UK surgeon willing to work with larger implants?

Question

I'm looking for a UK based (London/Buckinghamshire) surgeon who is comfortable working with larger volume implants. I'm a curvier girl currently 36a and a BWD of 16 cm,. I've been recommended 550cc by one surgeon but i'm not sure it will give me the look I want. Hoping to get some feedback from surgeons willing to go a bit larger, obviously subject to consultation etc. Thank you! L

Marc Pacifico, MD, FRCS(Plast) · Answer

Many thanks for posting your question.Whilst it might be possible to put a large implant in, it might not be the best long term decision to make. The effect of a large implant over time includes loss of breast tissue, skin and breast tissue stretch and the risks of implant malposition (i.e. the implant dropping below the level of the breast crease or off to the side of the chest wall).In addition, using a large implant in someone who is now an A cup can be challenging, both technically, and also with respect to wound healing and the risk of causing permanent stretch marks on the breast.My advice would be to see an experienced plastic surgeon who can examine you and discuss your individual case with you. I hope this helps - good luck

Luis A. Mejia, MD · Answer

hello thank you for your question and provided information as well.based on your question, my recommendation is to be evaluated in person by a certified plastic surgeon who can evaluate the size and size of your chest to know if you apply to these procedures and the right cc to get the results you expect.

Richard D. Price, MBBS, MD, FRCS(Plast) · Answer

deciding to have big implants is not a problem but the ability to put them in will depend on your natural size, shape, etc. If you are a 32A now, it is unlikely you will get a very big implant inside without the risk of the wound coming apart. 
You should also consider the look you are trying to achieve - big implants can look very obvious - which is fine if that’s what you want. 
Good luck!
Richard Price

Jonathan J. Staiano, FRCS (Plast) · Answer

Hello Imnin,I would echo the concerns of my colleagues here and advise caution when considering having very large breast implants.There are limitations based on the dimensions of your frame and the amount of cover available to 'hide' the implant and so if you are an A cup now, it will be hard to hide a very large implant with the breast tissue that you have.You have got good advice from well respected plastic surgeons here and it sounds like Taimur would be happy to see you in London, so I would advise that you seek an in person consultation with a fully accredited plastic surgeon (look for FRCS(Plast) after their name) and be open to their advice and suggestions.Good luck and thank you for posting your question.

Taimur Shoaib, MD · Answer

I consider large implants to be anything over 500cc in size. In my experience of using large implants, all women with large implants will have another operation at some point in their life. Sometimes this is because of a problem and sometimes it is because there is a change of mind, or maybe you need an uplift because the skin is drooping from the weight of the implants. No matter what the reason, though, it's inevitable that you will have another operation and there is a financial implication for any surgery that you will have. For some women, we have to give them the result they want in a stepwise manner. In other words, it's a two stage process (two operations). This means we have to use as large an implant that we can use in the first operation, then we let the skin grow and adapt to the new size, and a year or two later we put in a larger implant, because the tissues can handle it. If your skin has the ability to take in a larger implant it can be done, but the risks of larger implants in one stage are higher. The largest implants available from Allergan are 800g (they measure in grammes, not ccs). I have a clinic in London if you want to get in touch and discuss this further. Hope this helps.

Oliver Harley, FRCSEd(Plast) · Answer

Hi, certainly 550 cc is a very large implant to fit into a currently a-cup breast and my concerns are that this inevitably sets up further cycles of surgery to deal with the inevitable stretching of skin and descent of the breast which will happen with time. Indeed it may not be technically feasible to implant such a large prosthesis and safely achieve wound closure in a single operation - if the wound fails with the implant inside, this is a bad situation which would mean urgent surgery and further costs. Largest implant i have done as a primary is 460cc and i felt this was about at the limit of what was safely achievable; I have previously approached this sort of case by having smaller implant sizes available and testing for safety during the operation with an expandable 'sizer'. 140cc approximately corresponds to a cup size therefore 550cc is approximate increase of 4 cup sizes.

best wishes

best wishes

UK surgeon willing to work with larger implants?

Answers (6)

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