"Hello, I’m 5’9 185lbs wide chest & hips 38c would I have to see a ps specialist that does x large Implants? I’m going for BIG breasts with maybe a slight slope 800cc-900cc. I read a lot of ps dont like doing big Implants is this true? I feel as though women my height & size implants between 500cc- 650 tend to look average size. I have thick skin and a good amount of breast tissue my nipples are upturnt but most of the volume is at the bottom. I want saline behind the muscle."
DR. POUSTI: LARGE breast implants: breast augmentation.
Thank you for the question and pictures.
Generally speaking, the best online advice I can give to ladies who are considering larger 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. For example, I have found that the use of words such as “extra large” or “DD cup” or “big” etc means different things to different people and therefore prove unhelpful.
Also, as you know, cup size varies depending on him who makes the bra; therefore, discussing desired cup size may also be inaccurate. Again, the use of computer imaging has been very helpful during the communication process, in our practice.
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.
I hope this (and the attached link, dedicated to larger breast augmentation surgery concerns) helps.