Should I get 600cc, I am a 5ft tall and 34 B. (photo)

Question

So I've already paid and am getting my surgery this next Monday May 4th I have chosen 600cc Smooth round high profile silicone implants and will be using the keller funnel under the muscle. So I am a little concern with the fact that the size is too large, and most of my friends are a bit scared for me which is giving me doubts. I am 5ft curvy Latina weight about 120lbs. My doctor recommended 700-600cc which I went for 600cc. I want a full D, or DD. I was already contemplating 457 or 533cc?

Ronald J. Edelson, MD · Answer

Personally I think 600 cc implants are far too large.  You may be happy with them initially, but after carrying them around for a few years, they will be uncomfortable.  Also, they will definitely give your build a heavy appearance.

Keith Hodge, MD · Answer

Based on the limited information provided regarding your breast dimensions, and your desire to be a D or DD, I think a 600cc implant is too large. I would return for a second visit and try on 500cc's or less. The ultimate decision is yours. Don't be concerned about discussing this with your surgeon. Everyone should be on the same page prior to surgery.

Lane Smith, MD · Answer

Thank you for your question.  If you are still concerned with the size you have selected, prior to going in to your surgery you may wish to ask to try on the sizer implants one more time so that you feel comfortable with your decision.  The most important thing is that you are comfortable and confident in the choice you make.Best regards,Dr. Lane F. Smith, MDPlastic SurgeonLas Vegas, NV

James F. Boynton, MD, FACS · Answer

I think that those implants will be way too big for your frame. Large volume implants (anything greater than 400 ccs) have a higher incidence of complication (and reoperation)  in general.  As implants get bigger, they also get wider, and that specific implant is likely too wide for your frame which can cause a number of issues.  I would agree with my colleague below that it is in your best interest to revisit with your plastic surgeon and discuss size again before your surgery. Good luck!

Ravinder Jarial, DO · Answer

Greetings.  This is something you should discuss with your surgeon in advance of your surgery date. If you feel this seize is too large, then do not hesitate to say so.  There should be no misunderstanding between you and your surgeon.  Good luck!

Robert M. Freund, MD · Answer

Perhaps the biggest unknown in breast augmentation is how to get
the proper implant shape and size. Sometimes, the correct volume implant will
still be wrong because the projection, width or overall shape does not fit the
patients anatomy.

Proper sizing requires effort on the part of the patient and
doctor.

1-Patients should get
photographs of their desired outcomes. They should also perform the Rice Test
(see below) at home to be certain that they are in the right ballpark for volume
(but not shape - that is left to the surgeons exam and discussion).

2-Physicians should
spend time to discuss all options with the patient. The exam should also
establish the basic anatomical requirements for the implant and procedure. For
example, is the patient asymmetrical, is there sagging, are the breast
tuberous, is the chest wall narrow or wide?

If the communication between the patient and doctor is lacking,
then seek out a more proactive physician.

Rice Test -

1-Get a pair of
disposable pantyhose, rice and a metric measuring cup (ml's=cc's).

2-Pour the desired
volume of rice into each pantyhose leg. Cut off the extra material and tie the
pantyhose in a knot so that the rice is secure.

3-Put each bag of rice
in your bra to determine if this is the desired volume enhancement. If the
volume is too much or too little, untie the knot and adjust the volume of rice
accordingly. Repeat this process until your are happy with the volume of rice -
at this point, pour the rice from each bag separately into the measuring cup
and record the volume in ml's. Remember to record each breast separately
because of the asymmetry you may have.

4-The ultimate volume
will be about 10% higher than the volume of rice measured.

If
you have any further questions, please refer to my book "Cosmetic Breast
Surgery - A Complete Guide From A to Double D".

Connie Hiers, MD, FACS · Answer

I would suggest going back to your surgeon and trying on sizers again. The size you selected is a large and heavy implant, and may be heavy for your frame. Remember, long term, many big breasts do sag. You do not want to select an implant that is too heavy for your neck and shoulders, and too heavy for your tissue to support.

Ron Hazani, MD, FACS · Answer

A 600 cc implant will provide you with a very dramatic result. Consider an implant in the 450-550 range and consult with your PS regarding your measurement not to end up having a deformed shape.

Tom J. Pousti, MD · Answer

Thank you for the question and pictures.   I think that you are starting at a good place and should have a very nice outcome with breast augmentation surgery. There is no accurate/reliable/predictable correlation between size/profile breast implant utilized and cup size achieved.   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, and computer imaging) will be critical. Given that your surgery is coming up soon, I would suggest that you schedule additional time to spend with your plastic surgeon communicating your goals, preferably prior to the date of surgery.  
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 D or 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.

Amy K. Alderman, MD, FACS, MPH · Answer

A 600 cc implant is definitely at the very top end of implant sizes.  In addition, you already have a good amount of breast tissue.  These implants will put you much larger than DD bra cup size.  I recommend that patients try to maintain proportion for their overall body.  It is difficult as a woman if you are a larger size in shirts than you are in pants...you will have difficulty finding clothes that fit without alteration.  I would recommend revisiting with your surgeon and expressing your concerns.  I think you were on the right track when you were considering 450 to 500 cc implants.  This is your body so make sure you get what is going to make you happy and most comfortable.

Should I get 600cc, I am a 5ft tall and 34 B. (photo)

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