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When having breast augmentation, what size silicone implants would be too large for a woman now breast size 32-34B?

Q:

My girlfriend is getting implants in a week.  She wants larger breasts and has decided to go with a 600 to 650cc high profile silicone implant.  From what I have read, this is a large implant.  She is 5'6" and weighs about 145 pounds.  She had a baby five months ago and is not at her finishing weight.  She will probably drop to 110 or 115 pounds.  Her breast size is 32 to 34B.  I want her to be happy with the implants that she gets but I am concerned they are too big and may cause sagging, etc.  They are going to be sub-glandular.  Please offer your advice. 

A:

While it is not possible to make a conclusive opinion without seeing her, you are right that those implants are large for someone that size, and the concerns you raise, especially about the long term effects on the skin envelope, are valid.  A second opinion might be helpful before forging ahead. 

Bruce K. Barach, M.D.
Schenectady, NY

A:

You are correct to be concerned.  650 cc breast implants are very large and carry an increased risk of complications.

Recent studies have shown that implants 500 cc and over have an increased chance of capsular contraction and other problems.  In my practice I rarely place implants larger than the 400-450 cc range and by far the majority of my patients choose implants in the 350 cc range

A:

The 650 is a very large size and i hope she will not regret it in the future. I would ask her to slow down and take more than opinion and to try the actual 650 externally in her bra to see how she would feel and look in them.

Best,

Shady Hayek, M.D.

Beirut, Lebanon

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