Bigger implant - Would 500cc still fit under muscle? (photo)

Question

Hi i had 460cc implants when i was 19 done over the muscle. Im 35 now had them removed and and uplift with 350cc implant put in ... im a size 8/10 in clothes and around 5 ft 3... i feel there so small now as i was uses to bigger implant and the fake look... i currently wear a size 34 c bra or sometimes D im looking into going bigger maybe 500cc would that still fit under muscle and would i get the fake look from this... what would u recomend. I just feel so small

Daniel Barrett, MD · Answer

Dear shirleyannegallacher,

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

Wayne I. Yamahata, MD · Answer

Depending on how long ago you had your current implants placed, it is probable that you could increase your implant volume from 350 to 500cc. To get a more definitive answer would require a physical examination. I would caution you regarding going this large. The added weight will place you at risk for chronic pain involving the back, neck, and shoulder areas. It would also accelerate the sagging to your breasts. Discuss these issues thoroughly with your surgeon before proceeding.

Gary M. Horndeski, MD · Answer

You are only 35 and looking at your 3rd set of implants.  500 cc implants will never fit under the muscle.  As you can see already, your breasts are wider than the chest wall and you are developing wrinkling of the skin near the sternal region from the weight of the breasts pulling down.  I would not recommend larger implants.  I would recommend you consider fat transfers if you want some upper pole fullness.  At this time, I do recommend explantation and lift using The Bellesoma Method.  The implants are removed, your breast tissue is reshaped creating upper pole fullness, elevated higher on the chest wall and more medial to increase your cleavage.  Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained if not injured during your previous surgery.  Later, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Connie Hiers, MD, FACS · Answer

You are not small. Your current size is still too large for your frame and tissue. Please do not go larger.  The 500 cc implants will look quite fake.

Mats Hagstrom, MD (license on probation) · Answer

Implant envy is a real thing.
That said anytime, excessively large implants are used the chance of undesirable side effects, complications and need for revision surgery will go up.
It looks like your right breast is stretched out, baby from your previous implants?
I think your current implants are substantially wider than your natural breast diameter.
There’s something to be said about leaving good enough alone.
I generally warn people not to use excessively large implants and that’s what you’re asking for.
Best,
Mats Hagstrom MD.

Bigger implant - Would 500cc still fit under muscle? (photo)

Answers (5)

Answer: Breasts

Answer: Breasts

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Bigger implant - Would 500cc still fit under muscle? (photo)

Answers (5)

Answer: Breasts

Answer: Breasts

Answer: Bigger bigger bigger

Answer: Bigger bigger bigger

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Recommended reading

Everything you need to know about Breast Implant Revision

Our mission is to create a world where every investment in modern beauty is Worth It.