660cc's Silicone under the muscle implants to get a full DD. Is it possible for me to get these implants for my height/weight?

Question

I am 5'0ft tall, I weigh 130lbs. My bra size is currently a 34B.

John Diaz, MD · Answer

It is very difficult without assessing you in person to know if the implant size you mentioned would be appropriate for you. Keep in mind that implant size selection not only depends on your personal preference, but it also depends on your unique measurements. 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 how to choose the right size implant, you can read "A Comprehensive Guide to Breast Augmentation."

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question.  The
best advice you can receive is from an in-person consultation.  This will depend on your individual breast measurements.  660cc is a large implant and in some patients may be too large for their skin envelope.  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.   Make sure you
specifically look at before and after pictures of real patients who have
had this surgery performed by your surgeon and evaluate their
results.   The most important aspect is to find a surgeon you are
comfortable with. I recommend that you seek consultation with a qualified
board-certified plastic surgeon who can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Donovan Rosas, MD · Answer

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.With regards to your specific question, it is difficult to offer any firm advice without any photos or in-person assessment. If you do, in fact have a smaller frame with a paucity of tissue, a 600 cc device may be tight leading to a sub-optimal outcome.
As always, discuss your concerns with a board certified plastic
surgeon.

John Michael Thomassen, MD · Answer

You may not have adequate skin and soft tissue compliance to fit these implants.  If your skin and soft tissue envelope is too tight, these implants will look deformed and may take some time to look natural.  It all depends on measurements of your chest wall and soft tissue taken by your surgeon in your preop evaluation.

Miguel Mota, MD · Answer

Hello and thank you for your question. It is really hard to say without an in-person evaluation or at least some photos. Feel free to repost your question with photos so we can better evaluate your case. If you like, you can even contact a plastic surgeon by email with photos.
Best of luck!

William Andrade, MD · Answer

Hello, you will need a proper consultation to determine if implants that large will fit your body frame and breasts.

Nick Masri, MD, FACS · Answer

Those implants seem to be a little too big for your frame. Obviously an in person consultation is necessary to obtain the appropriate breast measurements to give you an accurate assessment. The base width of your breast best determines the size of implant capable of achieving your goals. Also the quantity/qualty of your skin and breast tissue are used to make this decision. Find a board certified plastic surgeon to evaluate you for these questions. Best Wishes.

Debra L. Stafford, MD · Answer

Bra cup size can be a difficult letter to pin down in the breast augmentation consult between the patient and plastic surgeon. Commonly, patients will arrive at the consult wearing an improperly fitting bra. Generally, normal weight women will present wearing a bra with a bra cup too small and a band too large. Many times I have seen petite women wearing a 34 inch bra when in reality their chest wall measures only 30 inches. Because the band size is too large, the cup size will then be small to compensate for the over sized band.
In addition, bra manufacturers do not follow a common standard pattern in the manufacturing process. Thus, a degree of variability will exist in the sizing of bras from the various manufacturers. 
Concerning a 660 cc implant and resultant cup size, the post operative cup will vary from patient to patient. However, a 660 cc implant will result in a cup size significantly larger than DD in the majority of women. In a 5 feet 130 pound frame with a pre operative B cup breast, I would estimate the post operative cup to exist somewhere in the E cup range. Regardless of the letter, the post operative breast would be of ample size and would appear even larger in a short statured women as opposed to a taller women.
In conclusion, as a board certified plastic surgeon, I would not recommend a 660 cc implant in a 5 foot tall women. I feel that resulting large bosom would give the illusion of a shortened torso and make the woman appear somewhat "top heavy" . Also, studies show that breast augmentation with excessively large breast implants has a significantly higher rate of short term complications and  decreased longevity as opposed to breast augmentation with conservatively sized implants. 
Consult with a number of plastic surgeons certified by the American Board of Plastic Surgeons. Review the doctor's portfolio and discuss with him/her your desire to have large implants placed and the short and long term risks of large implants. Choose a safe option that will provide long term results that fulfills your wishes. Good luck and I hope you have a great experience with results to match.

Tom J. Pousti, MD · Answer

Thank you for the question.   There is no accurate/reliable/predictable correlation between size/profile breast implant utilized and cup size achieved. For example, I do not think that the generalizations of "200 cc equates to 1 cup" hold any validity or are helpful in any specific or practical way.  In my practice, I ask patients not to communicate their goals, or evaluate the outcome of the procedure performed, based on cup size references.
Ultimately, careful selection of plastic surgeon and communication of your goals (in my practice I prefer the use of goal pictures, direct examination/communication in front of a full-length mirror, in bra sizers, and computer imaging)  as well as careful measurements (dimensional planning) will be critical.
 Generally speaking, the best online advice I can give to ladies who are considering breast augmentation surgery ( regarding breast implant size/profile selection) is:
1. Concentrate on choosing your plastic surgeon carefully. Concentrate on appropriate training, certification, and the ability of the plastic surgeon to achieve the results you are looking for. Ask to see lots of examples of his/her work.
2. Have a full discussion and communication regarding your desired goals with your plastic surgeon. This communication will be critical in determining breast implant size/type/profile will most likely help achieve your goals. 
In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. For example, 
I have found that the use of words such as “natural” or "full DD cup” etc means different things to different people and therefore prove unhelpful.
Also, as you know, cup size varies depending on him who makes the bra; therefore, discussing desired cup size may also be inaccurate. Again, the use of computer imaging has been very helpful during the communication process, in our practice.
3. Once you feel you have communicated your goals clearly, allow your plastic surgeon to use his/her years of experience/judgment to choose the breast implant size/profile that will best meet your goals. Again, in my practice, this decision is usually made during surgery, after the use of temporary intraoperative sizers.
I hope this (and the attached link, dedicated to breast augmentation surgery concerns) helps. Best wishes.

660cc's Silicone under the muscle implants to get a full DD. Is it possible for me to get these implants for my height/weight?

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