January 18, 2018

Breast Implants: How Big Is Too Big?

When it comes to breast augmentation , choosing the size of implants is probably your most important decision. It is more than just picking a cup size—there are many different factors to consider.

When choosing breast implants , we encourage our Atlanta patients to honestly discuss their aesthetic goals during their consultations. However, it is a good idea to start thinking about the following points before you come in for your preliminary appointments. That way, you won’t feel overwhelmed or caught off guard when choosing your implants.

  1. Amount of breast tissue: Your existing breast tissue provides coverage for your implant. If you start out with little breast tissue and choose large implants, the results could end up looking unnatural. At Plastic Surgery Center of the South, we evaluate your breast tissue and recommend breast implant sizes that will be sufficiently covered.
  2. Quality of skin: This can be dependent on age, past pregnancies, and weight fluctuations. Minor skin laxity can be okay because often a large enough implant can fill out the sagging skin. Moderate to severe laxity may require our surgeon to combine breast augmentation with a breast lift. Breast implants don’t lift the breast, and choosing large implants could make minor sagging appear worse.
  3. Your height/weight/frame: At Plastic Surgery Center of the South, we strive for beautiful and natural-looking results. We do this by recommending implants that look proportional to the rest of your body. Women who are petite cannot support as big of an implant as a taller woman. A broad chest or fuller hips may warrant the choice of larger implants. Additionally, your implants should not make you physically uncomfortable. However, we understand that implants that are too small can leave patients disappointed, so we make sure to find the balance between what you want and what fits your body. Some people find that using the “ rice test ” at home before their consultation gives them a very rough idea of implant sizes that might work for them.
  4. Plans for growing a family: Though having children may seem far off for some patients, it is something to consider when scheduling a breast augmentation. Pregnancy and breastfeeding can cause major changes in your breasts. If you are planning on having children soon, it may make more sense to wait until after you are done nursing. This may have an effect on what size you want your implants to be. After breastfeeding, you may also choose to combine your procedure with a lift as well.
  5. Lifestyle: This is important to keep in mind, especially if you play sports, do high-impact exercises, or are a long-distance runner. Individuals who lead active lifestyles may want to consider smaller implants. You don’t want your new breasts to interfere with your favorite activities.

Review our online photo gallery of breast augmentation patients to see the enhancement possible with implants of varying sizes.

Don’t let all these decisions and considerations scare you off—we are here to assist you in any way possible. If you have any questions or want to learn more about your breast augmentation options at our Atlanta practice, request a consultation  online or give us a call at (770) 421-1242.

