How Many Cc's is a "Safe" Increase? I Trust my PA, He Did an Amazing Job First Time Around, Just Want Another Opinion?

I'm 5'2" and weigh 110 lbs. I currently have in 250 cc in the left and 275 cc in the right. Saline under the muscle. I've had them in 18 years with no issues and they still look great. I'm about a 32C. I wanted to go larger and was under the impression that was doable but at my preop today the nurse and PA said that they think going over 300 cc's would not be good because I don't have much natural breast tissue. They said they would discuss it with my PS and decide during surgery.

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7 Doctor Answers | Asked by Sassy Fairy in Georgia

Doctor Answers (7)
Community Comments (1)

Implant Size Increase of 25 cc

In general, 100 cc or more should be considered for implant replacement. 25 cc will not be noticed by anyone, including the patient. To merit the risks associated with surgery, there should be a meaningful change.

Bigger breast implants

It is nice to see that you've had implants for 18 years and are happy with them. Going up 50cc is probably not worth the trouble. Your plastic surgeon will give you a better idea of what is safe and reasonable.

Dennis Dass, MD

9 reviews

Beverly Hills Plastic Surgeon

www.dassmd.com

Pick the right profile

My rule of thumb is if you are going to go bigger, you need to add at least 100cc to make it worth the risk of surgery. If you do that, you will need to change profiles (your current implant is a "moderate" profile) so it may be a high profile implant at that size. If you don't have much tissue to cover the implant, change to a silicone gel implant. But from what you describe, I'm sure you look great and you may just want to sit tight! Bigger is not always better..... more

Best Breast Implant Size/Profile for Me (Revisionary Surgery)?

Thank you for the question. It sounds to me like you may better through from additional time spent with your plastic surgeon, not the physician assistant.   As you can imagine, despite your good description of body type and goals, it is not possible to give you precise advice online. The best online advice I can give to ladies who are considering breast augmentation surgery is:  1. Concentrate on choosing your plastic surgeon carefully. Concentrate on... more

Implant for revision

I think it is best to review your choice of implants with your surgeon. 25 cc increase in volume is not really noticeable.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Reaugment

First, decisions as to implant size should be made by doctor AND patient prior to surgery and not intraoperatively. Second, an increase of 25 cc will not be noticeable at all, meaning that there is no reason for you to undergo revision unless, given the age of the implants, you would like to exchange them at this time prophylactically.

Size increase.

I think you should have an in person evaluation by the surgeon. If the PA is recommending only a 25 to 50 cc increase, it is quite likely that you will not even notice a size difference, and therefore you may well want to consider not changing out the implants. Every surgery has risks and benefits, and if there is little to no benefit, the risks outweigh them. Thank you for this question, best wishes.

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Comments (1)

Sassy Fairy 11 Jan 2013

Thank you for your response. I wanted to switch from the saline implants to the more natural looking/feeling Mentor Gel. That was the main priority/goal of my implant exchange (that and having had them in 18 years I know I'll have to have them replaced at some point regardless and would rather do it when I can conveniently schedule and take my time without the extra stress of a deflated implant). Size increase is a secondary goal that isn't a "requirement" for me to be happy with the results. I did call my PS office and talked with his private nurse, she felt that a small increase would not be a problem and scheduled me to come back in before surgery and retry sizing and talk with my PS again about my goals.

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