I'm 5'3 & 120lbs. How big can I go?
Doctor Answers 7
You should easily be able to go larger
I'm 5'3 & 120lbs. How big can I go?
Let me however, offer some words of caution. If your surgeon told you before that your limit was 200/220 cc then I am going to guess that your width measurement is around 11 cm at best. This means that you are limited in the implant you can have because if you choose an implant that is too wide for your chest, you will end up with implants touching in the middle or out in your armpit which is not a good look. Even if you were to go with a ultra-high profile implant (which I think often provides a very unnatural look in augmentation), you would be in the neighborhood of 350-400cc (if I am correct about your width measurements). To put an implant in the range of 500-750cc I think is a very poor choice. Furthermore, you need to completely ignore what the "bf wants." This is about you and making yourself feel better about the way you look and he should have no say in that and you should not be doing this for him.
Hope this helps. Make sure you see the right person and above all, be safe!
How Big is Reasonable?
It is very wrong to think that having a breast augmentation, or revision, is simply a matter of popping in a new implant. There are multiple considerations including your height, width of your shoulders, waist, quality of your tissue, base width of your breast, etc. All of these factors will have an impact on the outcome of the surgery, and of equal if not greater importance, on how well it holds up over time. Your are likely already thinned tissues from your saline implant, so putting in a much larger gel implant will only thin your tissues more and will erase any of the benefits of switching to a gel implant. The base width of your breast is a common measure used as a starting point to pick an implant. Choosing an implant that significantly exceeds that measurement will put you risk for long term problems such as implant malposition, bottoming out, palpable or visible implant, and visible rippling. Do you really want to subject yourself to these potential problems?
Most of the surgeons on this forum are giving you thoughtful, professional guidance with the goal of helping you to make good choices that give you a nice result while minimizing the risk of problems. Your BF however, to put it charitably, is being a jerk. He is strictly looking at his own narrow interests, but you are the one who has to live the choices made. I have no doubt that if you look hard enough you will find a surgeon who will agree to put a 750cc implant in you, but then they will simply be looking at their own narrow economic interests and not what is in your long term interest.
You might also like...
Breast Implant Revision/Breast Augmentation/Anatomic Gummy Bear Implants/ Silicone Implants/Breast Implant Revision Surgery
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