Is it common for a surgeon to refuse to insert 800 cc implants?

I want to go from 400 cc's too 800 cc's. I'm 170 pounds, 5'8'' and broad shouldered. I'm a bigger framed woman and feel that 800 cc's would give me the look I desire. My plastic surgeon said he would not go bigger because he is not fond of that look. I want to go as big as I want, and I also want a lift. Is it common for a surgeon to refuse to insert implants of this size? Where can I find a surgeon who will give me what I want?

Answers from doctors (11)


More About Doctor David J. Levens, MD

Published on Nov 28, 2019

You are certainly free to request the size that you want, but there has to be a good clear understanding between you as the patient and your plastic surgeon of all the consequences of your choice. Doubling the volume of your implants is a very drastic change for your soft tissues (muscle, fat, and skin) surrounding the implants. Although your height/weight and broad shoulders suggest that 800 cc implants should be ok for your body habitus, your surgeon likely has serious concerns about how the largest (standard silicone implants max at 800 cc, saline can be inflated to 1000cc+) will stretch your tissues, even with a lift.

It is not at all uncommon at all for a plastic surgeon to discourage an implant choice he/she feels will have negative consequences. Fortunately, there are no shortages of plastic surgeons all over that you can try but "buyer beware".

Answered by David J. Levens, MD (View Profile)

You are certainly free to request the size that you want, but there has to be a good clear understanding between you as the patient and your plastic surgeon of all the consequences of your choice. Doubling the volume of your implants is a very drastic change for your soft tissues (muscle, fat, and skin) surrounding the implants. Although your height/weight and broad shoulders suggest that 800 cc implants should be ok for your body habitus, your surgeon likely has serious concerns about how the largest (standard silicone implants max at 800 cc, saline can be inflated to 1000cc+) will stretch your tissues, even with a lift.

It is not at all uncommon at all for a plastic surgeon to discourage an implant choice he/she feels will have negative consequences. Fortunately, there are no shortages of plastic surgeons all over that you can try but "buyer beware".

Published on Jul 11, 2012


Robert Kearney, MD

Published on Aug 19, 2016

You just need to find a different surgeon. Your PS apparently feels that the 800cc implant would cause distortion. I would get another opinion. You are tall and perhaps you could handle that implant. We all have different opinions.

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Answered by Robert Kearney, MD

You just need to find a different surgeon. Your PS apparently feels that the 800cc implant would cause distortion. I would get another opinion. You are tall and perhaps you could handle that implant. We all have different opinions.

Published on Jul 11, 2012


Paul Benien Jr. D.O., F.A.C.O.S., F.A.A.C.S.

Published on Aug 17, 2016

Can't say that it is common. If your surgeon thinks 800cc is too big for your size and measurements, then he knows what he or she is talking about. They know what they are doing if you go to a board-certified plastic or board-certified cosmetic surgeon.

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Answered by Paul Benien Jr. D.O., F.A.C.O.S., F.A.A.C.S.

Can't say that it is common. If your surgeon thinks 800cc is too big for your size and measurements, then he knows what he or she is talking about. They know what they are doing if you go to a board-certified plastic or board-certified cosmetic surgeon.

Published on Jul 11, 2012


Edward Domanskis M.D.

Published on Aug 09, 2016

I specialize in XL breast implants, though in my practice 800cc is really not XL.

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Answered by Edward Domanskis M.D.

I specialize in XL breast implants, though in my practice 800cc is really not XL.

Published on Jul 11, 2012


Thank you for your question. The size breast implant that is placed depends on your desired cosmetic result and your individual anatomy. An implant size should be determined after performing a physical exam that measures your breast base width, nipple to fold distance, and breast tissue thickness and stretch. The larger the implant, the greater the chance for complications such a rippling, tissue thinning, and bottoming out. An experienced plastic surgeon will make a decision on implant size after carefully weighing the pros and cons of what is indicated based on your anatomy with your post-op expectations.

Answered by Charles A. Messa, III, M.D., F.A.C.S. (View Profile)

Thank you for your question. The size breast implant that is placed depends on your desired cosmetic result and your individual anatomy. An implant size should be determined after performing a physical exam that measures your breast base width, nipple to fold distance, and breast tissue thickness and stretch. The larger the implant, the greater the chance for complications such a rippling, tissue thinning, and bottoming out. An experienced plastic surgeon will make a decision on implant size after carefully weighing the pros and cons of what is indicated based on your anatomy with your post-op expectations.

