Implant Exchange 360cc Saline SG for 469 Cc SM-will This Achieve my Desired Results?

I am 5'4" 120 pounds with a 30" ribcage 360cc saline subglandular implants that are rippling and migrated to the sides after 9 years. I want to go a little bigger and more natural (I.e. Not the grapefruit look) with mod profile silicone submuscular. My doctor recommended 469cc implants. Will this achieve the desired results? I am a distance runner but wear 3 sports bras when I work out so there is no movement at all. My main concern is the exchange of projection for width on my small frame.

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5 ft 4 in to 5 ft 7 in 350-399cc 450-499cc saline implants 110-129 lbs recommendation

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5 Doctor Answers | Asked by nicoleinmidwest

Doctor Answers (5)
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Choosing implants

Without an exam it is difficult to offer you suggestions. The exam will help evaluate your anatomy and based upon your goals the appropriate implant could be selected.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Remove sub-glandular & replace sub-muscular ?

At Lake Tahoe Plastic Surgery patients choose a PlayBoy photo of the size they want to see in the mirror post-op and that determines wether they need a skin reduction (lift) or an even larger implant to get that result. I would expect you to be disappointed with the procedure you describe unless your skin is very tight already. Any laxity and 100 cc larger will not prevent sagging of the breast gland off the new sub-muscular implant mound. Every patient is different and your question cannot... more

Have a clear goal for breast augmentation revision

The new submuscular pocket may help give better coverage and stop the migration to the side, and yes the 469 is a little bigger, perhaps big for a distance runner. Three jog bras, really? The point is you should be clear and let your surgeon know just what the look should be, and not be hung up on the numbers. A 'little bigger' is not much to go on.

Implant Exchange

Without an exam or at the very least good photos standing and reclining, it's hard to answer you specifically. However, the change to subpectoral smooth midprofile gel implants approximately 100ccs larger than your current implants sounds very reasonable. You may still need a reduction in the size of the lateral pocket.

Achieving Desired Results with Revisionary Breast Surgery?

Thank you for the question. It is not possible to give you precise advice without direct examination or viewing pictures. However, based on your description, consideration should be given to repair of the breast implant pockets (capsulorraphy) to prevent migration of the breast implants to the sides when you lie down. This may or may not be necessary since you are exchanging the breast implants to the submuscular position. In regards to achieving desired breast... more