Symmastia usually happens from surgical misadventure. The chances of that are slim if you are with a board-certified PS. There is not much diffrence between a 600 and 650cc implant. It would be like adding a cup of nyquil to the 600 to get 650cc. Projection is less than a 3mm difference, I think.

Published on Jul 11, 2012

Consult with your surgeon.

Published on Jul 11, 2012

Appropriate implant size is based on the diameter of the breast. But the final breast size is determined by the breast tissues as well as the implant. The breast size changes with menses and weight fluctuations. Additionally, a patient can wear different bra sizes based on the manufacturer and style of the bra.
Finally, there isn't much effective difference between a 600 cc implant and a 650--it's only three tablespoons of size difference.

Published on Jul 11, 2012

Every about 120-150cc increases the cup size by one. It is always better to go a little larger because the size does get smaller with time. Symmastia is unusual with plastic surgeons who have experience with larger sized implants.

Published on Jul 11, 2012

No one should ever, ever get 600cc implants. The long-term results are consistently problematic.

No implants = no problems.
Small implants = small problems.
Big implants = big problems.

It is what it is.

Just ask your surgeon to show you ten-year results of 600 cc implants and you'll see that they don't look good.

Published on Jul 11, 2012

If large volume breast augmentation is the goal, a higher profile implant could help prevent outer and inner breast deformity. One cup size is about 150 to 200 cc's, so a 50 cc change would not make a huge difference as both would achieve that goal, and the smaller of the two implants would likely fit better on the chest.

Published on Jul 11, 2012

Ultimately, careful communication of your goals--in my practice I prefer the use of goal pictures, direct examination/communication in front of a full-length mirror, in bra sizers and computer imaging, as well as careful measurements (dimensional planning)--will be critical.

Generally speaking, the best online advice I can give to ladies who are considering 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, and 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 know words such as “natural” or "D cup” 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 helps. Best wishes for an outcome that you will be very pleased with.

Published on Jul 11, 2012

600 cc's will give you about a 3-cup increase depending on your starting size. Have them placed under the muscle and you won't get symmastia.

Published on Jul 11, 2012

Without an examination, it is impossible to say what will work the best for you. The correct implant is based on a number of factors: height, weight, chest measurements, breast measurements and tissue coverage, and your goals. If your surgeon measured all of these things and determined that a 600cc HP will fit well with your dimensions, then I would go with his/her recommendation. In some patients, a 600cc will look very large and round, while in others it will look pretty natural still. I hope this helps.

Published on Jul 11, 2012

It is very important to have a good conversation with your surgeon, show pictures of what you want, and ask if that is what he expects to achieve. Only that conversation can help you. Ask to see his pictures of what to expect. Anything is possible in surgery, but a good plan and surgeon will help you feel confident.

Published on Jul 11, 2012