What Are Realistic Long Term Results with 650 Cc Silicone Implants? (photo)

Thank you for your question and for providing the photos. Selection of implant size leads to much of the anxiety of breast surgery, and thinking about the long term results instead of volume is a wise thought. The axiom that larger implants sag more over time is true. It also makes intuitive sense when you remember that larger implants weigh more and will therefore, over time, stretch the skin more. This needs to be taken into account when selecting the implants.

To get a full but natural result, select an implant whose width matches the width of your chest. The choice of projection will then determine how full you will look. I can't make an determination without examining you, but a 650cc implant does have a fair amount of weight and will likely sag over time.

It would be best to talk about your concerns with your plastic surgeon. Make them aware of your concerns over the long-term result and try to balance your desire to look full with the risk of recurrent sag. I am sure that a happy medium can be reached.

Best of luck with your breasts.

Jeff Rockmore

 

It is great that you are thinking about the long term because all too often patients focus on immediate results.  Over the long term, 650cc implants will certainly lead to more sagging of the breast than a smaller implant.  Given that you needed a breast lift your tissues have already shown that they are somewhat loose and this will increase the stretching of the tissue over time.  With an implant that large you will also need adequate support to keep them from sagging as well.  That likely means bras nearly 24/7.  Don't forget that you can still use clothing to accentuate your look even after a breast augmentation.  You don't necessarily have to have a full look every waking moment of your life and you can use clothing for an extra umph when you want to.  With a more modest augmentation you can minimize the risks of long term droopiness and still improve your shape.  Make sure you review the long term results with your surgeon before your procedure.  Good luck.

Yes, 650cc is reasonable, provided base width of the implant matches your breast base width, and (in my opinion) you're not an avid runner, volleyball, or basketball player, in which case very large breasts may be cumbersome and uncomfortable.  May not look "natural", but what is natural anyway?  My guess (emphasis GUESS) based on experience is that you'll be proportionate and sexy, but large busted.  Again, as discussed on our website, dimensions of the implant (width and projection) are much more germane in determining whether they are right for you than volume.  A 650cc implant that is wider than your base width is too large for you, and a 650cc implant narrower than your base width may be too diminutive.