5'6" 120 lbs. - Wanting Larger Breast Implants - what is the largest size recommended? (Photos)

Question

Looking to have my existing breast implants removed and have larger implants. I would like to go as large as I can go with my health and safety in mind. Can anyone recommend the largest size? Thank you. I am 5'6 120 lbs.

Farbod Esmailian, MD · Answer

It is difficult to give you a number without a proper exam and assessment of the pocket, soft tissues and measurements. However, you would need to go up at least 100cc from what you have now to see a noticeable difference. Going bigger is not always better as there is a limit to what your tissues and body can handle and having larger implants do tend to age the breast faster.

Hope that helps.

Hope that helps.

Gianfranco Frojo, MD · Answer

I would not recommend going any larger. Larger implants cause big problems because if they are too big for the breast, they will overpower the natural soft tissue support. I highly recommend being very cautious about doing anything that might compromise this pretty good outcome. Regardless, these are all my own opinions based on the photos provided. I would recommend seeing a plastic surgeon who has great training and experience in aesthetic breast surgery.

Gary M. Horndeski, MD · Answer

In your photos, your cleavage is quite close. Your breasts cannot get any closer. Your breasts are already as wide as your chest wall. Larger implants will result in mechanical instability and your breasts will drop even further. Your biggest problem is not implant size but position. I recommend a breast lift.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Dallas Buchanan, MD · Answer

Thank you for your pictures and questions. In general the optimal implant size is not relative to your height and weight but more to do with your breast measurements and your baseline anatomy. What size and profile are your current implants? This can be used as a baseline to jumpstart the conversation and would be helpful information to submit with your question. To upsize, you might be able to increase the volume of your implant but stay in the same profile (for example 350 moderate to 450 moderate) if your breast diameter would allow additional width of an implant. If you base diameter is maximized, then you may have to go up in profile to increase size (350 moderate to 450 high profile for example). I would recommend an exam and an in depth discussion with a board certified plastic surgeon to discuss your options.
Hope this helps!
Dallas Buchanan, MD
VIVIFY plastic surgery 
Tampa, FL

Daniel Barrett, MD · Answer

Dear michelel88,
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

Darryl J. Blinski, MD · Answer

Nice posted photos. You did not state the cc size you have in? I think around 250-300cc? You have limited pocket space for over sized implants. I would offer use of saline expander during surgery to try to stretch open your pocket so to accommodate at least a 600-700cc implant. That fee $7,000. Another option is doing the stretching place implant then after4 months return for second round to get you to a 1,000cc over inflated saline implant. Best to virtual with....

5'6" 120 lbs. - Wanting Larger Breast Implants - what is the largest size recommended? (Photos)

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