What is the biggest implant size I could safely go? (photos)

Congratulations on the weight loss, and if you are intending on losing more weight I encourage you to await consultation until your weight loss has peaked and stabilized for at least 3 - 6 months.  Nonetheless, you will likely need a breast lift.  Because a breast lift tightens up the breast envelope and breast implants expand the breast envelop, you are more limited by this fact than any other when trying to go with a large implant.  One way around this issue is to have the procedures done separately, for example have the lift done first then 6+ months later undergo the breast augmentation with implants.  In general it is always best to fit the implant with the patients breast anatomic dimensions thus minimizing immediate as well as long term complications.  Once you are ready,
consult with a board certified plastic surgeon that can then perform an in
person physical exam and help you best decide on a final surgical plan.  

 

You
have told us your weight and cup size but not your height or bra size. From your photographs, it appears a lift
would be more important than augmentation.
I recommend a new technique called The Ultimate Breast LiftTM. This technique reshapes your breast tissue
creating upper pole fullness, elevates them higher on the chest wall and more
medial to increase your cleavage.
Aligning the areola and breast tissue over the bony prominence of the
chest wall maximizes anterior projection without implants. This technique avoids the ugly vertical scars
of the traditional technique, maintains nipple sensation and the ability to
breast feed. The optimal time to undergo
surgery is after you achieve your desired weight. Best Wishes,Gary Horndeski, M.D.

   In general, the larger the implant the more likely that the breast will droop more quickly.  In general, it is better to have a modest or moderate sized implant rather than treat an array of complications associated with a larger implant.  Kenneth Hughes, MDLos Angeles, CA

Dear Renegade,For best long term results, I would recommend choosing an implant that is proportional to your body.  With that being said... looking about your anatomy, I would say that you could go up to about a 500-600cc implant and still have a reasonable result.  Hope that helps!Sincerely,Joshua Kreithen, M.D. Sarasota, FL

In terms of picking the right implants to achieve your goals, generally speaking, I consider two
factors when selecting implants for my patients:1. Dimensional planning2. Gel Implant Sizing systemDimensional
planning – The measurements of your chest wall are taken. Also, the
breast dimensions including the height, width, and current dimensions of
each breast form the basis of dimensional planning. Based on these
measurements, the implant size is recommended. This will give you a
unique breast implant that is suited for your body frame. However, there
are some limitations of what size we can recommend. For instance, some
implants may just be too big for a narrow chest wall. Your surgeon can
review this with you during the consultation.Gel Implant Sizing
system – During the preliminary breast implant consultation, you will
be provided with an option to “try on” a variety of implant shapes and
sizes. You can also visualize the possible outcomes of your surgery
which helps you to get that perfect size to give you the shape that you
longed for. This way your preferences are known and you can then pick a
range of implants that will “fit” just right to give a soft natural
fuller look. Hope this helps.Dr.BasuHouston, TX

To match your desires or attempt to I would do 2 stages of surgery. Stage I - full lifting. Stage II - largest implant placement as possible, like 600 cc range... 

Congratulations on your weight loss--big accomplishment and keep up the good work!  Certainly having your BMI around or under 30 helps make general anesthesia safer and complication risks such as wound healing problems and blood clots lower. In someone that is otherwise healthy you are probably ok but need to have your surgeon and their team really determine that for you.  Additionally, it does certainly look as though you need a lift. I would encourage you to try to get as close to your goal weight as you can before having this surgery because if you continue to lose weight after a lift, you may just end up needing another lift!  The breasts will shrink as the rest of your body shrinks because they are made up in part by fat cells; and as they shrink, they commonly will sag.As far as cup size and choosing an implant size . . . also best to work with your surgeon to size you appropriately.  Choosing an implant that is too big for your body shape may actually make you look larger than you really are in clothing and may contradict all of the hard work that you did to lose the weight.  In addition, if you have a narrow chest, a large implant may be too wide for your chest and give an unnatural appearance to the breast and trunk.  Cup size is also relative--different bra manufacturers size their cups differently--you may be a DD in one company and a totally different size in another.  Your surgeon will take measurements of your breasts and possibly samples of implants to help you choose the best implant for you.  Finally, choosing a very large implant can potentially put a strain on your body--the added weight of a large implant may increase your risk of ptosis (droop) of the breasts (even if you have a lift at the same time) and problems with the skin such as stretch marks and wide scars.  You need to speak frankly with your surgeon to weigh these potential risks to really see if such a large implant is worth these risks.

Thank you for your question and photograph.Based on your photographs it appears you will likely need a breast lift to allow for sub muscular placement of a breast implant.When the nipple is below the crease beneath your breast a breast lift is required to prevent a snoopy deformity.Once a breast lift is performed your breast implants may be placed beneath the chest muscle, a sub-muscular breast augmentation, which has many advantages for a young person like you.In my opinion breast implants and the 500-600 cc range will look unusually big and can increase the chance for complications.Breast implants in the 350 cc range or up to 400 cc can be done without causing undue stress and problems with your breast lift.