630 cc High profile implants. What size implant should I get ? (photos)

The decision to do an augmentation
by itself versus an augmentation with a lift (augmentation mastopexy) is less based on patient preference and more dictated by
the nipple position and the ratio between the post-augmented breast volume and
the amount of excess skin you have.

The less breast tissue you have,
the smaller the implant, the closer the nipples to the breast fold, and the
more excess skin you have, the greater the chance you will need a lift and the
greater chance you will need a vertical scar to achieve a natural aesthetic
outcome.Patients like yourself, with both
a lack of volume and sagging breasts, that have a breast augmentation with no
lift either end up with a rock-in-a-sock deformity as the implant settles into the
breast, stretching the tissue, and emptying out the upper pole, or a Snoopy deformity as your nipple will remain
hanging below your implant. See the link below for more info.A detailed examination will help
delineate the best surgical treatment. Consultation with a plastic surgeon certified by the American Board of Plastic
Surgery would be the next best step.

Hello,If you do not mind a slightly heavy-looking result, with full, large breasts which are not high and perky- then you may do well with the implant size that your surgeon is recommending and no lift. That determination must be made in person after your Plastic Surgeon has measured you carefully and discussed your expectations/limitations of the procedure with you.All the best

Thank you for your question and photos.  Please keep in mind that implants will NOT lift your breasts.  630 cc's is a significant increase in breast volume and can cause your breasts to sag even further.  High profile implants will certainly give you a more "augmented" look, but to get a good idea of what the implants will look like on you, ask to "try on" the size in your surgeon's office.All the best,Dr. ResultsMiami, FL

Hello, if you like your current breast shape and don't care if the nipples sit lower, then implants alone might be an option.  It is not possible to provide meaningful advice about the implant volume without a proper exam.

I appreciate your question.

The size of implant best for you is dictated by your
chest wall measurements. Once we determine that we can choose the profile
based on what you want or need to achieve.  If you are seeking a natural look,
then the diameter of the implant should be equal to or, more ideally, smaller
than the width of your breast. The breast width is a measurement of how wide
your breast is at the base, which should be measured at the level of the
nipple. Choosing an implant that is smaller in diameter than your breast width
will avoid the "side breast" fullness that is often associated with a
more artificial appearance. Other than that, you should choose the
implant based on volume, not on the dimensions of the implant. You should
choose a board certified plastic surgeon that you trust to help guide you in
this decision.

Silicone will give you a fullness at the
top (upper pole fullness).

Silicone implants come pre-filled with a
silicone gel and are the softest implant available. They feel more natural,
which makes them a good option for women with less natural breast tissue; but
they require a larger incision. It may be more difficult to realize if this
type of implant has ruptured, so it is important to monitor them with annual
follow-up visits. Additionally, because this implant contains a more liquid
silicone (less cross-linked), if this implant should rupture, it will leak only
into the scar capsule formed around the implant but may cause some discomfort
or implant distortion.

Anatomic gummy bear implants might be a
good choice to give you volume.

These highly-sought-after, anatomic
implants offer a look that more closely resembles the natural silhouette of a
breast, and, therefore, are a very attractive option for individuals seeking a
natural-looking, aesthetic primary breast augmentation. Additionally, these
implants are an especially excellent option for patients undergoing restorative
or corrective breast surgery because they provide more stability, shape, and
reduced incidence of capsular contracture. Compared to other types of silicone
gel implants, the silicone in the cohesive gel implant is more cross-linked;
therefore, should the implant shell “rupture,” it maintains its shape and
silicone does not leak.

During your breast augmentation
consultation, you should feel the different types of implants available, and try
on various implant sizers in front of a mirror to help you to get an idea of
how you will look following the surgery. You should also bring pictures of the
look you would like to achieve, as well as a favorite top to wear when trying
on implant sizers.

The best way to assess and give true
advice would be an in-person exam.

Please see a board-certified plastic
surgeon that specializes in aesthetic and restorative breast surgery.Best of luck!

