380HP overs 4 months ago. Chest width is 11.2cm. Will my breast space stretch if I wait so I can have bigger implants next?

Would like to go from 380cc to 480cc or 500cc. Will having current implants stretch the space so could accommodate these? If so how long would you have to wait to do this I was hoping to go bigger within 9-12 months of these current implants

Doctor Answers (3)

Narrow chests

+1
are limited in what sizes you can actually place.  You cannot exceed the base footprint that will obliterate the space between the mounds but you can certainly go larger, even employing ultra high profile implants if you are willing to accept the downside and risks that come from using them.


Redding Plastic Surgeon
4.5 out of 5 stars 16 reviews

380HP overs 4 months ago. Chest width is 11.2cm. Will my breast space stretch if I wait so I can have bigger implants next?

+1

Thank you for the question and picture. Generally speaking, previous breast augmentation surgery does allow for the use of larger breast implants at a later point. Your plan of waiting 9 to 12 months seems reasonable. Unfortunately, online consultants will not be able to provide you with specific enough advice to be truly helpful.   Generally speaking, the best online advice I can give to ladies who are considering  revisionary breast augmentation surgery (regarding breast implant size/profile selection) is:

1. Concentrate on choosing your plastic surgeon carefully.  Concentrate on appropriate training, certification, and the ability of the plastic surgeon to achieve the results you are looking for. Ask to see lots of examples of his/her work.

2. Have a full discussion and communication regarding your desired goals  with your plastic surgeon. This communication will be critical in determining  breast implant size/type/profile will most likely help achieve your goals. 

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 "D cup" etc means different things to different people and therefore prove unhelpful.
 Also, as you know, cup size varies depending on him who makes the bra; therefore, discussing desired cup  size may also be inaccurate.

 The use of computer imaging technology may also be very helpful during this communication process.

3.  Once you feel you have communicated your goals clearly,   allow your plastic surgeon to use his/her years of experience/judgment to choose the breast implant size/profile that will best meet your goals.  Again, in my practice, this decision is usually made during surgery (after the use of temporary sizers assessed with you in the upright position).

I hope this (and the attached link, devoted to larger looks) helps.

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 726 reviews

WILL CURRENT IMPLANT STRETCH POCKET TO ACCOMODATE LARGER ONES

+1
Thank you for your question. Yes, having implants in will stretch the pocket and will create more space than there used to be to put in a larger implant. But there are several things you need to consider. The goal of breast augmentation, lift, and revision is to put the implant in a desirable location on the chest, and then centralize the nipple on the mound created by the natural breast and underlying implant. As you stretch the distance between the chest wall and the nipple increases. By upsizing your implant, you will fill the space created by the space to help centralize the nipple. But, this will also require that the implant be dropped down to a lower spot on the chest wall. The lower crease of the breast is called the inframammary fold. The stretch plus weight of the implant can lead to malposition of the implant over time, or ptosis, where the nipple drops. So, you need to know that by upsizing, you are accelerating the rate at which you may eventually need another touchup procedure like a lift or revision down the road. Also, if your implants are already positioned inwards enough, and you have sufficient cleavage, then they can't  be moved in anymore. So when you upsize, most of the implant will move out, which can change the relative position of the nipple in the central breast unless you also have a lift procedure to control this. That said, and upsizing of only 100-120 cc will only change this slightly. A larger upsizing would affect this more. Hope that helps. 9-12 months should be fine in terms of waiting. There is no "rule" regarding timing for an upsize. Whether you do this sooner or later, the same issues described above apply.

Terence Michael Myckatyn, MD
Saint Louis Plastic Surgeon
5.0 out of 5 stars 2 reviews

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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.