Which would be best for my frame. 700cc or 800cc silicone gel implants. (photos)

Question

My goal is to be fuller! And braless with lots of boob. I am considering bigger implants! I got 485cc silicone gel 2 years ago under the muscle. So I can't decide between 700-800cc. I saw my surgeon and he recommended 700-750. I'm 5.5 137 lbs. Attached are before & after pics, along with my dream boobs lol.

John Diaz, MD · Answer

It is very difficult without photos and without assessing you in person to know what implant size would be appropriate for you. Keep in mind that implant size selection not only depends on your personal preference, but it also depends on your unique measurements. A thorough consultation with a board certified plastic surgeon will allow you to communicate what your desired result is and will inform you as to what is possible to achieve your goals. We have a device called the Vectra 3D imaging system that shows you what you will look like with any implant. Our patients are very happy with the choice of implant they make when using this system. To learn more about how to choose the right size implant, you can read "A Comprehensive Guide to Breast Augmentation."

Ronald J. Edelson, MD · Answer

Your implants are currently plenty large.  I would never go as large as 700 cc's.  You might be happy for a while, but eventually you will regret going larger.  The breasts will be heavy, tend to sag more, and eventually be very uncomfortable.  Believe my I have seen enough of these ladies and they all say the same thing. "What on earth was I thinking?" You will easily find a surgeon willing to do what you want, but I wouldn't be one of them.

Martin Jugenburg, MD · Answer

Hi there, Thank you for your question. You will need to speak with your surgeon to assess why he recommended the size that he did, and discuss what the best option is for you. Best, realdrsix

Jerome Edelstein, MD · Answer

Hello,Thank you for your question and photos. I agree with the concern that your current implants appear to be positioned extremely close. Putting more volume/width/pressure in the implant pocket could compromise your midline. I recommend that you discuss the potential complications in depth with your Plastic Surgeon and/or seek another professional opinion in person with a board certified Plastic Surgeon.All the best

Urmen Desai, MD, MPH, FACS · Answer

The difference between a 750 and 800cc implant is only about three tablespoons.  Not that significant.  The implant selection should be based on a combination of your desired size, soft tissue dynamics, breast base diameter and skin elasticity.  I recommend an in-office examination as well as a detailed discussion with a surgeon who you are comfortable with.   Finally, make sure your surgeon is a Double-Board Certified Plastic Surgeon certified by the American Board of Plastic Surgery, a member of the American Society of Plastic Surgery (ASPS) and the American Society of Aesthetic Plastic Surgery (ASAPS).Best,Dr. DesaiBeverly Hills Institute for Aesthetic Plastic SurgeryHarvard Educated, Beverly Hills & Miami Beach Trained, Double-Board Certified Plastic Surgeon

Farbod Esmailian, MD · Answer

Judging by your photos, it does appear that the 485 cc implants you already have in there are close to being maxed out for your body.  You have the implants pretty close to each other (cleavage) and your upper pole is rather full.  One thing to consider with larger implants is that they are more weight and will need constant 24/7 support with a bra.  Even then, the larger implants will take their toll on your tissues over time where they will stretch your skin prematurely causing implant palpability, rippling and a need for further surgeries down the line.  In addition, your capsular contracture risk will also increase as well.You have very nice results right now, would hate to ruin that over time.  Hope that helps.

Sean Kelishadi, MD · Answer

Hello Sexymama22 and thank you for your question!  I am concerned that your implants are too close together and possibly touching in the midline.  During your implant exchange, you may need the borders between your two breasts to be further secured.  It appears that you have reached the maximum width of implant that can fit your frame.  You can achieve even greater cleavage and upper pole projection by using the highest projecting implant at your current base width.  It is hard to say what size that would be without examining you and performing your measurements, but please be very careful as what you are asking for needs to be handled with the utmost care and attention to detail; please realize that complications from the kind of surgery you are requesting can be costly if not performed accurately.  I highly encourage you to seek consultation with a board certified plastic surgeon with expertise in advanced aesthetic breast surgery techniques for your optimal outcome. I hope this helps and best of luck to you!  @sskplasticsurg on instagram.Sincerely,Dr. Sean Kelishadi

Curtis Wong, MD · Answer

because your implants cannot be any wider than what your current implants are right now... or you may develop symmastia.  So is it worth it to spend more and incur more risks to get excessively full on your frame???  You really look great as you are.

Richard Chaffoo, MD, FACS, FICS · Answer

Hi and thanks for your question. Your aesthetic result looks really good and you risk complications like capsular contracture and sagging or ptosis choosing such large implants. These risks are somewhat beyond the control of any surgeon and may result in the need for additional surgery which still might not fix the problem. An old saying in surgery comes to mind here: " The enemy of good is perfect." No one here can offer meaningful advice without a personal consultation and exam. Be wary of a surgeon who dismisses these risks; he (she) is either inexperienced or unethical. Feel free to view the web link below which features examples of revisionary breast surgery. Best of luck!
Richard Chaffoo,MD,FACS,FICS
Triple Board Certified Plastic Surgeon

Tom J. Pousti, MD · Answer

Thank you for the question and pictures.
You will find that online consultants will not be able to provide you with specific advice in regards to selection of specific breast implant size/profile. Ultimately, careful selection of plastic surgeon and 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 revisionary 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. I have found that the use of words such as “natural or fake look” or "D or DD cup” or "more projection etc means different things to different people and therefore prove unhelpful.
Also, as you know, cup size varies depending on who makes the bra; therefore, discussing desired cup size may also be inaccurate.

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). Viewing the patient's chest wall in the upright and supine positions, with temporary sizes in place, help select the best breast implant size/profile for the specific patient.

I hope this, and the attached link (dedicated to larger breast augmentation surgery concerns), helps. Best wishes.

Which would be best for my frame. 700cc or 800cc silicone gel implants. (photos)

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