745cc high profile too big? Complications? (Photos)

Question

Two consultations two separate doctors have said based off my measurements my body can handle the larger implant. i am going under muscle but wanted some other opinions. i have broader shoulders and a larger bwd wasn't told by 2nd ps first said 13.5. i want that upper pole fullness which i have pretty well already but want that larger pushing my body's proportional look without looking extremely top heavy. I do want the larger breast, just not crazy big.

Andrew T. Lyos, MD, FACS · Answer

Thank you for your question. Selecting the correct implant  is among the most important decisions in a successful breast augmentation procedure. There are several factors to consider and the placement of the identical implant will not produce the same results in all patients due to differences in:1. Dimensions of the breast  2. Diameter of the chest 3. Volume of the breast tissue  4. Height and weight 5. Breast shape, including ptosis and asymmetryI rely on 3 methods to advise my patients: 1. Dimensional planning  2. Gel implant sizing  3. 3-Dimensional Vectra imaging system.At the time of consultation, measurements are taken allowing for dimensional planning to select the implant which best fits the base diameter of the breast.  Gel implant sizing is performed to allow you to visualize augmentation with the various sized implants.  While some practices choose not to use imaging; Vectra 3-D imaging has been a very important method in my practice in selecting the correct implant size and shape as it allows you to see what you will look like following augmentation with any of the available implants. The best advice is to choose the surgeon that you feel most comfortable with who is also board certified. Best wishes, Andrew T. Lyos, MD, FACS

John Diaz, MD · Answer

It is very difficult without assessing you in person to know what implant size and profile will be a good size for you. It does sound like the high profile implant would give you the look you're going for because it will give you maximum fullness and projection. Keep in mind that implant size selection not only depends on your personal preference, but it also depends on your unique measurements. There are various types of implants that can help you attain the look you are going for. A thorough consultation with a board certified plastic surgeon will allow you to communicate what your desired result is and will inform you as to what is possible to achieve your goals. We have a device called the Vectra 3D imaging system that shows you what you will look like with any implant. Our patients are very happy with the choice of implant they make when using this system. To learn more about breast augmentation, you can read “A Comprehensive Guide to Breast Augmentation."

Gerald Minniti, MD, FACS · Answer

Hello,You clearly sized in front of the mirror, trust the size you chose there. Our job is to minimize complications and determine anatomic limits. Best of luck!

David R. Stephens, MD · Answer

Hi SeattleChick; It's not whether you can handle going with a very large implant as this doesn't necessarily mean a nicer looking, full breast. You can still have a full breast and have a better looking breast with the correct "fit". Were the doctors that you consulted with Board Certified Plastic Surgeons? It would be helpful to know your bra size, your height and weight, just some background to get an idea of your physique. You have a nice breast shape and breast fullness in the upper pole of your breast. The nipple position on your breast looks a bit low; too wide an implant means it might be too high too and make the nipples look even lower; as implants get larger in any style, such as high profile in your case, they get wider so the fit is the key. It is hard to give an opinion from a photo. I would need to do a consultation and directly take measurements and discuss your goals and lifestyle is helpful. Our Vectra 3D imaging systems is a powerful way to look at different sizes and types of implants in your body that is very helpful in communicating your desires and what will give you the best results.

Urmen Desai, MD, MPH, FACS · Answer

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 Double-Board Certified Plastic Surgeon certified by the American Board of Plastic Surgery (ABPS), a member of the American Society of Plastic Surgery (ASPS) and the American Society of Aesthetic Plastic Surgery (ASAPS).Best,Dr. DesaiBeverly Hills Institute for Aesthetic Plastic SurgeryHarvard Educated, Beverly Hills & Miami Beach TrainedDouble Board-Certified Beverly Hills Plastic Surgeon

Omar Lazos, MD · Answer

Hello how are you? Considering big round high profile implants? Based on you frame dimension, if you have a 13.5 cm base for implant placement, for example on Motiva Brand the volume for a high profile 13.5 cm base are 725 cc. The volume is according to the implants longitudinal base, that means bigger frame bigger size. It´s about proportion, if you put for example 300 or 400 cc on a mammary base of 13.5 cm by proportion the implant won´t be noticeable. So if you plan getting bigger and you have the frame for it, do it. Just remember the implant acts like a tissue expander, adding big weight to the soft tissue tend by gravity to go down more quickly and the end result trough the years are big, saggy, dropped breast. Hope this answers your question. Best regards!

Martin Jugenburg, MD · Answer

Thank you for your question. Big implants should be fine. Make sure you always wear good support. Regards,

Dallas Buchanan, MD · Answer

Thank you for your pictures and questions. You are wide chested and so can probably carry a larger implant. That being said, 745 cc is VERY large, nearly the largest implant made. However, if you were measured at 13.5 width, you need to be very careful. Even in an ultra-high profile implant, a 750 cc implant is going to be around 14.5 cm in width. I would advise you to consider choosing a high-profile implant around the 550 cc range (if indeed your diameter is 13.5 cm). If you choose the 745 cc, you may be happy at first, but the results are going to be short lived and gravity will once again win the battle over time and you will be facing revision surgery in just a few years. Hope this helps!

John L. Burns Jr., MD · Answer

I would suggest using 3D photographic imaging to see what this implant would look like on you.  You can also control for implant shape, profile, and volume.

Paul W. Papillion, MD · Answer

Hello, you are going to be large...but it sounds like that is what you want. One thing to remember is that gravity always wins... so expect 10 years from now things to look different. Also....the larger the implant, the higher risk of issues. Good Luck.

745cc high profile too big? Complications? (Photos)

Answers (18)

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