Will 720cc saline be big? I’m currently 5”0 110 pounds. I’m 26 with two boys wanting the big fake look.

Thank you for your questions. My first concern is that you are not seeing a qualified plastic surgeon who is board certified by the American Board of Plastic Surgery. Please be careful is who you choose! I think that any qualified surgeon would likely never recommend a 720 cc implant on a patient who is 5' 0" and 110 pounds. I can think of no situation in which an implant of that size would be able to fit your frame. Even in a massively projected (unnatural) implant, that width is going to be 14 cm or more and I cannot imagine that your chest is that wide to accommodate such an implant. I know you said you wanted a big fake look, but an implant that size is going to be a cup size change of 4-5 cups and is going to create a whole host of problems and risks of a disastrous outcome. I think if you are serious about a large, fake, look, that can be achieved with a more reasonable implant. Good luck and be safe!

Implants of this size will undoubtedly stretch out the skin envelope and cause undesirable tissue damage over time. The base width of this size implant is 16-17 cm and it is likely that unless a woman's chest is quite wide that this size implant will not fit.  Usually a woman about 5'0" has a breast diameter of 14 or less. Trying to put a wider, bigger implant in a small space will increase the risk of thinning and atrophy of breast tissue, numbness, and risk of re-operation. 
So the question of too big is both medical and a personal, subjective question.  From the medical point of view, "doing no harm",  I would be disinclined to operate.  So long as you understand the short term and long term risks, consult a board-certified plastic surgeon to see if your proposed choice is suitable for your anatomy.

Patients often think in terms of cup size when considering augmentation. Unfortunately, devices are sized in terms of milliliters (cc) of volume. This can lead to some confusion when sizing. Additionally, it is important to remember that cup size itself is not standardized with variations from one manufacturer to another. Unfortunately, as many women can attest their cup size in an industry leader such as VS is not necessarily transferable to another brand.
Another point which is often under appreciated is that of anatomy and starting point. Any implant will add volume to the volume which is already present. The implant is additive. A particular volume will not necessarily confer the same cup size to different patients (often times it will not even confer the same cup size to different breasts in the same individual...remember they are "sisters" not "twins"). 
A general rule of thumb is that 125cc can represent somewhere between 1/2 to a full cup size increase. Smaller volume differentials (25-50cc) are typically less consequential representing a volume change of less than a shot glass. However, I have found these numbers, at least anecdotally, to be of little help. Patients often present with notions/goals which do not correlate with these sorts of sterile volumetric assessments.
When sizing patients, there are a number of useful tools including:
-3D imaging (has the added benefit of offering a volumetric analysis of the pre-operative breast)
-Breast sizers (rice bags)
-Goal photos
I also recommend that patients commit to a particular look rather than a cup size. Once a patient settles on a look that pleases them the overall cup size increase becomes less relevant.The key to obtaining a natural result is to stay within the parameters defined by your BWD. This will ensure that you avoid the dreaded "fake" look. 
A 700 cc + augmentation would be large on any frame. There are limits to augmentation as defined by your tissues and anatomy. I would strongly caution against choosing an implant this large. The "fake" or more "augmented" look does not necessarily require such an excessive volume. A subglandular augmentation will give a rounder upper pole look which patients often associate with an augmentation. This can be accomplished without exceeding your BWD to the extent that a 700 cc implant will.
As always, discuss your concerns with a board certified plastic surgeon (ABPS)

Dear woodkatie8,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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

sounds like it will be huge... but an exam would be required to provide an opinion on that.  Your opinion matters the most and you should employ an external sizer around 650 cc's to see if your body can truly accommodate that look or if you will look like a freak and have everyone's heads turning as you walk by.  Realize that implants large for a frame will eventually produce a look you will not like and you will need to downsize and have a mastopexy then.

Thanks for your question.  I think 720 will be gigantic. The strain on your shoulders will be a problem. If and when you get them removed for this reason you will be horribly stretched out. In other words think about 450 maximum in a gel implant. These will serve you better both aesthetically and functionally. Best wishes. 

Thank you for the question.   Much of the final outcome achieved with breast augmentation surgery depends on the patient's anatomic starting point.  In some ways, it may be more challenging to achieve an "fake look" when patients start out with a significant amount of native breast tissue.   
 Generally speaking, patients attempting to achieve the "fake" look often benefit from the use of  higher profile silicone gel breast implants or overfilled saline filled breast implants.  In my opinion, it is not possible to accurately determine how many ccs (if any) a patient would “lose” when undergoing sub muscular breast augmentation surgery. I suggest patients do not make decisions based on statement such as: “you will lose 25 or 50 cc of volume when breast implants are placed under the muscle”. These statements are simply not reliable enough to utilize clinically. 
 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 words such as “fake look” 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 helps. Best wishes. 

When speaking with my patients, I tell them an estimate of 200 cc of volume to increase on cup size.  If you are a B now, and you add 720cc of volume, you can expect approximately 3.5 cup size increase, putting you at a large DD depending on bra manufacturer.  On your small frame, this would be a large breast.

hi
based on your info, after having kids your breast tissue is more pliable so you can get a bigger implant.  you would have to see a plastic surgeon to be evaluated to see how big of an implant can be placed. it is all about your physical exam so please see your plastic surgeon.  I have put in 700 cc saline implants in patients who ae 5'0" and about 110.  hope this helps.

Given your size - 5'0" and 110 lbs - yes, a 720 c implant is a very large implant.  There are physical size limits and going beyond these limits will increase risks and complications.  Once you have been examined, your surgeon will be able to give you guidelines as to what size and shape implant will be reasonable for you.  Seek out a board certified plastic surgeon, who has extensive breast augmentation experience.  Best wishes, Dr. Lepore.