I'm 5'8", thin at 140 lbs. I had decided on 650cc. I think I should go with 600cc. I want a full D. Is 650 way too big for me?

I appreciate your question.



The size of implant best for you is dictated by your chest wall measurements.  Once we determine that we can choose the profile based on what you want or need to achieve.  If you are seeking a natural look, then the diameter of the implant should be equal to or, more ideally, smaller than the width of your breast. The breast width is a measurement of how wide your breast is at the base, which should be measured at the level of the nipple. Choosing an implant that is smaller in diameter than your breast width will avoid the "side breast" fullness that is often associated with a more artificial appearance.  Other than that, you should choose the implant based on volume, not on the dimensions of the implant. You should choose a board certified plastic surgeon that you trust to help guide you in this decision.  

Silicone will give you a fullness at the top (upper pole fullness).



Silicone implants come pre-filled with a silicone gel and are the softest implant available. They feel more natural, which makes them a good option for women with less natural breast tissue; but they require a larger incision. It may be more difficult to realize if this type of implant has ruptured, so it is important to monitor them with annual follow-up visits. Additionally, because this implant contains a more liquid silicone (less cross-linked), if this implant should rupture, it will leak only into the scar capsule formed around the implant but may cause some discomfort or implant distortion.



Anatomic gummy bear implants might be a good choice to give you volume.



These highly-sought-after, anatomic implants offer a look that more closely resembles the natural silhouette of a breast, and, therefore, are a very attractive option for individuals seeking a natural-looking, aesthetic primary breast augmentation. Additionally, these implants are an especially excellent option for patients undergoing restorative or corrective breast surgery because they provide more stability, shape, and reduced incidence of capsular contracture. Compared to other types of silicone gel implants, the silicone in the cohesive gel implant is more cross-linked; therefore, should the implant shell “rupture,” it maintains its shape and silicone does not leak.



During your breast augmentation consultation, you should feel the different types of implants available, and try on various implant sizers in front of a mirror to help you to get an idea of how you will look following the surgery. You should also bring pictures of the look you would like to achieve, as well as a favorite top to wear when trying on implant sizers.





The best way to assess and give true advice would be an in-person exam.



Please see a board-certified plastic surgeon that specializes in aesthetic and restorative breast surgery.





Best of luck!





Dr. Schwartz



Board Certified Plastic Surgeon



#RealSelf100Surgeon



#RealSelfCORESurgeon

The difference between 600 and 650 is not enough to worry you.  You need to determine whether you will be more unhappy if you are too large or too small.  The best way to determine the size for your personal perception of the perfect breast is to try on sizers.   This way you can see how they fit on you, how they add to your current volume, and whether they fit your frame.  Although the surgeon can guide you, only you will be able to tell what is the right size.  Try on sizers.

I think even 600 cc's is too large.  I can't even count the number of women I have seen years later with implants they feel are too large.  They all say the same thing.  "What was I thinking?".   I would not go any larger than 500 cc's.

It is very difficult to determine the best lift you will need (recommended based on your photos) or the exact size and shape implant you will require to best match your ideal breast image without an examination by a board certified plastic surgeon. Not just any board certified plastic surgeon, but one with many years of frequently performing breast augmentation surgery including different approaches, techniques and implant choices. This is because several measurements not to mention your breast characteristics are needed to determine the optimal implant size to obtain your goals. Without knowing these dimensions it would be difficult to make this determination. For example, the existing base width of your breast will determine, in many cases, the maximal volume per implant profile that you can accommodate. To illustrate; a 100 cc difference may make a significant difference with a narrow base width breast, but much less of a difference if you have a wide chest wall and wide breast “foot print”. Therefore, just because your friend may have a great result with let’s say a 300 cc implant to make her go from a “A” cup to a “C” cup size does not mean that you will have the same result with the same size implant. The same process goes for just filling in the upper part of your breast without becoming much larger. Further simply placing implants in a bra to determine the size best for you is not always accurate as the bra often distorts the size, is dependent on the pressure the bra places plus the implant is outside your breast and not under it among other variables. Computer software morphing programs that automatically determine the best implant size can be helpful in some but not all cases (e.g. doesn’t work well in my experience with existing implants, sagging or asymmetric breasts). Using “want to be” photos however are useful if simply provided to the surgeon as I will further explain in the link below including silicone vs saline implants

Great question!  The difference between 600cc and 650cc isn't really that much - depending on how much breast tissue you have you're talking around 5% difference.  What is more important is how each implant matches your breast measurements, especially the base width.  If an implant is wider than your breast diameter, you definitely want to avoid that implant.  If however if they are the same width or slightly smaller, then it depends on the implant projection and how it will match with your body type.  The best way to go is to find a few breast photos you desire and present for a consultation so that a physical examination can be performed, measurements taken, and proper recommendation can be provided.  Best of luck and hope this information helps!- Dr. Roger Tsai

Hello,Stop thinking in cup sizes; that will only lead to disappointment or dismay. You would need to be seen to determine whether you have the anatomic capacity for such a large implant. If so, then you would need to be sized in front of the mirror, which is really the most important thing from your point of view; how you look, not bra cups. Go visit a few ABPS certified/ASAPS member surgeons.Best of luck!

Without seeing your photos it's difficult to answer this question however you will likely have more complications in the future with such a large implant volume. Discuss this in more detail with your plastic surgeon or seek a second or third opinion.Best wishes,Dr.Bruno

with unlined bras will best help you visualize what you will look like with the different sizes.  Your height allows for larger implants but realize what you pick is how you will be 24/7 whereas when you have a slightly smaller (but still significant size), you can always use a padded bra for the effect you desire.

Thank you for your question. Before you make your final decision on size and shape of implants I would suggest that you meet again with your Board Certified Plastic Surgeon again and go over your concerns and why you feel a specific implant would give you the results you desire. Your surgeon should be able to explain to you why they are recommending the size they are according to your current breast measurements including your chest width and your desired outcome.  Your Surgeon should be able to advise you thoroughly on your options.



We have all our Breast Augmentation patients not only utilize our 3D imaging so they can get a real visual on what the implants will look like on them but also to actually try on the different size implants with a tight bra and t-shirt to see what they might expect. That way they have a good visual of what a 450cc implant will do as opposed to a 350cc implant for example. You want to make sure that you see a surgeon that will listen to you and your goals for the procedure and discuss in detail their recommendation for size and shape not only taking into consideration your desired outcome but also your breast measurements before the procedure including your chest dimensions. And then let you try the implants that they feel will give you the desired result so you are in agreement with the size.

Thank you for your question.  Without photos, it is very difficult to advise.  Picking an implant can be difficult sometimes.   In my practice, I take several measurements of the breast and chest wall to help determine a safe volume.  We also have the patient try on sizers in a sports bra to get an ideal of the appropriate volume.  From your body description, those implants may be a bit too large.   I would talk to your surgeon to make sure that this is an appropriate size for you.