Bigger Breast Implant Replacement After Ruptured Old Ones?

At 5'7" and 135 lbs 500 cc implants will be large. I would hope that yourplastic surgeon has gone over all the options available to you. It has been my experience that you do not necessarily need to go with larger implants even when a complete capsulectomy is done with implant exchange. What I have usually seen is that there is some degree of capsular contracture present and by removing the ruptured implant and the capsule putting in the same size implants actually look larger... more

Answering this question properly requires knowing your current implant size and if you are happy at your current size (i.e. how do you feel about your current appearance of the non-ruptured side). As mentioned by others, 500 cc would not be much of a change if you are in the 400 range already, and may be a good move especially if your breasts have gotten a bit "droopy" over time. If you are in the 300 cc range or smaller, t hen this would be a dramatic change and you may want to... more

You did not specifiy the size of your current implants. If they are 450 cc then a new 500 cc implant is negligible. If they are 250, then  a new 500cc implant is really a change.  

Hi! Very large implants have more complications, look fake, and don't age well. So in New York we hardly ever use 500 cc implants for breast augmentation. I recommend using a disposable implant SIZER during surgery to find the best size before opening the permanent implants.

If there has been a leakage and it was silicone before, it is likely that your surgeon may need to remove some of the breast tissue and scar, which will make you a little smaller. If it was a saline implant that ruptured, then the scar removal should be minimal. If you need to be larger, as per your surgeon, I am guessing that it is only a bit larger, not a substantial amount. If you were happy with the old size, and your surgeon is not expecting to remove a lot of scar tissue then, you... more

Whether considering your first augmentation, or replacement of breast implants that have worn the same rules apply: choose what you like. Most often leak or rupture will occur on one side so in the case of your saline implants if you were happy before, your surgeon has a model to match. You may of course have a smaller or a larger implant if you wish, the choice is yours to make. We recommend that in the case of implant leak that both implants be replaced, unless the leak is within the... more

In this, you know best. The only way I could see this as being pertinent, is if he originally put in 450cc implants or 475cc (whatever), then overfilled them to 500cc's. In this case, a "larger" 500cc implant would be indicated. 

You could have either larger or smaller -- it is your choice, dont let your PS pressure you. Silicone implants usually look a little smaller than the same size saline.

If your saline implants just leaked and you need to have them replaced then there is no reason for you to need to go any larger unless you want to. However if you have old silicone gel implants that have broken or leaked with a lot of scar tissue and or silicone granulomas you may wish to have a little bigger implants to replace the breast tissue and scar that will have to be removed.

Certainky it makes sense that your soft tissues might have stretched out over time with your original implants and now you need more volume to fill out the skin envelop. However, the real question is wat is going to make you happy. If you do not want to be larger, then you might want to explore the possibility of doing something other than putting in a larger implant: perhaps a lift, or a different style or shape of an implant. Or accept a different look.