Is 800cc to large for being 6ft tall 155lbs, starting at 36A small B?

Question

I tried them on today and have my surgery scheduled in 2 weeks. However after getting home and looking at some pictures of 800cc silicone implants they look massive and I wasn't going for a huge or pornstar look so its freaking me out a little. I'm hoping that being 6ft tall they wont look so outrageously huge?

Robert M. Lowen, MD · Answer

Yes, that is pretty big, but if you have a wide chest so that your breast base is 15-16 cm + then they may be the right size. Since 800 cc is so uncommonly large, even for tall women, you would have to feel comfortable that the choice was based on your anatomy. Did you try the implants on? Did you have measurements to match your breast width, nipple to fold distance, and skin tightness to some objective way of determing breast implant size such as the Tebbets High Five system?  If you are freaking out, you need to take a time out, go back to your plastic surgeon one or more times and postpone your surgery until you are sure about the size. Women who are too big are more unhappy than those who are a little bit too small, because the consequences are not just the aesthetic appearance but carrying all that weight around. The long-term effects of heavy, excessively large implants on the breast skin is irreversible tissue damage.

Jaime S. Schwartz, MD, FACS · Answer

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

Director-Beverly Hills Breast and Body Institute

#RealSelf100Surgeon

Farah Naz Khan, MD · Answer

For most people, yes, they are too big. It's hard to determine your best size without specific breast measurements and an in person exam. Remember to choose a board certified plastic surgeon who actually takes the time to measure you and examine your breast pocket. The goal of breast augmentation is to optimally fill your breast pocket, not to overstuff or understuff it. At my practice, we utilize a series of 5 breast measurements (not just your height and weight!) that help me determine the implant size, which in turn helps me deliver a 24 hour recovery. Do your research and choose a surgeon who takes the time to sit down with you and discuss your goals/expectations to determine the best size for you. Remember that sizers will only give you a rough estimate. Good luck!!

Curtis Wong, MD · Answer

are fine if you sized with external sizers and liked the look of anything 700 cc's plus... due to your height, you can certainly carry more volume and only you can decide on what is too big.  So if not comfortable, size again and bring some friends or others to give you input if your surgeon won't do that for you.

Tom J. Pousti, MD · Answer

Thank you for the question. You will find that online consultants will not be able to provide you with specific advice in regards to selection of specific breast implant size/profile.

Ultimately, careful communication of your goals (in my practice I prefer the use of goal pictures, direct examination/communication in front of a full-length mirror, and computer imaging) will be critical.

Generally speaking, the best online advice I can give to ladies who are considering revisionary 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. I have found that the use of words such as “natural” 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 who makes the bra; therefore, discussing desired cup size may also be inaccurate.

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). Viewing the patient's chest wall in the upright and supine positions, with temporary sizes in place, help select the best breast implant size/profile for the specific patient.I hope this, and the attached link (dedicated to "larger" breast augmentation surgery concerns), helps. Best wishes.

Sean Kelishadi, MD · Answer

Hello Sammy and thank you for your question! The long story short is that I rarely use 800cc silicone implants unless I am performing breast reconstruction in patients who have had mastectomies and have NO breast tissue at all. Having said that, I know nothing about your body shape or measurements as you did not submit any photos. When thinking about sizing for breast implants, I want to start off with what I tell many of my patients: Do not focus on cc's or bra sizes as many women see their friend with "x" number of cc implants etc and think that they have an idea of what they want. There is a lot that goes into implant selection -- your breast volume, the amount of cleavage you want to achieve, your base width, your rib shape/projection, etc. Also, when it comes to bra sizes, most women are not accurately sized for their bras. Please keep in mind that a breast implant is a round object and has a certain diameter. Your base width on each side of your chest will determine "how big of a ball" or what diameter implant you can reliably go up to with a socially acceptable cosmetic outcome. The implant will "augment" or increase the size of your breasts to an amount acceptable to you and your surgeon. There is no correlation between height and weight and base width; therefore you need an in person examination to be accurately measured. The most important thing to consider is really the size and look that is appealing to YOU with the implants you choose. Many surgeons have sizing models whether using bras with implants or computer simulation. I encourage you to discuss with your surgeon many of these considerations when deciding which implant and size to use during your surgery.

My own patients will try on a sports bra and then we pick the implants based on their measured breast base width. For example, if your base width were to support for example up to a 600cc implant, I would have you try on the 600cc implants in the bra and then the 550cc or 500cc implants and afterwards select the implant that made YOU the happiest. In reality, don't stress too much as this is not a HUGE difference and should be the fun part of the process. Go with what is acceptable based on your measurements and makes you happiest and make sure to weigh the pros and cons of the options you are considering. You can also compare the moderate profile with high profile implants and see which look you like most. The profile of the implant will determine how much upper pole fullness and overall projection you portray.

Make sure to seek consultation with a board certified plastic surgeon with expertise in aesthetic breast surgery. I hope this helps answer your question and if you are uncertain about the recommendations made by the surgeon you met with recently, I encourage you to get further consultations. I wish the best of luck to you.

Sincerely,Dr. Sean Kelishadi

Jeremy S. Hurren, BSc, MBBS, FRCS (Plast) · Answer

In my opinion 800 cc implants are very large implants. I have only put implants of that size in when replacing existing implants and then not often. Larger implants also increase the risk of surgery and the likelihood that they will need to be removed sooner.In my practice, in Hampshire and Sussex England, the majority of patients have implants of between 300 and 400cc. Very rarely would I go over 500cc for a first augmentation.Best wishes.

Arian Mowlavi, MD, FACS (license on probation) · Answer

Whether 800cc is too large for you is dependent on position of nipple and inframmary fold; the distance between these two on stretch cannot be smaller than the implant radius.

Michael K. Obeng, MD, FACS (license on probation) · Answer

Good morning! Typically speaking, an 800 cc implant is very large, especially if you are currently an A or small B cup. It doesn't seem that even though you're 6ft tall that you're not a larger size person from the sounds of your weight. But, the correct size can only be determined by measurements taken. If you're unsure, maybe you should seek a second in person opinion. Better to be safe than sorry post op! Best of luck to you!

Vincent D. Lepore, MD (retired) · Answer

An 800 cc implant is a very large implant.  There are a small number of women who's bodies are large enough to tolerate this size implant and/or who like this large appearance.  However, most women will find an implant of 800 cc to be too large or too heavy.  Ask to try the 800 cc implants on in a bra.  Not only will you have an opportunity to see how they will look, you will also be able to determine how heavy they will feel.  Your sugeon can help guide the selection process, but you should be the one who makes the final determination as to what size is best for you.  Best wishes, Dr. Lepore.

Is 800cc to large for being 6ft tall 155lbs, starting at 36A small B?

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