Is 600cc too big? Do I really need several surgeries to obtain a bigger size? (photos)

Thank you for your question. When it comes to sizing there are a few things you have to take into consideration. Nipple to crease distance, width of the breast, profile of implant are just a few. Typically I would recommend and implant to be placed in the inframammary fold and not through the areola. Scarring can be worse and nipple sensation loss tends to be a little bit higher. I would ask your Surgeon what their thoughts are about size and how big they think they can go. There are times when a patient wants a specific size and we can't obtain that the first time around. Best of luck to you.

Thanks for your question! Based on the photos, it appears that you have grade I ptosis and some mild breast asymmetry. Augmentation mastopexy would be an ideal solution to increase breast volume and reposition the nipple aerolar complex on the breast mound.

in regards to volume, the size of breast implants are dictated by your desires and your underlying anatomy, most importantly, your breast width. In addition, a breast lift and a breast augmentation or opposing procedures. As a breast lift is done to tighten the skin envelope whereas an augmentation expands the envelope. So, if a really large implant is used, the skin can be compromised and lead to wound healing issues such as: wound separation, nipple necrosis, skin necrosis.

Hope this helps!

Your breasts are very ptotic and widely separated. The technique I recommend is a 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 (in 95%) and the ability to breast feed are maintained. Later, fat transfers or small implants can be placed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Your photos reveal that you have bilateral grade 1 ptosis. ( Droopy breasts) With this anatomy, it is best to do a breast lift- either a peri areolar or vertical mastopexy. (breast lift) The implant size will depend on the dimensions of your breast and chest wall. When adding a breast lift, the size of the implant generally needs to be smaller because of the tension on the closure. 600ccs may be too large when looking at your photos, but your surgeon can more accurately determine the size.

Selecting the correct implant for you will depend on what size you'd like to be after surgery. Depending on your breast width and goals it is very possible to place a 600cc implant initially. In addition to volume your surgeon will also help you decide on shape and profile which will influence your final look. From the submitted photos it appears you will need more than a periareolar lift for a good result. If you are unsure how to proceed you can visit with another board certified plastic surgeon in your area for a second opinion.