Are 625cc round hp implants too big for my frame? (photos)

Dear Beebeautykoala,
breast implant type and sizing selection is a complicated process and requires a detailed consultation that includes a discussion of your goals, a detailed examination, and a lengthy discussion. But the decision will always start and end with the patient. When it comes to sizing, we have all of our patients find 3 photos of their desired breast size. We ask for naked breast photos because clothing can obscure the true size (push up bras). Next, we consult with patients and go over the photos and take detailed breast measurements during a physical exam. Next, we using a sizing algorithm to determine a range of implants that will work based on the exam and the measurements.Lastly, during the operation, we use silicone sizers in the operating room to see how the size actually looks in the breast. We sit the patient up in the operating room, while asleep of course, and compare the sizer result with their desired look photos. If it is too small, we start the process over with a slightly larger implant. We don't stop until we get the perfect match.Of all of my breast augmentation patients, every one of them has been happy with their size due to this detailed and meticulous process. You don't want to invest time and money into a result that is either too big or too small.You should discuss your concerns with a board-certified plastic surgeon and make sure that your surgeon understands your goals.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Just looking at your picture, you seem to be a generally smaller framed person. Because of this, it would be hard to recommend an implant as large as 625cc without taking your exact measurements. I do agree with high profile, and may even go to an ultra high profile implant (Both Mentor and Sientra make this style) to fit your chest wall if you wanted to be bigger than you already are.

Laterally you are wide enough. If anything, you need to go more medially. You can go to a slightly larger implant with a larger base low profile. I would not recommend 625 cc implants as they weigh 1 lb each and will descend inferior and laterally. Also, I would not recommend dual plane. You need to have a circumareola approach to lift the nipple-areola complex higher and more medial. You need to have dissection of the pocket.

Best Wishes,

Gary Horndeski, M.D.

Just based on your photo, the 625 will be too large and heavy for your frame. Also, the pocket should not be lowered for then it will be weak and your implants will bottom out from the heavy weight. Please do no choose such a large sie.

Breast augmentation outcomes are based on three variables.
The first is the patient’s candidacy for the procedure.
Variables that alter candidacy include breast diameter, breast position on the chest wall, breast, breast shape, including breast droopiness or ptosis.
The second variable is implant selection, including size, shape, and implant type.
The third variable is the surgeons ability to place the implant and the correct an atomic location.
Using excessively large implants will increase the rate of secondary side effects, increased complications, and increased need for revision surgery.
if your implants are significantly larger than your natural breast diameter, then you’re going to have problems with all of these variables.
Lowering implants is going to violate your IMF or inframammary fold, this puts patients at increased risk for implants that bottom out.
Your implant is bigger than your natural breast diameter and that’s why it looks the way it does.
Opening the pocket mediately may help, but recognize that your breast sit far apart on your chest wall and did before surgery.
Upsizing your implants significantly will increase your risk of complications and need for further surgery.
Best,
Mats Hagstrom, MD