American Society of Plastic Surgeons
For Medical Professionals
 
Melissa Oliver
one year ago
Answered

Breast augmentation

I'm a 38 A cup, 4"11 and 50 KG with lots of breast tissue. I really want huge and fake looking breasts, 800cc ultra high profile silicone implants. Will it be possible?

Procedure: Breast Augmentation
Location: New York, NY

Replies 6

Steven Wallach
ASPS Surgeon

Hi Melissa. I always try to accommodate my patients’s goals, but choosing the right implant for a patient really depends upon multiple factors including a patient’s goals, and their anatomy. Placing 800 cc implants into someone who starts out with an “A” cup is likely not possible on the first go around. This is usually due to the person’s anatomy limiting the stretch of the tissue in accommodating such large implants. I’m mire than happy to evaluate you to see if it is possible. Best of luck.

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Douglas Monasebian
ASPS Surgeon
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Good day and thank you for your question. Dr. Monasebian, our Board Certified Plastic Surgeon, will be able to address your concerns. He would have to see you in person to examine you and ask you questions. There are numerous factors that go into the decision of what size implant to use. During your consultation, sizers and imaging will help determine what size implant would be best. 800cc may be too large for your frame. After the consult, all options can be discussed. We would be happy to see you if you are in the New York City area. We look forward to meeting you soon.

Regards, Dr. Monasebian and Park Avenue Plastic Surgery.

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Brad Gandolfi
ASPS Surgeon
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Hi Melissa! Where are you from?? What a fun combination of metric and english measurements! An 800cc ultra high profile silicone implant is 15.5cm wide. I suspect that these implants would be far too wide for your frame. I have not examined you, but most patients of mine with your measurements max out at a width of 12.5cm (or less), which would correlate to a (still big) 495. good luck!

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Samir Shureih
ASPS Surgeon

Ideal breast implant size and position depends on several scientific examination and measurements of the boney chest, amount of breast and soft tissue coverage and measurements mainly the diameter of the implant to the diameter of the breast. measurement like the diameter of the breast, sternal notch to nipple, nipple to inframammary line , the stretch of the breast skin . stability of the inframammaryline.

I tell my patients the larger the implant the more are the complications and need for further surgery. The patient is fully responsible for the cost of any further surgery for any reason .a very large implant may cause symmastia, displaced implants double bubble and worst is exposure of the implant.

Then comes the most important is the standards of beauty based on your anatomy. Being 4,11 110 lb. and a chest circumference of 38 A cup is not very natural. What are your motivations to request an 800 cc implant from an A cup? Can you deal with all the potential complications .

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Nelson Castillo

Thank you for sharing your question. Unfortunately it will not be possible to place 800cc implants in a single stage to try and achieve your goals. Your tissues will not be pliable enough to accommodate that sudden increase in overall volume. I would recommend seeking out in-person consultations to have key breast measurements made so that the best implant size can be recommended to you.

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Michelle Copeland
ASPS Surgeon
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There are various factors regarding how you want your breasts to look and feel, but if you and your doctor have a good, open line of communication, you shouldn't need to go back and forth on your decision. A major factor that effects how breast implants look and feel is whether they're inserted over or under the chest (pectoral) muscle. If you want the most natural-looking breast you'll need a sub pectoral implant, in which the implant is placed under the muscle. To help decide what size implant to use I tell my implant patients to shop for a bra that they want to be able to fill out when the surgery is over. To make sure it’s the right size, I tell them to stuff it with socks, hose, or whatever, and to walk around like that for a day, spending plenty of time in front of a mirror. Then I have them bring in the bra, which I sterilize, and at the end of the surgery we try it on. If it fits, then I know we have achieved the right size.

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