4 Years Post Op, Exchanging For Larger Implants. Will They Meet My Expectations? (photo)

Height 5'4 130 lb and had a breast aug. 4 yrs ago. Just last week I have noticed a deflation and went back to my surgeon. I am having both redone due to wanting to go fuller. I was an A cup before first surgery and now a C cup(370 cc) using a saline. I want a full D and he suggested a 500cc to 540cc hp. saline Im looking for a fuller breast with less sagging. When I come out of surgery I want to see a big difference in my breast size and concerned that it wouldn't be enough. Got any advise?

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13 Doctor Answers | Asked by jacquieg in Marion, IL

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Breast Implant Revision?

Thank you for the question and pictures. It is impossible to say whether the 502 to 540 mL implants will meet your goals. Prior to proceeding with the revisionary breast augmentation surgery it will be very important to communicate your size goals with your surgeon. In my practice I find the use of goal pictures to be very helpful. I have found that the use of words such as “natural” or “D cup” or "fake looking" or "top... more

Bigger---Yes. Less Sagging---No.

Dear Jacquieg, With the increase in size you are considering, you will be larger in size; that is a given. Unfortunately because of your body build and your breast tissue's characteristics, with the larger implant and its increased weight, you probably will sag even more than now. This will not be immediately apparent after your surgery but as the tissues stretch under the increased weight, the breasts will again sag. Have you considered a silicone implant... more

Your revision

Hello, Without seeing you it is difficult for me to make meaningful recommendations, but in general larger implants do not correct sagging breasts. You might do better with a breast lift and implant exhange together. Best Regards, John Di Saia MD see video

Caution going to larger implants

In general, larger implants mean bigger problems in the long run, including such things as bottoming out, visible ripples, and malposition. This is more likely when there is poor tissue coverage as in thin patients such as yourself. Consider silicone implants for less rippling, and you may benefit from an acellular dermal matrix graft such as Strattice for an internal bra.

Re-augmentation/replacement of breast implants

I would disagree with a number of issues mentioned in the answers here and stress a few things not mentioned directly. Breast implants do not lift breasts and larger implants do not lift them more. Your breasts are off-axis (point off to the side), wide apart, and look completely filled by the width of the existing implants. I don't think a larger implant will fit well and will not look at all natural, particularly if it is a high profile (off-axis, widely spaced, somewhat ptotic breasts... more

This may not be the right thing to do

Here is why I think this plan is not what I would do: 1. You have thin skin and not a lot of breast tissue to cover the implant. Switching to silicone will avoid the potential that such a large size slaine implant will wrinkle right through your skin 2. You have a thin frame. Going to 550 cc's from what you have now will give you larger breasts but they may very possibly look like fake breasts. If that's what you wan then go get it. But you have... more

Saline implants and large imlants will increase sagging

Thank you for sending the photos, it is very helpful. From your photos you can see that you are sagging now. Although all imlants can lead to sagging, saline implants tend to cause more sagging compared to silicone. This is because they are both heavier and less compressible. Larger sized implants, no matter what the fill, are also more prone to sagging. Your tissues can only withstand so much. If you convert to larger, high profile, saline implants now,... more

4 Years Post Op, Exchanging For Larger Implants. Will They Meet My Expectations? (photo)

Even with your posted photos very hard to be definitive in our advise. Larger implants will add to the downward decent. so you may need a lifting also. Best to have a few in person evaluations with boarded PSs in your area.

Sagging with breast implants

Jacquie, I hope you are seeing what all these other experts are saying. Gravity can't be beaten. If you go with bigger implants you are adding weight and more weight pushing against the lower skin of the breast will just stretch it out more. It is very common for patients to come to me with your contour wanting bigger implants because they want more fullness in the upper breast. We talk awhile and then I ask them to tell me how they can pour water into a bucket and make it sit at... more

Larger implants, fuller yes, less sagging no

The larger implant will get you fuller, though you might have further thinning of the tissue and a bit more sag over time. We would favor a gel as the implant size reaches 550cc, and a moderate profile to keep the implant from appearing too round. The 'big difference' would probably be the 600cc. Best of luck, peterejohnsonmd.com

Breast implants exchange

With the implants you have now, you are already sagging. Remember larger implants are also heavier and put more strain on the skin to hold them up. The likely scenario is that they will sag again.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

What to Expect after Bigger Breast Implants

You will most likely look fuller but I suspect that over time, you will get more sag as the larger implant pulls the skin down. If you are replacing with a saline implant, you may have more wrinkling. Discuss the option of a silicone gel implant with your surgeon.

For a while, yes

There is no doubt your breasts will be larger postop but the fuller aspect may be short lived. Your breasts already show some drooping but, I suspect, a 540cc implant will lead you to droop requiring a lift within 5 years. Don't get into the vicious cycle of progressively larger and heavier implants.