Published on Jul 11, 2012


More About Doctor Paul Vitenas Jr., MD

Published on Aug 05, 2016

Thank you for your question. The reason why most doctors will refuse such a large implant is for your health and safety--the bigger the implant, the more it stretches the nerve and more complications that can arise. You will always be able to find a doctor somewhere that will give you the look you are desiring, but if you see several doctors and they all advise against it, it is best to take their advice and have realistic expectations.

Answered by Paul Vitenas Jr., MD (View Profile)

Thank you for your question. The reason why most doctors will refuse such a large implant is for your health and safety--the bigger the implant, the more it stretches the nerve and more complications that can arise. You will always be able to find a doctor somewhere that will give you the look you are desiring, but if you see several doctors and they all advise against it, it is best to take their advice and have realistic expectations.

Published on Jul 11, 2012


Larry Leverett, MD, FACS

Published on Aug 04, 2016

You can find a surgeon that will take your money in every city. But a greater surgeon is the one that will examine you and your breast tissues, help you realize what you are starting with, what is involved, and the likelihood of recurrent problems BEFORE he/she does the surgery. You are asking him to put in a large heavy implant on which gravity will stretch the skin downward at the same time that you are asking him to do a lift, which would be hampered by such a large implant.

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Answered by Larry Leverett, MD, FACS

You can find a surgeon that will take your money in every city. But a greater surgeon is the one that will examine you and your breast tissues, help you realize what you are starting with, what is involved, and the likelihood of recurrent problems BEFORE he/she does the surgery. You are asking him to put in a large heavy implant on which gravity will stretch the skin downward at the same time that you are asking him to do a lift, which would be hampered by such a large implant.

Published on Jul 11, 2012


Kenneth L. Stein M.D. FACS

Published on Aug 03, 2016

You will find it is difficult to get the implants from the companies who make them; therefore, in the USA they cannot usually get the implants.

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Answered by Kenneth L. Stein M.D. FACS

You will find it is difficult to get the implants from the companies who make them; therefore, in the USA they cannot usually get the implants.

Published on Jul 11, 2012


Gerald Minniti, M.D., F.A.C.S

Published on Aug 03, 2016

It's in no one's best interest to place oversized implants. The risk of complications and reoperation is much higher, and it places you at risk for harm. Alternatively, our patients represent our work, so smart surgeons that know most people don't like 'that look' wouldn't want to create patients like that, potentially hurting their practice. I'm sure you will find someone to help you though.

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Answered by Gerald Minniti, M.D., F.A.C.S

It's in no one's best interest to place oversized implants. The risk of complications and reoperation is much higher, and it places you at risk for harm. Alternatively, our patients represent our work, so smart surgeons that know most people don't like 'that look' wouldn't want to create patients like that, potentially hurting their practice. I'm sure you will find someone to help you though.

Published on Jul 11, 2012


More About Doctor Tom Pousti, M.D.

Published on Aug 03, 2016

Thank you for your question.

Yes, there are many surgeons who have a breast implant size limit as to what they are comfortable doing. The placement of larger breast implant sizes takes experience because as with any surgery, there are potential risks and complications associated with the larger breast implant size.

I perform the larger sizes and you can see examples of our work on our website. I hope this helps.

Answered by Tom Pousti, M.D. (View Profile)

Thank you for your question.

Yes, there are many surgeons who have a breast implant size limit as to what they are comfortable doing. The placement of larger breast implant sizes takes experience because as with any surgery, there are potential risks and complications associated with the larger breast implant size.

I perform the larger sizes and you can see examples of our work on our website. I hope this helps.

Published on Jul 11, 2012


ELLIOT B. DUBOYS, MD, FACS

Published on Aug 03, 2016

A surgeon is NOT obligated to do what a patient wants. You go to a surgeon because of his training and his years of experience in doing a particular procedure. I'm sure the surgeon has many more years experience performing a procedure than you. If the surgeon feels that it would not be the best procedure for you, he is under no obligation to perform it. Let's, for example, say that you "coerce" the surgeon to put in 800 cc implants and then you get a major complication, who will be responsible? I'll bet you would state that it is the surgeon. If you don't like what this surgeon says, go to another surgeon and get another opinion.

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Answered by ELLIOT B. DUBOYS, MD, FACS

A surgeon is NOT obligated to do what a patient wants. You go to a surgeon because of his training and his years of experience in doing a particular procedure. I'm sure the surgeon has many more years experience performing a procedure than you. If the surgeon feels that it would not be the best procedure for you, he is under no obligation to perform it. Let's, for example, say that you "coerce" the surgeon to put in 800 cc implants and then you get a major complication, who will be responsible? I'll bet you would state that it is the surgeon. If you don't like what this surgeon says, go to another surgeon and get another opinion.

Published on Jul 11, 2012


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