Why would one doctor tell me I can get 700cc silicone implants, and another tell me I cant go no bigger than 550cc?
Doctor Answers 9
Best Breast Implant Size
A biometric approach (where your tissues are carefully assessed and measured) is necessary, and then your doctor should recommend what size range is best for you.
Difference in Doctor Recommendation for Breast Implant Size
Good luck with your operation
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Large breast implants = higher risk for complications
Thank you for your question. Please realize that 700cc implants are very large and are more likely to cause problems for you sooner than smaller ones (<300cc). Typically, large implants are associated with complications such as: chronic pain, skin stretch deformities, irreversible soft tissue damage, capsular contracture , malposition, double bubble deformity, nipple numbness, etc. The laws of gravity do not cease to exist on your chest - the larger the implant the sooner it will sag. Unfortunately, there are some PS that will do what you want, regardless if it's not in your best interest long term, I urge you to visit the breast inplant revision forum on this site to learn about the risks associated with larger implants from real women.
I hope this helps.
Best wishes and kind regards
Breast Implants/Breast Augmentation/Anatomic Gummy Bear Implants/ Silicone Implants/Breast Implant Revision Surgery
I think personally it would be hard to get a large silicone implant in through the armpit, without the implants lateralizing.
Large breast implant
Sometimes what we want now is not what is best for us In the long-term.
I would highly recommend that you avoid any implant larger than what your body measurements indicate is safe. Based on just your height and weight alone - I would doubt that an implant over 450cc is a good choice for you in the long term. Ultimately - the amount of breast tissue present, the stretch of your skin and the width of your rib cage will help define the best implants you.
Implants that are too large for your body will cause you to actually lose breast tissue in the long run because of the pressure from the large implant. You will also require a lift much earlier than you would otherwise. This then leaves you with thin tissue and extra skin making the next operation much more complicated.
Once you commit to a very large implant - the changes to your body can not be easily reversed. Please seek out a board certified plastic surgeons who discusses the above facts with you during consultation.
Different recommendations regarding the size of your implant?
Differing opinions regarding possible breast implant sizes...
Although these different opinions can be confusing and a source of anxiety for patients, it is good for patients to understand the different options available. Ultimately, it will be up to each patient to do their due diligence and select their plastic surgeon carefully. Part of this selection process will involve the patients becoming comfortable with the plastic surgeon's experience level and abilities to achieve their goals as safely and complication free as possible. If I were you, I would ask to see as many examples as possible of similar patients who your plastic surgeons have helped with breast surgery.
Having said that, every patient undergoing breast augmentation surgery should understand that their anatomic starting point will limit the outcome of breast augmentation surgery. In other words, a patient's starting anatomy will limit how large of a breast implant can be utilized safely. The use of a larger breast implant(than what is safely "allowed" by the patient's anatomy) can be problematic; potential problems include breast implant displacement/malpostion issues ( such as bottoming out, lateral displacement, symmastia...) and/or significant breast implant rippling/palpability. I emphasize, to every patient undergoing breast of patient surgery, that safety and avoidance of complications should be everyone's first priority. Sometimes, when a patient wishes to achieve a relatively large outcome, more than a single stage operation is necessary to safely do so.
Ultimately, careful selection of plastic surgeon, 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. 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 know words such as “natural” or "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 larger breast augmentation surgery concerns) helps. Best wishes for an outcome that you will be very pleased with.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.