Breast Augmentation: Cost, Reviews, Photos

Bigger is not always better

In regards to selecting the right implant size, one truism I try to pass on to my patients is that there definitely is such a a thing as too big.

When larger implants are used patients run a higher risk of bottoming out, stretch marks, and wound healing problems.

This is especially true for patients who have not had implants placed previously. Obviously it is impossible to determine the right size for someone without an exam, but in general, a 650 cc silicone breast implants is quite large and should only be used in select cases with patients with larger frames. (Kelly Gallego, MD, FACS, Yuba City Plastic Surgeon)

650 cc Breast Implants

Without photos and measurements this is a difficult question to answer. In my practice I like to focus on proportionality. There are many things to consider other than just cc’s when selecting implant sizes. For example, the quality of your skin, your breast dimensions, current breast volume, shape and any ptosis that may be present.

It is well documented that going to large leads to higher reoperative rates. Based on your height, weight and current breast size you gave, this may be too large depending on the look that you are trying to achieve. This would be especially true if a lift is necessary. Ultimately, it is your decision, just make sure you’re aware of all the risks and potential complications involved and ask your plastic surgeon for guidance. (Brian Joseph, MD, Orlando Plastic Surgeon)

Arbitrarily choosing implant sizes

Try to avoid arbitrarily selecting an implant size, but rather communicate with your surgeon your aesthetic goals. Your implant size is decided upon by a number of factors, most importantly of which is your anatomy, including how wide your chest size, your current breast size, your breast skin thickness, your breast measurements and dimensions, previous surgery, and then your overall size. Remember that a 650 cc silicone breast implants which produce a much different result in different patients. By establishing a goal with your physician, whether that’s a C, full C, D, is an excellent starting point.

Use example photographs of other patients or models to open communicate these goals. Lastly, a word of caution. A 650 cc implant long term is going to be harmful to your breasts in a number of ways. You can run the risk of widening your scars, enlarging your areolar diameter, thinning your skin, prolonging your recovery, etc. Try staying with a more reasonable size implant, one that minimizes any potential complicaitons, and at the same time, provides you with a long-lasting, attractice aesthetic result. (Jeffrey D. Hoefflin, MD, Los Angeles Plastic Surgeon)

650 cc silicone breast implants may be right for you but….

There is no way to know without an examination. Also, the position of your nipple in relation to the breast fold is important. Often times when someone has gained and lost weight as well as breast fed, volume restoration with an implant is not enough to restore breast shape.

Sometimes a breast lift is needed, possibly with a higher profile implant. These are also important considerations in addition to what size implant to use. (Dev Wali, MD, Claremont Plastic Surgeon)

Are 650 cc silicone breast implants Too Large?

In my practice, the choice of implant size involves multiple factors such as height, weight, breast/chest diameter, breast tissue characteristics and PATIENT GOALS! If you have discussed your ideal ‘look’ with your plastic surgeon then I ‘m certain that he/she has taken the above considerations into account. While 650 cc silicone breast implants may be a bit large based on the information and photos you have provided, it may be just right if you are looking for a result that will provide you with a voluptuous appearance.

Before your surgery, bring in pictures of topless women to your plastic surgeon that you find attractive, too small, too big and just right. Don’t worry if they have the same body measurements as you. Your plastic surgeon can better understand what you like based on these pictures in addition to all else that has been discussed. (Louis DeLuca, MD, Palm Beach Plastic Surgeon)

Will 650 cc implants be too big?

The answer depends what you are trying to achieve. Have you tried 650 cc implant sizers in your plastic surgeons office or have you done the rice test with 650 cc of volume?

If you have and this was a good look for you then that size implant may very well give you the look you are trying to accomplish. Based on your height, weight, and photos 650 cc implants will definitely attract attention. (Remus Repta, MD, Scottsdale Plastic Surgeon)

650 cc implants

An implant size of 650 cc’s is quite large. You will definitely be a D cup. You may be happy with the result but in my opinion, implants that large will make you look heavy. If you take a look at several plastic surgeons’ websites, you will probably notice the majority of women pictured have implants between 300 and 400 cc’s in size.

This should give you some perspective on the size most women choose. My best recommendation for you would be to select some before and after photos from other surgeons’ websites that you like and where they indicate the size of the implant used. (Ronald J. Edelson, MD, San Diego Plastic Surgeon)

Choosing the right implant size

Given your photos, it is hard to see your body. Based on your height and weight, 650 cc silicone breast implants seems to be a little bit large. Choosing an implant size is based on your wish as well as your body anatomy.

I am sure your plastic surgeon measured your breast width and chest height among other measurement. If you are having a second thought, talk with your plastic surgeon again prior to your surgery. (Sugene Kim, MD, FACS, Houston Plastic Surgeon)

650cc Breast Implant

The concern with a large implant, is that it stretches the breast skin and thins the breast glandular tissue. This weakens your tissues, and eventually causes your breasts to become ptotic or “saggy.” It is important to have a discussion with an experienced plastic surgeon regarding the right size and profile implant.

The amount of breast glandular tissue, base width of your breast, and “tightness” of the breast skin envelope play a role in choosing the right implant. 650 cc silicone breast implants seems a bit large. (Richard Ellenbogen, MD, Los Angeles Plastic Surgeon)

A lot depends on the looseness of your skin

A 650 mL implant is pretty large. Based on your height and weight, assuming you have adequate breast tissue to accommodate the implant, you should be in the double D range easily. You did not mention whether the doctor had proposed a breast lift (mastopexy) at the same time. Going that large with little breast tissue to support the implant may make you more prone to pseudo-ptosis or bottoming out. You might want to consider discussing an acellular dermal matrix internal brassiere support for the implant as well as a breast lift. (Joseph M. Perlman, MD, Houston Plastic Surgeon)

Implant size

If you ask if they are too big, they probably are. It is difficult to determine without an examination. Your experienced surgeon should be able to help you in your decision on the best size for you. (William D. Merkel, MD, Grand Junction Plastic Surgeon)

Large 650 cc silicone breast implants do not lift breasts

Without actually examining you, it is virtually impossible to give you advice as to what would be best for YOU. Having said that, it sounds to me that your breasts have gone through severe changes. It would be my educated guess that you will need a lift. Please be beware of surgeons suggesting large implants to ‘take up the slack’ and lift your breasts that way. Implants do not lift breasts. Unfortunately, I see many of these poor patients who have had implants to ‘lift’ their breasts and have had to remove them and correct the damage done by them. So, if you are desiring a larger volume for your breasts please consider much smaller implants. But, if all you are looking for is to restore your breasts to their original position, then an Ultimate Lift would be ideal for you. This procedure reconstructs your existing breast mound and an internal bra is constructed from your excess skin to keep your breasts high and perky. The advantage of this technique is that it does not matter how much loose skin you have to create firm and perky results. It also does not include the dreaded vertical scar. The incisions are well hidden around the areola and the natural crease of the breast. (Gary M. Horndeski, MD, Texas Plastic Surgeon)