Is 590CC Ultra high too big for my current breast width?

Question

One of my breast is measured 13.1 and the other 12.9. My doctor suggests 535 Ultra High Profile silicone implants. The 535cc implants are 12.0cm and the 590cc implants are 12.5cm. He said 12.5cm would be pushing what I could fit and wants to me to sign extra waiver if I pick the 590cc size. I am going subglandular. I have deflated breasts and plenty of empty space in them, not sure on the measurement for that. Would 590CC be too big for me?I do not want 535cc ultra high to end up feeling too small.

Jaime S. Schwartz, MD, FACS · Answer

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

Jerome Edelstein, MD · Answer

Hello,Thank you for your question. You are considering filling out your breasts to the max, both in width and projection. Your Plastic Surgeon may feel that this will increase your risk of complications including synmastia. I recommend that you ask your Plastic Surgeon to advise you about the optimal size for your frame and trust their expertise. All the best

Tom J. Pousti, MD · Answer

Thank you for your question.Ultimately, careful 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 “C or D 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) helps. Best wishes for an outcome that you will be very pleased with.

Norman Bakshandeh Day, MD, FACS · Answer

Just as a word of caution bigger is not always better or better looking. The long term problems with oversized implants are many

Kenton Schoonover, MD · Answer

Choosing 590 cc implants is a very large implant. The larger the implant size that is used, the greater chance of having complications. I certainly prefer to usually use implants that are much smaller than this and consider a breast lift if necessary. Simply trying to overwhelm loose skin with very big implants can result in problems.

Is 590CC Ultra high too big for my current breast width?

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Is 590CC Ultra high too big for my current breast width?

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Answer: Implants

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Answer: Big implants

Answer: Big implants

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Everything you need to know about Breast Implants

Our mission is to create a world where every investment in modern beauty is Worth It.