Is 725-800cc reasonable? (photos)

Dear Diana,You don't need larger implants, you need to have your pockets revised. Larger implants without the proper support will only make your current problem worse and more difficult to correct in the future. Please reconsider or get a second opinion. I hope this helps.Best wishes and kind regards,

There are 2 aspects of "reasonable" when it comes to choosing a breast implant size: What is possible from a surgical standpoint: The choice of implant size should be limited by the base diameter of the breasts where the implants would sit.  With your photo and  the measurement of only 30 1/2" I feel that these very large implants would be too wide to properly fit on the chest risking implant encroachment into the armpit and sides of the torso.What is considered reasonable from an aesthetic standpoint by the patient and the surgeon:  So your opinion on this is the most important.  As I have said before "Beauty is in the eyes of the owner" so if you sized yourself and like this size that is important.  To me as a plastic surgeon and a man, the size you are considering would produce cartoonish huge breasts.In my opinion, this large size of implants is not reasonable in your case.  Consider a second opinion.All my best.

Those are big implants - just FYI. Your breasts look like they could accomodate that size but it really depends on what you are looking for. You have some asymmetry for sure and I agree that your breasts tend to fall to the side. Implants will not necessarily correct this (which is what you don't like) and could possibly make it worse. You should ask to see photos of results in women with breasts that look like yours. Good luck.

Thank you for your question and photographs.  Depending on your desires and expected outcome, a combination of implant placement and breast lift would lead to very nice result.  700-800cc implants are very large and contrary to popular opinion will not lift your nipple or areola.  I would continue to seek secondary and tertiary opinions on the appropriate implant size and style from other ASPS board certified plastic surgeons to ensure that their relative plans are similar, with similar implant sizing.   

In person exam inessential. FYI:800cc implants are huge. From your photos it appears that you need a lift in order to achieve perkiness with a smaller implants placed sub-muscular to achieve upper pole fullness- if thats what you desire. Your asymmetry and areola size can be addressed during a lift operation. Good luck!

Dear Diana,   Thanks for submitting your pictures and sorry for your problems. From observing your pictures the following is noticed:  1. Asymmetry - right breast is bigger than left breast.  2. Moderate ptosis.  3. very large areolas. Right bigger than left.  4. Small C cup on the right and B cup on the left.  5. Very wide cleavage.  6. Implants are displace laterally.  7. Right crease is lower than left crease.  You did not provide some critical information - the present implants size, your chest circumference in inches which is critical for correct implants size selection, your desired cup size, location of implants - sub glandular or sub muscular.  Based on your height, a D cup size will look natural on you. So if your present cup size is 34 small C and B cup size, you will have to add 300cc on the left breast and 225 on the right breast.  Additionally, to obtain the nicest result, you will need to have to have the following:  1. Bilateral mini lift, which will give you perky breasts and more attractive smaller areolas.  2. Bilateral lateral capsulorrhaphy - internal bra. This will move the implants medially and help create nicer cleavage.  3. Bilateral medial capsulotomy, left inferior capsulotomy and possibly superior capsulotomy. This will even up the folds and create very nice cleavage.   As you have experienced, not all results are the same , because experience and skills are paramount in getting optimal result. So do your due diligence and choose wisely.   Consult only with experience board certified plastic surgeons who do lots of 'redo' breasts augmentation. Check the before and after picture in the photo gallery to make sure that they are numerous, consistent, symmetrical, attractive and natural looking with nice cleavage.                            Best of luck,                                              Dr Widder       

Thank you very much for your question.800 cc implants are HUGE, and aside from breast reconstruction following mastectomy for cancer (where the entire breast volume is removed and an implant is placed to refill the space), there are very few times when I would consider placing an implant that large.Make sure your surgeon has carefully measured your breast dimensions to be sure that an 800 cc implant can fit within your breast, and has talked to you about the long-term possibilities of putting in an implant that big (including back and neck pain, sagging, etc).  Best of luck.

To be honest with you the size range you describe is way too big for you and just about every other potential breast patient.  You are already a bit droopy in terms of your tissues, this may be from your recent weight loss, so there is already a component of stretch to your tissues.  From your photos I would recommend an augmentation mastopexy or breast lift doe simultaneously.  Seven hundred cc implants are way too big and would cause significant tissue problems to your breasts.  I would consider another consultation to get another opinion

Thank you for your question.  The right breast implant for a patient depends on several factors including their base width (width of the breast), skin laxity, and desired look.  That being said, 700-800 cc implants are very large.  A larger implant must be able to fit in the space underneath your breast.  The larger the implant, the higher the risk of complications, and a poorer result.  All the best,

It is very difficult to determine the exact size and shape implant you will require to best match your ideal breast image without an examination by a board certified plastic surgeon. Not just any board certified plastic surgeon, but one with many years of frequently performing breast augmentation surgery including different approaches, techniques and implant choices. This is because several measurements not to mention your breast characteristics are needed to determine the optimal implant size to obtain your goals. Without knowing these dimensions it would be difficult to make this determination. For example, the existing base width of your breast will determine, in many cases, the maximal volume per implant profile that you can accommodate. To illustrate; a 100 cc difference may make a significant difference with a narrow base width breast, but much less of a difference if you have a wide chest wall and wide breast “foot print”. Therefore, just because your friend may have a great result with let’s say a 350 cc implant to make her go from a “A” cup to a “C” cup size does not mean that you will have the same result with the same size implant. . Further simply placing implants in a bra to determine the size best for you is not always accurate as the bra often distorts the size, is dependent on the pressure the bra places plus the implant is outside your breast and not under it among other variables. Computer software morphing programs that automatically determine the best implant size can be helpful in some but not all cases (e.g. doesn’t work well in my experience with existing implants, sagging or asymmetric breasts). Using “want to be” photos however are useful if simply provided to the surgeon as I will further explain in the below link.#breastaugmentation#findingtherightsize#BA