Stuck between three implant sizes and wondering if 565cc is too big? (Photos)

505 cc, 535 cc and 565 cc implants weigh over 1 lb each, will result in descent inferior and lateral displacement and the implants will bottom out. At size 34, each 100 cc of implant corresponds to 1 cup size change. From this, you can determine the size implants you need to reach your desired goal. I would also recommend a mini lift. Using a circumareola incision, your breast tissue is reshaped, elevated higher on the chest wall and more medial to increase your cleavage. At the same time, small implants can be placed totally submuscular.

Best Wishes,

Gary Horndeski, M.D.

Thanks for your question!
I suggest making an appointment for a re evaluation with your surgeon. Bring along a tight fitting shirt and try on the different size implants to help finalize the size. Best wishes!

Have you tried on sizers in those sizes? This would be a great way to see how you may look after surgery. Then, based on that, you can then determine which would be most suitable for you. Please note that a proportionately sized implant is typically associated with fewer risks and complications.

Thank you for your question.

The breast, which is mainly composed of skin, adipose tissue and mammary gland, is fixed to the rib cage by the resistance of the skin and suspensory ligaments. If suspensory ligaments are loose and skin tension is low, a breast may sag regardless of its size. Even breasts with small volume may sag due to loosening of the skin and suspensory ligaments due to births and breastfeeding. At the same time, even though it is large, a breast with strong skin structure and ligaments might not sag. As a result, the characteristics and structure of each breast differ from one another.

This question cannot be accurately answered without the benefit of an in person physical examination. If pressed for an opinion I will begin with the fact that a 30 cc difference will not make a prominent change in the overall appearance. Thus, if you find all 3 sizes acceptable, I would suggest using the 535cc. It will not look substantially different from either the 505cc or 565cc implants.

After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size and style breast implants. They also get to see what they would look like when the breasts have fully dropped and fluffed and in clothes. You get to see actual results and the surgeon's experience and not a virtual idea of what can be achieved. Women tell me that this process is very helpful in determining what size and style breast implant is right for them. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Thank you for sharing your question and photographs. Unfortunately without key breast measurements it is difficult to offer definite advice but at those relative sizes, the differences between any two are minimal to the overall outcome and I would select the ones you liked best. Hope this helps.

Good morning,
From your photos and description I do not think 565cc is too big- the golden rule is when debating between sizes always go with the larger of the size choices- patients hardly ever ever regret that choice!

Hi. To appropriately discuss implant size and choice, you really need an in person evaluation by a plastic surgeon with good experience with breast augmentation. Opinions and preferences will vary somewhat from one surgeon to another surgeon. Personally I start with the base width of the patient as the starting point for the footprint of the future implant. Tissue characteristics, and desired postoperative size, and patient anatomy all factor in to the proper selection of implant volume as well as profile. I go over all of that all in detail with my patients at the time of their consultation.
I would recommend consulting with a board-certified plastic surgeon with good experience in this area. He or she can thoroughly review the options with you so that you can make a good and well-informed mutual decision.
Good luck and take care,
Dr. Howell

Your surgeon needs to determine your anatomic maximum capacity to know your 'limits'. To determine your aesthetic volume requirements, he should size you in the office with purpose built sizers of know volume. If doesn't have them, move on to another surgeon. It just a big guessing game otherwise.