Dr. Schwartz

This is a tough question to answer without seeing and examining you. I typically follow the patients desired looks, breast measurements, and what I feel would yield the best results. In your case, you may want to talk to a plastic surgeon about having a lift as well as implants. Most plastic surgeon do not commit to a "cup size" as cup sizes vary bw bra companies. It is better to pick an implant that fits your body as well as your breast measurements and fills out your breast pocket adequately for the best cosmetic result. PLease find a board certified plastic surgeon that understands your needs and desires. Good luck!

Large volume breast implants to have a profound effect on your tissues. The additional weight can add to further descent of the implants into the tissues leaving you with a larger but lower breast. . Few women are happy with their breasts being lower on their chest after breast surgery. Choosing the proper breast implant volume is something that must be performed after an in-person examination. Also, communication is of utmost importance with your surgeon to ensure that they can size you during surgery and achieve the look you desire. Keep in mind that if your surgeon recommends a lift, you may want to listen to their advice.

Hello dear, thanks for your post and provided information as well. The thing about size is...Did
You Know? Implant size (measured by cubic centimeters, or “cc”) only
matters as far as it will help you get the look you want. In these
photos, can you guess who has the larger sized implants?What limits how big you should go?1.
Your current breast size. This matters because you’ve got to have
enough existing breast tissue to cover the implant. If you haven’t got a
lot to spare, some implants may just be too big to fit.2. Your
chest and shoulder width. Fortunately, implants come in different base
widths so you can get a size that works well with your frame.I recommend to make an appointment with a board certified plastic surgeon for a person evaluation and to talk about your goals. Good luck :)

The most important choices in achieving the best results for cosmetic breast surgery:  the right surgeon, the right operation, and the right breast implants.Having been in private practice for over 20 years, a number of women have come to me because two or three years before they see me they underwent an augmentation with 600 or 700 cc breast implants and now they really don't like their breasts.  The breasts are too large and too low and, even though they thought they would like how their breasts would look, they don't. I guess I differ from many plastic surgeons in how I talk with women who come in to learn about cosmetic breast surgery.  We use 3-d imaging and I also have them stand in front of full length mirrors and I draw directly on their breasts to help them fully understand the options and the potential outcomes.  Each choice has a different outcome.  It is pretty predictable to me that women with larger breasts that are already droopy will not like their outcome a few years later if all they have done is placement of large breast implants.  In my opinion, the outcome will be much better and last longer if a lift is performed along with placement of smaller rather than larger implants in these types of situations.  That is not always the case, of course, but I find it to be true more often than not.  There are situations where I will not operate on a woman because I think her expectations are not likely to be met.  We still provide all of the information possible, but then I'll also tell her that I won't do what she is asking and I'll tell her why.  We'll even provide names, addresses, and phone numbers of other good local plastic surgeons who do a lot of breast surgery and suggest she visit with them. In the majority of cases, I don't think it is a good idea to place 600 or 700 or 800 cc implants in a woman who already has larger, but droopy, breasts.  In these situations I feel a little bit like a parent.  My children sometimes are convinced that they want to have or do something.  My responsibility as a parent isn't always to allow my children to have or do everything they want.  My responsibility is to provide them with as much information as possible, to help them see things perhaps in ways that they hadn't considered, and to help them understand the pros and cons of things.  Sometimes, despite all of this my children might still want to have or do something that's just not right and then I tell them, "No, because I said so".  That happens from time to time here in the office; not often, but sometimes.  So, yes, it's possible to get 630 cc high profile implants when you have larger breasts that are already droopy.  And yes it is possible that you may be happy with the result.  With only the pictures to go by, however, I would suggest an entirely different operation.  But this is why the choices are so important:  the right surgeon, the right operation, and the right breast implants.  Visit with at least two other surgeons than the one you visited with, and don't just take the opinions offered here on RealSelf.  Be open to what the surgeons say to you.  Then make your decision. 

Without in person examination my over the internet guess is unto 700 ccSilicone OK>>>>>>>>>>>>