Should have taken you up about 1/2 cup size

Jeffrey Zwiren, MD answers: What is the maximum size implant that can be placed safely behind the muscle for silicone memory gel?

What is the maximum size implant that can be placed safely behind the muscle for silicone memory gel? Also I know that a cc is a cc but in saline implants have a different shape and appearance compared to silicone memory gel. I had saline implants 375cc went to silicone 500cc but they seem smaller is this possible?


Jeffrey Zwiren, MD
9 months ago

It is possible that the change in size that you are noticing is actually a change in shape. How does your breast fill the bra following the use of a larger implant? A change of 125 cc should have taking you up about 1/2 cup size. In my experience, when a patient desires to be a larger size and we have to use a new implant I usually want at least a full cup size difference to be present.

It is important that you make your desires known to your surgeon. Pictures of what you want to look like are a big plus. I never allow a patient to say, " I want to be a full C." It is hard to know exactly what they are talking about.

Most of the early revisions for breast augmentation surgery are for size problems. It is expensive to make this mistake and it all comes down to communication. You have to make your desires and expectations clear in order to get the result that you were expecting. No one wants a disappointed patient. Too big, too small, or just right is an individual choice. Pictures help to make your point clear.

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