Why will my surgeon not allow a bigger implant size than 300cc?

hello thank you for your question and provided information as well;..based in your question its difficulted evaluate your case if the question dont have a picture, its recommended to get a consultation in personal with a plastic surgeon.

Without knowing the logic behind your surgeon's decision, I really can't tell you.  There are definitely benefits in going with a smaller implant in patients requiring a lift since the smaller implants will be less heavy and potentially allow for more perkiness immediately as well as greater long term durability.If your surgeon won't give you a reason, I would get a second opinion.  I hope that helps and wish you the very best!Warmest regards,-Gregory A Buford MD FACS PCEOBoard Certified Plastic Surgeon and Author

At size 36 C, you already have a significant amount of breast tissue and you will not notice the difference between 300cc or 350 cc of additional volume.  I always recommend the smallest implant or no implants.  If you are having a lift that means your skin in unable to hold your breast is the proper position.  Adding the weight of implants will make the situation worse.  The technique I recommend is 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.  Implants are not lifetime devices and half are removed by 9.5 years.  Fat transfers are permanent and incorporated into the body.Best Wishes,Gary Horndeski, M.D.

I would not be able to answer your question as to why your surgeon will not place an implant of a particular size for your surgery. The size of the implant, your chest measurements,  and  your desired result are some of the factors should determine what size implant would be best for your body. Some surgeons prefer not to place large implants. I take into consideration what the patient desires as well as what is possible based on your current breast size, amount of tissue and skin, and overall proportions for your body. If you are concerned with the current choice of implants, I would ask to visit with the surgeon to ask why this choice was made and possibly seek another opinion. I wish you luck.

Dear SweetBetty72,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

Hello and thank you for your question.  This is a discussion that you should definitely have with your surgeon and you should comfortable with the size selection prior to committing to surgery.  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.   

Best wishes and good luck.


Richard G. Reish, M.D.  FACS

Harvard-trained plastic surgeon
 

Patients often think in terms of cup size when considering augmentation. Unfortunately, devices are sized in terms of milliliters (cc) of volume. This can lead to some confusion when sizing. Additionally, it is important to remember that cup size itself is not standardized with variations from one manufacturer to another. Unfortunately, as many women can attest their cup size in an industry leader such as VS is not necessarily transferable to another brand.
Another point which is often under appreciated is that of anatomy and starting point. Any implant will add volume to the volume which is already present. The implant is additive. A particular volume will not necessarily confer the same cup size to different patients (often times it will not even confer the same cup size to different breasts in the same individual...remember they are "sisters" not "twins"). 
A general rule of thumb is that 125cc can represent somewhere between 1/2 to a full cup size increase. Smaller volume differentials (25-50cc) are typically less consequential representing a volume change of less than a shot glass. However, I have found these numbers, at least anecdotally, to be of little help. Patients often present with notions/goals which do not correlate with these sorts of sterile volumetric assessments.
When sizing patients, there are a number of useful tools including:
-3D imaging (has the added benefit of offering a volumetric analysis of the pre-operative breast)
-Breast sizers (rice bags)
-Goal photos
I also recommend that patients commit to a particular look rather than a cup size. Once a patient settles on a look that pleases them the overall cup size increase becomes less relevant.The key to obtaining a natural result is to stay within the parameters defined by your BWD. This will ensure that you avoid the dreaded "fake" look. 
With regards to your specific question, there are limits to how large one can go. The implant must fit on your frame. The process involves more than just selecting a sizer. Consideration must be given to anatomy and skin envelope. Over sizing is not only aesthetically ill advised but it can lead to complications.As always, discuss your concerns with a board certified plastic surgeon (ABPS).

It is impossible to say why your plastic surgeon would not use a larger implant, if possible. After an examination, he would understand your possible limitations regarding the implant size. Usually, the implant size can largely be determined by the patient if it isn't totally unrealistic. It seems like you should talk to your plastic surgeon again regarding your expectations and the limitations of implant size. You could also get a second opinion with a board-certified plastic surgeon.

There are several factors that a Plastic Surgeon will use to help decide the best size of the implants, whether with or without a breast lift.  When undergoing a lift, there is always a concern for the tightness that happens when the lift is done and there is placement of an implant too.  This could be one reason to limit the size of the implant.  Another reason could be that the dimensions of the chest would not accommodate a particular size.  Finally overall balance and proportions are important as well.  One option may be to perform the breast lift first, then after healing, say a few months later, Breast implantation can be done.  When done at a later date, the concern about being too tight should not be a problem and the exact size you desire could be better accommodated.

Dear Sweet Betty, some surgeons are more conservative and others are more aggressive. Breast lift with augmentation is a complicated operation and going too large on the size of the implant is risky.  If you currently wear a C cup size and you want a 350 cc implant, that doesn't seem too unreasonable.  There's not a huge difference between a 300 and a 350 cc implant but that's easy for me to say without examining you. Even if your surgeon is being cautious about the choice of size, he/she should offer you an explanation.  Before you commit to scheduling your surgery you should look for another opinion, maybe you could find a surgeon that feels comfortable using the size you want and can communicate better.