Opinions on 600-650 CC Implant Size for my Frame? (photo)

    An implant in the 600 cc to 650 cc range will increase most women by three cup sizes.  These larger implants will create more tissue thinning over time, have more potential for rippling, more potential for bottoming out, greater likelihood of breast lift revisions, etc.  Find a plastic surgeon with ELITE credentials who performs hundreds of breast augmentations and breast lifts each year.  Look at the plastic surgeon's website before and after photo galleries to help determine the plastic surgeon who can get you to your goals.  Kenneth Hughes, MD Los Angeles, CA

The larger the breast implant, the more potential for problems with them.  If you had a lot of weight loss, more than likely you have a lot of loose skin. Best to be seen in person to be sure.

In my opinion sizing a patient for implants can be simplified. Sizing is not about a number. In fact, I do not even discuss numbers with my patients. If a patient walks through the door and says they want x-cc implants I have to educate them about how sizing works. The best analogy I can relate this to is buying shoes. When you go to buy shoes how do you do that? First you start with the size your foot is right? So if your foot is a 6.5 you try on all kinds of 6.5 size shoes. Some may be tall, some might be flat, and some might be somewhere in between. You would never try to buy a size 8 shoe because it would be too big for your foot right? Breast sizing is the exact same way. Implants come in several different profiles that are like different heights of shoes. Implants can be low profile, moderate profile, or high profile. There are even implants that are higher than high. That would be your high platform shoe. Each implant style give you a different look. Now, your breast has a defined width that we call the base diameter of the breast. This would be analogous to the show size. Your breast base diameter never changes. It is what it is. So now, you can choose several different style of implants that fit the number of your breast base diameter. That really narrows down what implant is best for you. So once you know your breast base diameter you can try the low, moderate, high or really high implants on. The only think you have to decide is which look you are going for. You would never put an implant that is 13 centimeters wide in a patient whose base diameter is 10 centimeters. Half the implant would be in the armpit. So, this is very simple to me. My patients get a few choices that fit their breast and that is it. I will not put an implant in a patient that is too wide for their body because it will harm them over time. Hope this helps.

The best online advice I can give to ladies who are considering breast augmentation surgery 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're 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. I have found that the use of words such as “natural”  or “D cup” or "matronly look” 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.






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.



I hope this (and the attached link) help.