Can getting a 750 cc saline implant and overfilling it to 950 cc get me the double D look that I want?

Question

m 5'9 187 pounds and im getting a 750 cc implant filled to 950 cc saline im barely a bcup and im wide chested .. Can getting a 750 cc saline implant and overfilling it to 950 Cc get me the double d Look that i want? My surgeoun first suggested getting the implant 800 cc and overfilling it to 950 Cc but to me that seemed i would look too exagerated so i optd for a 750 cc implant and overfill it to 950 cc did i make a good choice

Ronald J. Edelson, MD · Answer

I'm not a fan of very large implants.  They always cause problems later on.  Also I would no overfill the implants to that degree as they will feel hard and uncomfortable.

Jerome Edelstein, MD · Answer

Hello,Thank you for your question. Technically the 800 overfilled will feel less hard to the touch. As for what fits you the best and what size is possible to increase in one procedure- this is best discussed and determined with your Plastic Surgeon and you in person.All the best

Gerald Minniti, MD, FACS · Answer

Hello,It seems you don't have a clear understanding of how overfilling saline implants can impact the result.  Your suggestion of a smaller implant shell overfilled more than a larger one will give you a more spherical, firm, and projecting implant that will have a greater negative impact on your body tissues, and would actually give you the more 'exaggerated' appearance.Best of luck!

Daniel Krochmal, MD, FACS · Answer

Thank you very much for your question.I would counsel you about the size of the implant in general.  950 cc's is massive, and may lead to problems with your breast skin and shape in the future.  It's important to think about what you want the size of your breasts to be 10, 20, 30, 40 years down the road.  Best of luck!

Barry L. Eppley, MD, DMD · Answer

It would really make no difference whether the base sizes of the saline implants are 750cc or 800cc when overfilling them to 950ccs or so.

Robert Singer, MD · Answer

The
best cosmetic result in any particular breast augmentation patient depends on a
variety of factors, including: your individual anatomy, realistic expectations,
a thorough discussion with the plastic surgeon about the options, and an
understanding of the pros and cons of any particular implant choice. Proper
sizing is not just about the number of cc’s. The thickness of your tissue,
breast dimensions which include the width, height, and projection, as well as
chest wall width all need to be considered when choosing an implant. Trying on
implant “sizers” of various shapes and volumes while wearing a tight t-shirt,
bra, or bathing sit at a preoperative visit will help you and your surgeon
choose the optimal implant.
There are no manufacturers' standards for cup sizing in the bra industry. The
cups of a 32 DD+and a 38 DD+ are significantly different. Cup size varies from
manufacturer to manufacturer and even within styles from any particular
manufacturer.A 750c implant overfilled to 900cc is considered by most plastic surgeons to be an extremely large implant which may produce unfavorable cosmetic results in the future.
Keep in mind that following the advice from a surgeon on this or any other
website who proposes to tell you exactly what to do without examining you,
physically feeling the tissue, assessing your desired outcome, taking a full
medical history, and discussing the pros and cons of each operative procedure
would not be in your best interest. I would suggest you find a plastic surgeon
certified by the American Board of Plastic Surgery and ideally a member of the
American Society for Aesthetic Plastic Surgery (ASAPS) that you trust and are
comfortable with. You should discuss your concerns with that surgeon in
person. 
Robert Singer, MD FACS
La Jolla, California

Richard Chaffoo, MD, FACS, FICS · Answer

Not a great idea as the implants will look very unnatural and the breasts will look distorted. Such large implants will also predispose you to early pros is or sagging of the breasts.

Lee E. Corbett, MD · Answer

There will be very little difference between a 750 and an 800cc implant when filled to 950. There is also no way to guarantee any given volume will result in a given cup size. Finally, be aware that your risk for complications is increased by placing such a large implants. Be sure you discuss this with your surgeon before surgery.

Paul J. Leahy, MD · Answer

Thanks for your question. I'm not sure that it matters that much between starting w/ a 750cc or 800cc implant shell if your surgeon plans to overfill it by that much. That is an extremely large implant for augmentation, and so be sure you've had a conversation w/ your surgeon about the inherent risks in going that big. Good luck on a speedy recovery from your surgery.

Sean Kelishadi, MD · Answer

Hello Sophia and thank you for your question. The long story short is that it is NOT a good idea to overfill saline implants to the degree that you are mentioning.  You are setting yourself up for a poor result in terms of a very hard feel, high chance for future rupture, implant malposition, and many other problems.  I think silicone implants feel better, last longer, and are a better value for your money.  The plan you have in place is not a good one and will only lead to your disappointment in the near future, and also cost you lots more money to fix when problems occur. With respect to implant size, I want to start off
by telling you what I tell many of my patients: Do not focus on cc's or 
bra
sizes as many women see their friend with "x" number of cc implants
etc and think that they have an idea of what they want. There is a lot 
that
goes into implant selection -- your breast volume, the amount of 
cleavage you
want to achieve, your base width, your nipple-to fold distance, whether 
you have had children before (as the breast tissue tends to be more 
stretched out), your rib shape/projection, etc. Without
seeing you and doing your measurements, it is difficult to assess 
accurately
your final breast size or shape. Please also keep in mind that when it 
comes to
bra sizes, most women are not accurately sized for their bras. Also, not
 all plastic surgeons measure base width the same. Furthermore, there is 
not a direct correlation between height/weight and base width; 
therefore, the base width should be measured as each person is unique.
The most important thing to consider is really the size and look that is
appealing to YOU with the implants you choose. Many surgeons have sizing models
whether using bras with implants or computer simulation. A breast implant is
a round object and has a certain diameter. Your base width on each side of your
chest will determine "how big of a ball" or what diameter implant you
can reliably go up to with a socially acceptable cosmetic outcome. The implant
will "augment" or increase the size of your breasts to an amount
acceptable to you and your surgeon. 
My patients will try on a sports bra and then we pick the implants based
 on
their measured breast base width. For example, if your base width were 
to support up to a 600cc implant, I would have you try on the 600cc 
implants in
the bra and then the 580cc or 550cc implants and afterwards select the 
implant
that made YOU the happiest. In reality, don't stress too much as this is
 not a
HUGE difference and should be the fun part of the process. For 
your reassurance, I would have you try on the 800 cc implants and so you
 could see for yourself what they would look like on your body -- most 
likely you will see that either a) they have no room on your  
frame and/or b) that they will not look the way you want. My best advice to you is to go with what 
is
acceptable based on your measurements and makes you happiest and make 
sure to
weigh the pros and cons of the options you are considering. You can also
compare the moderate profile with high profile implants and see which 
look you
like most. The profile of the implant will determine how much upper pole
fullness and overall projection you portray.  In my opinion, in a young 
patient like yourself, high profile implants give the breasts a 
nice shape for augmentation, but it depends on your preferences.
Make sure to seek consultation with a board certified plastic surgeon 
with expertise in aesthetic breast surgery who has experience with placing larger breast implants. Since you seem uncertain (with good reason) of your current plan, I highly encourage you to get a second opinion. I hope
this helps answer your question and I wish the best of luck to you. 
Sincerely,
Dr. Sean Kelishadi

Can getting a 750 cc saline implant and overfilling it to 950 cc get me the double D look that I want?

Answers (18)

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