Breast Implant Revision Q&A
86%
WORTH IT RATING
"Worth It Rating" shows the % of consumer reviewers that stated the procedure was "Worth It" or not. See more RealSelf Worth It Ratings or Add Your Review
153 Reviews
Breast Implant Revisionbefore & after photos
View Before and Afters

Average Breast Implant Revision Cost: $7,100

Learn about Breast Implant Revision

935 people and 511 doctors are talking about Breast Implant Revision

Get Free Email Updates

I Have a 335cc Cohesive Gel Implant, and I Want to Go Bigger.

asked 1 year ago by Huong
Latest answer by Tom J. Pousti, MD
Question viewed 537 times
Tags: saline implants, 300-349cc, comparison, gel

I have a 335cc cohesive gel implant. I find that the gel size are smaller than the saline size,is that true?. All my friends had saline implant put in, but their size are only 275cc or 300cc; but they are much bigger than mind. Now I want a revision but dont know what size to choose. Would another 100cc make any different? how big should I go if I want one cup bigger? Thank you for taking time to answer my question.

8 answers to I Have a 335cc Cohesive Gel Implant, and I Want to Go Bigger.

+5

Saline vs Silicone

First there are so many variables to consider when comparing yourself vs your friends. What size did they start with? What size chest or rib cage, etc, etc. That said, here's my rule of thumb: What ever size you try on in the office and like you must increase by 10-20% for the actual size you place at surgery. You lose approximately 20% of apparent size because they are in you not on you anymore. Finally, saline implants give about 20% more projection than saline. So when I see a patient... more
Clayton L. Moliver, MD

Houston Plastic Surgeon
+2

Breast implant sizing

It is very important to communicate your size goals with your surgeon. In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. I have found that the use of words such as “natural” or “C cup” or "fake looking" means different things to different people and therefore prove unhelpful. Also, as you know, cup size varies depending on who makes the bra; therefore, discussing desired... more
Tom J. Pousti, MD

San Diego Plastic Surgeon

www.poustiplasticsurgery.com

+2

Saline implants may feel bigger than silicone. Implant pocket adjustment may help.

Many factors determine how large the breasts look and feel after augmentation: the size and profile of the implant; saline vs. silicone; placement above vs. below the pectoralis muscle; how much breast tissue was initially present and its quality/firmness; breast skin thickness, elasticity, and droop; body fat percentage history of pregnancy and breast feeding; body weight, height, and proportions. In reference to your... more
Steven Goldman, MD

Cleveland Plastic Surgeon

www.drgoldman.com

+2

Revision breast augmentation

It would be helpful to see before/after pictures (or at least after pictures) to answer you. But in general, there may be a difference in how much projection of enlargement you get with a silicone implant and a saline implant of the same size. I usually have to use a larger silicone implant to achieve the same volume as a saline implant of any given numerical fill volume. For example, if the patient looks good with 350cc saline, she might need a 400cc-425cc gel implant to look the same way... more
Tim Abou-Sayed, MD

Palm Beach Plastic Surgeon
+2

I Have a 335cc Cohesive Gel Implant, and I Want to Go Bigger

Very hard to advise without before and after photos posted, my guess is you need at least 150 cc+. Discuss this with your surgeon.
Darryl J. Blinski, MD

Miami Plastic Surgeon
+2

Want to go bigger with a gel implant

The volume of the implant is the same for silicone and for saline. It is very difficult to compare your size with your friend's sizes since your body characteristics might be very different. Breast size, muscle development, rib cage size and skin elasticity will vary with each individual and will therefore make the implants appear different. Implants also vary as it rates to the width and the projection of the implant so they will look different on each patient. ... more
Elizabeth S. Harris, MD

San Antonio Plastic Surgeon
+1

Replace with larger implants

Saline implants and silicone gel implants of the same size are of course the same size, at least in terms of their volume. There are different implant profiles in saline and in gel implants, and this affects how wide the implants are and how projecting they are...that is, a high profile implant and a moderate profile implant of gel of a given size are the same volume, but one is narrower and more projecting, while the other is wider and less projecting. Also, saline implants are... more
Robert M. Grenley, MD

Seattle Plastic Surgeon

www.seattleplasticsurgery.com

+1

I Had a Breast Augmentation, and I Want to Go Bigger.

There are many factors in deciding which is the ideal implant to achieve a desired result. All types of implants will augment your breast the same. The cc's indicate the volume and size, which is standard for saline, silicone, or cohesive gel. You should wait at least 6 months from your original surgery to exchange the implants in order to decrease complications. An implant 150-200cc's larger will increase your breast one cup size.
Frank Agullo, MD

El Paso Plastic Surgeon

Ask a question