20 doctors weighed in:
Would double d breast implants be to painful on a 5 foot 3 and 145 lb. Woman?
20 doctors weighed in

Dr. Eric Chang
Surgery - Plastics
4 doctors agree
In brief: Try to keep things
In proportion! better to keep proportionately sized.
I have many women who come to me because of back neck and shoulder pain from the weight of large breasts. The last thing you want to do is cause this problem with surgery.

In brief: Try to keep things
In proportion! better to keep proportionately sized.
I have many women who come to me because of back neck and shoulder pain from the weight of large breasts. The last thing you want to do is cause this problem with surgery.
Dr. Eric Chang
Dr. Eric Chang
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Dr. Jason Hall
Surgery - Plastics
3 doctors agree
In brief: Yes
While they may not hurt now, it's likely that you will need multiple surgeries over the course of your life with implants that large.
Implants stretch the breast tissue and skin, and it's unlikely that you have enough soft tissue on your chest to provide durable coverage to an implant that large.

In brief: Yes
While they may not hurt now, it's likely that you will need multiple surgeries over the course of your life with implants that large.
Implants stretch the breast tissue and skin, and it's unlikely that you have enough soft tissue on your chest to provide durable coverage to an implant that large.
Dr. Jason Hall
Dr. Jason Hall
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Dr. Francisco Agullo
Surgery - Plastics
3 doctors agree
In brief: Pain not the problem
Pain is not the main concern when selecting a breast implant size.
The pain resolves with time. Placing too large an implant can cause stretch marks, back pain, and subsequent breast drooping. It is important to choose an implant that fits you breast width. Implants with extra projection can be used if your chest is narrow.

In brief: Pain not the problem
Pain is not the main concern when selecting a breast implant size.
The pain resolves with time. Placing too large an implant can cause stretch marks, back pain, and subsequent breast drooping. It is important to choose an implant that fits you breast width. Implants with extra projection can be used if your chest is narrow.
Dr. Francisco Agullo
Dr. Francisco Agullo
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Dr. Wesley Schooler
Surgery - Plastics
1 doctor agrees
In brief: Maybe...
We don't really use abcs (abacavir) for breast size.
All bra companies are different. Large implants on a small woman could cause neck and back pain, but this isn't common. Extremely large implants on a small short frame will lead to longterm issues including ptosis and cosmetic deformity that can only be corrected by revision surgeries. Downsizing is very difficult.

In brief: Maybe...
We don't really use abcs (abacavir) for breast size.
All bra companies are different. Large implants on a small woman could cause neck and back pain, but this isn't common. Extremely large implants on a small short frame will lead to longterm issues including ptosis and cosmetic deformity that can only be corrected by revision surgeries. Downsizing is very difficult.
Dr. Wesley Schooler
Dr. Wesley Schooler
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Dr. Barry Press
Surgery - Plastics
1 doctor agrees
In brief: The wrong question..
Ideally, breast implants should result in a proportional size, setting the width of the upper trunk as the hips set the width of the lower trunk.
All the complications associated with breast implants increase in frequency when one tries to cram an implant into a patient with insufficient soft tissue to cover it. By doing so you are asking for trouble; implants should not be painful!

In brief: The wrong question..
Ideally, breast implants should result in a proportional size, setting the width of the upper trunk as the hips set the width of the lower trunk.
All the complications associated with breast implants increase in frequency when one tries to cram an implant into a patient with insufficient soft tissue to cover it. By doing so you are asking for trouble; implants should not be painful!
Dr. Barry Press
Dr. Barry Press
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Dr. Otto Placik
Surgery - Plastics
1 doctor agrees
In brief: Certainly at first
Yes very likely at first especially if under the muscle but pain medications would be prescribed for the early postoperative period.
That is not the real problem, the concerns would be more long term with greater risks of tissue thinning, bottoming out, nerve injury, etc. Discuss these risks with a board certified plastic surgeon.

