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Can I get breast implants at 250 pounds?

Q:

I am losing weight and I am ready to enlarge my breasts. Will I be allowed to get the surgery if I weigh 250 pounds?

A:

Your weight is not critical in determining if you can have a breast augmentation. What is important is that you are healthy enough for the surgery and that you have realistic expectations and goals. For example, if you are on a dieting program and expect to lose 20 or more lbs, then it might be wise to delay breast surgery until you are nearer your target weight. The reason is that as your weight changes significantly, your breast size will also change. Consequently, if you have surgery done too soon in this process, your needs or desires in terms of implant size may change.

Consult a plastic surgeon certified by the American Board of Plastic Surgery and he or she can discuss your desires and formulate a plan to help you get the results that you want.

A:

Your weight only comes into play for a breast augmentation when deciding what size implant to use. Since you are losing weight, it is impossible to determine what implant to use. Therefore, I would suggest you wait until you have lost what you wish and your weight is stable. I would also highly encourage you to continue your weight loss until your BMI is well below 25 (but no lower than 18).

A:

Renee,

Thank you for your question.  Since you are losing weight you should delay breast augmentation until you are closer to your ideal weight and have lost as much weight as you plan to lose.  This is because your breasts will continue to change as you lose weight and if you have breast augmentation now and lose further weight the breasts and thus the implants may sag and required revision.

Please consult a plastic surgeon who is certified by the American Board of Plastic Surgery and a member of the ASAPS for advice.

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