Breast Implant Revision: Q&A

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I'm Going from 325cc to 500 or 550cc but Can't Decide on Saline or Silicone...any Advice?

I'm going in for a second augmentation for larger boobs. My PS says b/c of the way my ribcage sits that there is no way to get a lot of natural cleavage but that if I go bigger he can them a little bit closer. I'm 5'3 115lbs and want to go to 500-550cc. Do you think that will be too big on my frame? Does silicone vs. saline make that big of a difference visually? Thanks!

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7 Doctor Answers | Asked by koozie in Maryland

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Implants

Without a full exam it is very difficult to "size you up." I wil say that implants larger than 500 cc are pretty large and the larger the implant the more likley earlier problem will develop from the heavier weight.

Steven Wallach, MD

13 reviews

Manhattan Plastic Surgeon

Changing breast implant size

For the best long term results, implant dimensions should be matched to chest wall dimensions. Although you don't provide your chest wall dimensions, based upon your height and weight, 500-550cc implants are probably too wide for your frame. You should also consider the weight of the implants and the impact that may have on activities. You are considering implants that weigh over 1 lb each, and that may effect your ability to run, jog, workout, etc. Silicone... more

Breast implants

It sounds like those implants would be much too large for you given that your breast are not likely that wide (you only weigh 115#). If you are determined to have larger implants, then you should seek silicone implants in my opinion. They are much softer and will more more naturally than will the saline implants.

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Personal Choice

For your size this is a large implant. the larger you go the more issues over time. Doing this just for cleavage is temporary.. A bra can do wondersd with cleavage see video

Saline or silicone?

Much of the final “look” achieved after breast augmentation surgery depends on several factors: 1. The initial shape, size (volume of breast tissue), symmetry of the patient's breasts. In general, the better the preoperative breast appearance the more likely the breast augmentation “look” will be optimal. 2. The experience/skill level of the surgeon is important in determining the final outcome. For example, the accurate and gentle dissection of... more

Large implants on a small frame.

500 or 550cc breast implants are quite large, particularly for a small frame. Often, these implants are too wide for the chest wall. Cleavage can be achieved by using very large implants, however, it very often leads to a "fake" look and can lead to issues such as synmastia (abnormal connection of the breasts across the sternum). Larger implants over time can lead to thinning of the breast tissue, scalloping or rippling being visible and palpable, and malposition as the heavy... more

David Bogue, MD

6 reviews

Boca Raton Plastic Surgeon

www.drbogue.com

550cc breast implants, saline or gel

If you have good breast tissue to cover, and your skin is not thinned, visually you will not notice a difference between the saline or the silicone gel. If your skin has thinned the gel may give better cohesiveness along the side or the lower breast. If not either will perform well. Best of luck, peterejohnsonmd

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These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.

Breast Implant Revision: Q&A