In brief: Certainly at first
Yes very likely at first especially if under the muscle but pain medications would be prescribed for the early postoperative period.
That is not the real problem, the concerns would be more long term with greater risks of tissue thinning, bottoming out, nerve injury, etc. Discuss these risks with a board certified plastic surgeon.
Dr. Otto Placik
Dr. Otto Placik
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Dr. Robert Stroup
Surgery - Plastics
1 doctor agrees
In brief: Probably
Usually up to about a c cup, we don't see any problems with back, neck, or shoulder pain.
As you go up from there, the risk increases.

In brief: Probably
Usually up to about a c cup, we don't see any problems with back, neck, or shoulder pain.
As you go up from there, the risk increases.
Dr. Robert Stroup
Dr. Robert Stroup
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Dr. Todd Sisto
Breast Surgery
1 doctor agrees
In brief: Yes
If put under the muscle.
There's no such thing as a "dd" implant. They come in metric sizes , 90-800ml or cc. 250ml appproximately = one cup so if you're a b to start & you put in 500's you'll be about a d, but there's no guarantee of that. Ps: dd sounds a little big for a 5'3" gal.

In brief: Yes
If put under the muscle.
There's no such thing as a "dd" implant. They come in metric sizes , 90-800ml or cc. 250ml appproximately = one cup so if you're a b to start & you put in 500's you'll be about a d, but there's no guarantee of that. Ps: dd sounds a little big for a 5'3" gal.
Dr. Todd Sisto
Dr. Todd Sisto
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Dr. Joseph Mele
Surgery - Plastics
In brief: Maybe
As breast become larger than a c-cup, your chances of having symptoms like breast, back, neck and shoulder pain increase.
This does not mean it will necessarily happen, as even good rules have exceptions.

In brief: Maybe
As breast become larger than a c-cup, your chances of having symptoms like breast, back, neck and shoulder pain increase.
This does not mean it will necessarily happen, as even good rules have exceptions.
Dr. Joseph Mele
Dr. Joseph Mele
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Dr. Dean Manus
Surgery - Plastics
In brief: Probably not...
The volume of an implant needed to change you from your present size to a dd depends on what natural breast volume you are starting with.
The prosthesis may not need to be as large as you think. In my experience, complaints of discomfort following an augmentation to a dd size has been exceedingly rare. Since the muscle supports the prosthesis, the dynamics are different than in a natural dd.

In brief: Probably not...
The volume of an implant needed to change you from your present size to a dd depends on what natural breast volume you are starting with.
The prosthesis may not need to be as large as you think. In my experience, complaints of discomfort following an augmentation to a dd size has been exceedingly rare. Since the muscle supports the prosthesis, the dynamics are different than in a natural dd.
Dr. Dean Manus
Dr. Dean Manus
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Dr. Michael Matthew
Surgery - Plastics
In brief: Maybe
Aside from pain, there would be increased risk of implant exposure, nipple ptosis, implant rippling, etc.
More important than final size is the change in size. Less risk to go from d to dd than from a to dd.

In brief: Maybe
Aside from pain, there would be increased risk of implant exposure, nipple ptosis, implant rippling, etc.
More important than final size is the change in size. Less risk to go from d to dd than from a to dd.
Dr. Michael Matthew
Dr. Michael Matthew
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Dr. ELizabeth Kinsley
Surgery - Plastics
In brief: PROPORTIONS
You can put many sizes in almost any woman, so it comes down to what you as the patient want, what you find attractive, and what is possible based on the dimensions of your chest and amount of breast tissue you have.
Pain is not so much the issue here as what will look good.

In brief: PROPORTIONS
You can put many sizes in almost any woman, so it comes down to what you as the patient want, what you find attractive, and what is possible based on the dimensions of your chest and amount of breast tissue you have.
Pain is not so much the issue here as what will look good.
Dr. ELizabeth Kinsley
Dr. ELizabeth Kinsley
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Dr. Juris Bunkis
Surgery - Plastics
In brief: Be reasonable
Kristy - you can only go as large as your skin envelope allows you to go.
But going too large drastically increases your chance of developing contractures and other complications. Check out http://ocps.Com/procedures/breast-augmentation.

In brief: Be reasonable
Kristy - you can only go as large as your skin envelope allows you to go.
But going too large drastically increases your chance of developing contractures and other complications. Check out http://ocps.Com/procedures/breast-augmentation.
Dr. Juris Bunkis
Dr. Juris Bunkis
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