Breast Implant Size Advice for Revision Due to Encapsulation?

I am having a breast augmentation revision due to encapsulation of my right breast following pregnancy. I want larger breasts as I currently have 320cc implants. I have some excess skin. Would 500cc be too large? My surgeon wanted me to have a breast lift and smaller implants but I like big boobs!

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breasts capsular contracture female 500-549cc 310-329 lbs bigger

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10 Doctor Answers | Asked by tonilee in UK

Doctor Answers (10)
Community Comments (0)

Breast Aug Revision

Thanks for your question. Having large implants without a lift and small implants with a lift will likely give a very different aesthetic result. It depends more on what look you feel will be best for your own situation versus what someone else thinks is best for you. If you like larger breasts that is fine but if you have significant droop to your breasts already, adding larger implants will only add weight and eventually cause more droop. If you are okay with that... more

Breast Implant Size

The more breast surgery I do the more I realize that there is no correlation between the size of implant and resulting cup size. This may have to do with several factors including: the amount of breast volume the patient starts with, the shape of the patient's chest wall (concave or convex), the type and model of breast implant selected (saline/silicone and low/moderate/high profile), bra manufacturer variance in cup sizes, the degree of filling of the... more

Breast Implant Revision

It is possible that a lift will help with the sagging skin. The size of your implants is a decision that you and your surgeon should agree on together. It looks like you are hoping to increase your implants by about a cup size. It is important to pay attention to your specific measurements which will affect your final result. Talk to your surgeon about your desired outcome.

Increasing implant size

Increasing the implant size after removal of a capsule is certainly an option. However, the larger you go, the more likely that the lift will not hold them up for long.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Increasing the size of your implants

The large increase in size of your implants will give you a pretty good lift, but keep in mind that you may need a formal lift several years down the line. The larger implants will increase the amount weight pulling down on the breasts each day. Check out some before and after pictures of larger implants to see if that's what you really want instead of smaller implants and a lift. Good luck!

Breast implant revision (remove and replace) with a larger implant

It is likely that you will be able to tolerate 500cc implants in the short term. However, there may be long term concerns such as tissue attenuation, stretching, thinning, drooping (ptosis) and interference with nipple sensation that should also be taken into consideration when selecting a larger implant.

Otto Joseph Placik, MD

33 reviews

Chicago Plastic Surgeon

Choose a surgeon that does a lot of breast implant revision

I do many breast revisions for patients. It is important to go to a Board Certified Plastic Surgeon who is used to doing revisions. Hard to give you a good answer as you need to be examined. 500 cc may be too large as the other surgeons have stated. It depends on the elasticity of your skin. The bigger you go, the more likely it can sag over time. You most likely will need the implants removed and the scar tissue removed (fulll capsulectomy. You need to be examined to see if the pocket... more

Big breast implants age very badly.

Hi! 1) Your surgeon is right. 500 cc implants will make your sagging worse and worse over time. I have seen a lot of unhappy women who went down this road. I am sorry, because I know this is not what you want to hear. 2) You may find it useful to look at the breast augmentation page on my web site.

Breast Revision Surgery

You have a complicated problem and you need to listen to what your surgeon is telling you, if you trust their judgement ofcourse. I would always seek a second or third opinion in breast revision surgery as there are different views on how things should be done. But just remember bigger implants had a higher contracture rate, and given the fact that you already have had capsular contracture, your chances of having the contracture again are higher than the next person. Good luck.... more

Big breast implants or little implants, if you have drooping breast then you need a mastopexy .

You have actually three different issues and they need to be addressed separately. As to the hardness, capsular contraction, you need to have the implants removed, the scar tissue removed and the implant replace in a different pocket if possible. If you have saile implants under your mussels I would recommend textured silicone gel implants under the breast. If you have silicone gel under the breast i would recommend silicone gel or saline implants under the muscle. As to the loose skin... more