Going Bigger After First Breast Augmentation

I just got Saline breast implants 16 days ago. I am 24 years old, 5'1 in height and weighs 100 lbs. Before, I was about a 34A but could fit into a 32B bra. I had 275CC implants put in. I am really regretting not going bigger. I really think I should have went to get 325CC implants. If I decide to go bigger by 50CC, how much bigger would it be, and how long would I have to wait to have it done? Also, how much would it cost? Can I still use the saline implants I currently have?

Doctor Answers (25)

You should wait for them to heal before making any changes



Your problem is very common - deciding that you want larger implants. However, please be patient as you should allow your body to recover from the surgery you just had. Every time you have additional surgeries, you are undergoing a small, but real risk. So, it is best to wait and not make any rash decisions. However, if you do decide to change your implant size, I would suggest going with more than a 50 cc change - this small amount will not be appreciable. Additionally, you will need different implants than the ones you currently have since there is a recommended fill volume specific for each implant. So, the cost will likely be similar to your initial surgery. Also, you may want to consider silicone implants if you have your implants changed out.

I hope you find this helpful.

New York Plastic Surgeon
5.0 out of 5 stars 58 reviews

Wait three to four months

You should wait for at least three to four months before considering revision surgery to upsize your implants. This is because it generally takes this long for your breasts to settle, giving you a better idea of your surgical results. However, please note that 50cc would be a rather minor increase that you may not even notice.

Jerome Edelstein, MD
Toronto Plastic Surgeon
5.0 out of 5 stars 63 reviews

Be patient!

You are so early after breast augmentation that there is no reason to even think about a revision operation at this time.  I would have you wait until 6 months to evaluate your results.

Gary Lawton, MD
San Antonio Plastic Surgeon
4.5 out of 5 stars 11 reviews

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Give it time before opting for a re-operation


You are very early after your original surgery.  Best advice is to give it some time.  Adding 50 cc to the implant is not going to give you much of a change.  So if you want to go larger in the future you may need to consider a larger implant.  

Jeffrey Zwiren, MD
Atlanta Plastic Surgeon
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Regretting not going larger with breast implant augmentation surgery


You have many questions about going bigger and your first task is to find a surgeon willing to do it. To put it in perspective 50 cc is about 3 tablespoons, you should wait about 4-6 months, costs vary by surgeon and implant and facility, and NO you should not use the same implants unless the fill volume is permitted with existing implant or are willing to except the risks of overfill, etc.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
5.0 out of 5 stars 44 reviews

In regards to going bigger after breast augmentation


Unfortunately, patients are occasionally dissatisfied with their breast size after breast augmentation.  This is precisely why so much time is spent discussing implant size before surgery.  Still, 16 days after surgery is much, much too soon to be drawing conclusions about the implant size.  Patients should wait a minimum of 3-6 months before considering further breast surgery.  In regards to the selection of larger implants, 50cc bigger is not enough to notice much of a difference.  For petite patients, one full cup size is generally 120cc.  If a revision is planned, I definitely do not advise adding fluid to the same implants.

Kelly Gallego, MD, FACS
Yuba City Plastic Surgeon
5.0 out of 5 stars 34 reviews

Going bigger after breast augmentation


Your breasts will change, soften and settle, over the first year after breast augmentation surgery.  16 days after surgery is really too early to see your final results--give it at least 4 months. 

Also, 50cc is NOT at all worth a second surgery.  You won't notice the difference in volume, as it's just not that much.   And I would say it's not worth the risk of another operation to add just that small amount of fluid.  Your current implants may or may not hold the addtional fluid--it depends on their volume and how they were filled initially.  For a real size difference, you would need a new, larger implant.

Carmen Kavali, MD
Atlanta Plastic Surgeon
4.5 out of 5 stars 18 reviews

Going bigger after primary breast augmentation


Maggie, I think you should wait at least 6 months before thinking about another surgery. You still have some recovery to do, and who knows, you might end up liking your final size. If you are then still unhappy with your size, i would talk with your surgeon and review your options. It takes about  200cc to make a cup size, so 50cc with be a subtle change. Cost will depend on your doctor and the facility.

Richard H. Fryer, MD
Salt Lake City Plastic Surgeon
5.0 out of 5 stars 84 reviews

Breast implant removal and replacement.


Maggie-16 days is too soon to be thinking about changing the size of the implant. Give your body 6-12 months to recover from the surgery and let the implants settle before making a decision. It is important to consider the cost and benefit of removing your current implants and replacing them with a larger size. Most people do not return to surgery for less than 100cc’s per implant. Discuss your options with your surgeon and remember how much different you looked before surgery. In some cases removal and replacement costs more than the initial breast augmentation.

Joseph G. Bauer, MD
Alpharetta Plastic Surgeon
4.0 out of 5 stars 4 reviews

Revisionary breast surgery to go larger


At this point in time of your recovery, it is too soon to see the final results of surgery. I suggest waiting atleast 3-6 months before deciding to remove and replace your implants with larger ones. At 2 weeks post-op surgery, the implants are not fully settled. There may still be some swelling which will subside, allowing the breasts to look larger and better shaped. Massage the breasts and wear the surgical bra for a full month to assist in the healing process. Once the implants have settled, you may be happier with the look and size of the breasts. Consult with a board certified plastic surgeon, if after 6 months you are still wanting to proceed with revisionary surgery. I recommend finding pictures of what look and size you want to achieve, to help your surgeon figure out whether 50cc would make a significant difference and whether they can use the same implant. Depending on the severity and complexity of the case, the pricing could vary. Recovery will quick and painless most of the time with revisionary surgery. Take care and just be patient, hopefully with time, things will work out for you.

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 751 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.