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April 15, 2026
In the high-stakes professional environments of Atlanta—from the boardrooms of Buckhead to the innovative hubs of Midtown—presence is often defined by confidence. For many women, physical proportion plays a significant role in how they carry themselves and how their professional attire fits. However, the modern approach to breast augmentation has shifted away from the pursuit of maximum volume. Today, the focus is on "proportional harmony"—a strategic alignment between your surgical goals and your unique physical frames. At Plastic Surgery Center of The South, we view breast augmentation not as a standalone procedure, but as a corrective and enhancing measure designed to bring the body into balance. Understanding that "size" is a subjective metric is the first step toward achieving a result that looks natural, feels comfortable, and enhances your professional silhouette. Beyond the CC: Understanding the Mechanics of Proportion Many patients begin their journey by researching a specific volume, often measured in cubic centimeters (CCs). However, focusing solely on a numeric value is a common pitfall. A "300cc" implant will look radically different on a tall, athletic frame than it will on a petite, narrow-shouldered individual. As your dedicated partner in aesthetic health, our approach prioritizes your specific anatomy. We evaluate several critical factors: Chest Wall Width: The diameter of your breast tissue and the width of your ribcage dictate the "footprint" of the implant. An implant that is too wide can lead to unnatural contours, while one that is too narrow may not provide the desired cleavage. Existing Breast Tissue: The amount of natural tissue available to cover the implant affects the final aesthetic. This is a critical consideration when discussing the nuances of silicone vs saline options. Torso Length: A longer torso can often accommodate more projection without appearing "top-heavy," whereas a shorter torso requires a more subtle profile to maintain a balanced midsection. Selecting the Right Catalyst: Silicone vs. Saline The choice of material is often a matter of tactile preference and long-term maintenance. Both silicone and saline implants have distinct characteristics that contribute to the overall proportion and feel of the breast. Silicone Gel Implants - Silicone is frequently the preferred choice for patients seeking the most natural mimicry of human fat and breast tissue. Modern "form-stable" or cohesive gel implants maintain their shape exceptionally well, which is vital for maintaining a consistent profile under professional garments. They are particularly beneficial for patients with less natural breast tissue, as they are less prone to "rippling." Saline Implants - Saline implants are filled with sterile saltwater and offer the benefit of a smaller incision, as they are filled after insertion. While they can feel slightly firmer than silicone, they allow for precise, intraoperative adjustments to volume, ensuring that symmetry is achieved to the milliliter. During your consultation at Plastic Surgery Center of The South, we provide a comprehensive breast augmentation size guide through physical "sizers" and expert assessment, helping you feel the weight and see the projection of each option before your procedure. The Professional Silhouette: Symmetry and Clothing Fit For many of our patients in the business community, the primary motivation for surgery is the "proportional fit" of professional attire. When the bust is out of proportion with the hips and shoulders, blazers, sheath dresses, and tailored button-downs rarely fit off-the-rack. A successful augmentation achieves "The Balanced Profile": Shoulder Alignment: The bust should complement the width of the shoulders, creating a classic hourglass or athletic V-taper. The Lateral View: Proper projection ensures that the profile is feminine yet understated, avoiding an aggressive appearance that may feel out of place in a conservative corporate setting. Upper Pole Fullness: We focus on a natural slope rather than an artificial roundness, ensuring the results are indistinguishable from natural anatomy. Establishing Expertise: Why Local Specialization Matters At Plastic Surgery Center of The South, Dr. Corey Harkins, MD, who is a board-certified plastic surgeon in greater Atlanta is committed to his core values of ethics, integrity, honesty and education. His practice draws patients from Atlanta and across the U.S. The geographic context of his practice allows him to understand the lifestyle of his patients. Whether you are prepping for a keynote presentation or maintaining an active lifestyle your results must be durable, comfortable, and visually seamless. Long-Term Considerations for the Executive Lifestyle Breast augmentation is a long-term investment in your self-image. It is important to consider how your results will evolve over time. Longevity: While implants are not lifetime devices, choosing the right size and weight initially can prevent premature sagging or the need for a lift (mastopexy) later in life. Overly large implants can strain the skin envelope over time; choosing a proportional size ensures longevity. Recovery Management: For the busy professional, we utilize recovery protocols designed to minimize downtime, allowing you to return to your leadership role with minimal disruption. Health and Wellness: We prioritize your systemic health, ensuring that your implants do not interfere with mammographies or physical fitness routines. Actionable Takeaways for Your Transformation If you are considering breast augmentation, keep these strategic points in mind: Prioritize Dimensions Over CCs: Focus on how the breast will look in relation to your shoulder and hip width. Test Your Wardrobe: Bring a favorite professional blazer or dress to your consultation to see how different "sizer" volumes change the garment's fit. Consult the Experts: Avoid "template" surgeries. Ensure your surgeon provides a customized plan based on your unique chest wall measurements. Understand the Material: Weigh the benefits of silicone's natural feel against saline's adjustable volume and smaller incision. Your Path to Proportional Balance At Plastic Surgery Center of The South, we believe that aesthetic procedures should empower you to feel more like yourself. By moving beyond the simple metric of size and embracing the philosophy of proportion, you can achieve a result that enhances your confidence both in your personal life and your professional career. Our practice is dedicated to providing an executive-grade experience, from your initial private consultation to your final post-operative milestone. We invite you to explore how a tailored approach to breast augmentation can refine your silhouette and bolster your professional presence. To schedule an expert consultation and develop your personalized surgical plan, contact Plastic Surgery Center of The South today. Call us at (770) 421-1242 and let us help you find the perfect balance for your frame!
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