5’5, 130lbs, small B cup. Is 560cc Natrelle silicone implants going to be too ”top-heavy”? (Photo)

Question

Hi I am 5’5 130lbs and getting 560 cc Natrelle silicone implants my current size is 34 small B. Is the size of implant I am getting going to make me look top heavy? Thank you for your time!

Mert Demirel, MD · Answer

A 560 cc implant is a large implant for someone who is 5'5", 130 lbs, and starting from a small B cup. It will almost certainly create a very noticeable augmentation and may look full in the upper pole, depending on your chest width, tissue coverage, and implant profile.
Whether it looks “top-heavy” depends on your frame, shoulder width, breast base width, and the look you want. If your goal is a dramatic, full, round result, 560 cc may fit that preference. If your goal is natural, proportional, or subtle, then 560 cc may be larger than ideal.
Large implants also place more long-term stress on the tissues. They can increase the chance of stretching, bottoming out, implant visibility, rippling, breast heaviness, and needing revision in the future. This is especially important if your skin is not very thick or if your breast base is not wide enough for that implant.
My advice would be to confirm the implant dimensions, not only the cc number. The implant should match your breast base width and tissue capacity. If you are already worried about looking top-heavy, it may be worth trying smaller sizers or discussing a slightly smaller volume before surgery.

Zoran Potparic, MD · Answer

Based on this photo, it seems to me that implant of 560 ml is too big for you. You can use standards published in our literature for orientation; depending of the chest and body frame one cup size would measure 130-200 ml. With your relatively small frame it means 3-4 cup sizes up. Unfortunately, this is the best I can help without in person evaluation and discussion about your goal. Good luck.

Ted Eisenberg, DO, FACOS, FAACS · Answer

Choosing the right size and profile breast implants for you under the muscle for a natural look. After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size and style breast implants. They also get to see what they would look like when the breasts have fully dropped and fluffed and in clothes. You get to see actual results and the surgeon's experience and not a virtual idea of what can be achieved. Women tell me that this process is very helpful in determining what size and style breast implant is right for them. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Donovan Rosas, MD · Answer

Choosing an implant size/style is an important decision which is best made in concert with your surgeon. Ultimately, options are based on a number of factors including:
-Chest dimensions: This point is crucial as the width of your breasts defines the available "real estate" on which the foundation of your augmentation is built. This "foot print" is the absolute limit with which you are dealing.  Too "large" is not so much the risk as too "wide." You cannot build a 3 acre mansion on a half acre plot. An implant which is too wide (exceeding the available space on your chest) will generally over hang laterally making it more noticeable and occasionally contributing to discomfort and nerve symptoms (numbness or tingling). This will also contribute to a more unnatural look.
-Tissue quality: This relates to size in the sense that the implant will be suspended by your tissue. Too large an implant may place took large a stress on these suspending tissues leading to healing problems in the short term and bottoming out in the long term.
-Patient desire (what is the look you are hoping to achieve?)
My role as a surgeon is to manage expectations and guide you towards a prudent choice which can satisfy these reasonable goals. Often times, a surgeon can guide a patient toward a size/cc range and patients will make determinations on implant style/profile. Patient seeking more or less projection, or seeking a more pronounced or subtle upper pole volume increase can be guided toward an implant which will help them best achieve their goals. Additionally, technique variations (sub muscular vs. sub glandular) can also aid in obtaining the look you desire.  
There are a number of tools available to help guide patient/surgeon decision making including sizers, 3D imaging and goal photos. Each modality can help better communicate your goals to your surgeon and vice versa.
Ultimately, it is important to not marry oneself to a particular "cc" as oppose to a particular "look." Communication is key as you and your surgeon create your custom surgical plan. 
As always, discuss your concerns with a board certified plastic surgeon (ABPS).

Bulent Cigsar, MD · Answer

At 5’5” and 130 lbs, a 560 cc implant would generally be considered a relatively large implant. Whether it will make you look “top heavy” depends on several factors, including your chest width, shoulder and hip proportions, your existing breast tissue, the implant profile, and the surgical technique. Some women with a broader frame achieve a balanced result with this size, while on a smaller frame it can appear more prominent.
Another important consideration is the long-term effect of implant weight. A 560 cc silicone implant is significantly heavier than a smaller implant, and the additional weight places greater stress on the skin, breast tissue, and supporting ligaments. Over time, this may increase the likelihood of breast ptosis (sagging), tissue stretching, implant descent (“bottoming out”), or the need for revision surgery&mdash;particularly if your skin quality is not ideal or if you plan future pregnancies or experience significant weight fluctuations.
Ultimately, the best implant size is not determined by volume alone. The implant should be selected based on your breast base width, tissue characteristics, and aesthetic goals while also considering how well your tissues can support it for many years. If your goal is a very full, dramatic appearance, 560 cc may be appropriate. However, if you are hoping for a natural, proportional result with a lower risk of long-term tissue stretching, discussing slightly smaller implant options with your board-certified plastic surgeon may be worthwhile.
Be sure to ask your surgeon why 560 cc was recommended over smaller sizes and whether they expect your tissues to support that volume well in the long term. A thorough consultation with measurements and implant sizers is the best way to ensure the result matches both your aesthetic goals and your anatomy.

Camille Cash, MD · Answer

Implant selection is best done alongside your board certified plastic surgeon.  She/He will measure your breasts during your consultation.  This is different than bra sizing.  You will also discuss your goal look from surgery.  This information will be combined and a range of implants will be recommended for you to consider.  In addition to volume (cc's) you will also discuss shape, profile, and approach (over vs. under muscle).  All of these facets can influence your final look.  Many surgeons have sample implants available that you can "try on" to give you an idea of how you may look after surgery.  I've included a video on this process that I hope you find helpful.

5’5, 130lbs, small B cup. Is 560cc Natrelle silicone implants going to be too ”top-heavy”? (Photo)

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