Q&A: ARE 500CC BREAST IMPLANTS UNSAFE OR TOO LARGE FOR MY BODY?

"Hello! I am 23, 5’8″, 155lbs, & a 34B. I had my consultation today and the PS suggested I get 500cc implants. He suggested I get them under the muscle with the incision under my breasts. He said if I wanted silicone he would do high profile and if I wanted salene a moderate profile. I am wanting a full C or small D cup & I would like them to look as natural as possible. I tried this size on and I liked the way it looked but I was wondering are implants this large safe?"

DR. POUSTI: Breast implant size.

The more breast surgery I do the more I realize that there is no correlation between the size of implant and resulting cup size. This may have to do with several factors including: the amount of breast volume the patient starts with, the shape of the patient’s chest wall (concave or convex), the type and model of breast implant selected (saline/silicone and low/moderate/high profile), bra manufacturer variance in cup sizes, the degree of filling of the cup with breast tissue, and the subjective differences in patients perceptions of cup size.

If revisionary surgery is decided upon, it will be very important to communicate your size goals with your surgeon. 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 “C cup” or “fake looking” 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.I use intraoperative sizers and place the patient in the upright position to evaluate breast size. Use of these sizers also allow me to select the press implant profile (low, moderate, moderate plus, high-profile) that would most likely achieve the patient’s goals. The patient’s goal pictures are hanging on the wall, and allow for direct comparison.I have found that this system is very helpful in improving the chances of achieving the patient’s goals as consistently as possible.By the way, the most common regret after this operation, is “I wish I was bigger”.

I hope this helps.

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