Live with the size of your breast implants, or replace with larger implants

George J. Beraka, MD answers: Filling saline implants without changing them?

I recently had Saline Breast Implants, and I now wish I would have gone bigger than what I did. Can you fill saline implants without changing them?


George J. Beraka, MD
10 months ago

To CountryGirl87,

Hi!

  1. First, putting more saline into the implants is another operation. I think that you think this can be done with a needle through the skin.  It cannot.
  2. The manufacturer does not recommend this approach.
  3. With this approach, at best you can become only a little bit bigger.
  4. So, my advice is consider living with the size you have (smaller breasts age better) or just have the implants replaced with larger implants.

A: Possible, but would not make a significant difference

William B. Rosenblatt, MD
10 months ago

The implant manufacturers do not recommend putting in more than 10% over the maximum volume listed. So, if your doctor put in 300cc implants and filled them to 300ccs, it would be possible to put at least 30ccs more in -- but that would not make an appreciable difference. I usually find that you need at least 100 to 150ccs more to make an appreciable difference. If you put a lot more than suggested, you tend to get rounder, misshapen implants and you may void the warantee.

A: Yes and No

Darrick E. Antell, MD
10 months ago

You can add "some" saline to the implant, but it would require gaining access to the fill valve which likely is right behind your nipple/areola. With a peri-areolar incision, I have done it in the past.

However, if you want to go up more than about 50cc, it may be preferable to step up to a new, larger implant.  Check with your surgeon to see if there is room to add to the existing implant, but think twice before proceeding with another operation as it may simply not be worth it.

A: Filling saline implants

Steven Wallach, MD
10 months ago

When saline implants are used, they are usualy filled to the recommended fill.  Anytime you over fill them, you end up making the implant fill firmer.  It is not recommended to overfill them by too much.  It is best probably to have larger implants placed.

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