your 'perfect fit'. You are able to try out sizers and different implants in our office such that you can get an idea of what size you would be post-operation. We also offer Crisalix 3D plastic surgery virtual simulator during our in-person and virtual consultations to preview potential results. After your consultation, you will receive your very own implant sizers to take home with you (at a small cost) whether or not you decide to go forward with your procedure.

I usually recommend that my patients stop smoking, take vitamin C daily, and avoid aspirin/ibuprofen and vitamin E 3 weeks prior to surgery. I specialize in the 24-hour Recovery method which minimizes trauma to the breast and decreases pain post-operatively.

We encourage you to look at our website and Instagram (drkaraplasticsurgery) for lots of before and after pictures!
Please note that this response does not substitute patient-doctor relationship. We welcome any and all patients seeking advice to come in for a complimentary consultation available for limited time only.

During the COVID-19, we are offering complimentary online consultations as well as in-office consultation with social distancing and masks. Procedure done in-hospital private surgical facility while taking covid-19 precautions. We utilize UV-light to clean the air of viruses and bacteria during our consultations and surgery.

We invite you to come in to discuss your options more thoroughly. Please send us an email at info@drkaraplasticsurgery.com with the subject line: "Attention Meagan" and we will be happy to coordinate your appointment!

M.Kara,MD,FRCSC (27+ years experience) - Specializing in 24 hour recovery/ out to dinner breast augmentation in-hospital private surgical facility for your added safety and peace of mind

There is always the possibility of sagging and stretch marks in your breasts after undergoing breast augmentation using excessively large breast implants. It's up to you to make the final decision on your size. Plastic surgeons can only provide you with advice and perform your surgery. We advise you about possible risks associated with large implants based on our experience taking care of patients who have had complications from big implants. But, we can't tell you exactly what will happen to You with Your long term results. The Better option is to be conservative to limit the possibility of complications. Good Luck.