Is It Safe to Increase Breast Implant Size After Tuberous Complication?

I had Breast Augmentation 1 year ago, silicone under muscle. I also had small (A cup), tuberous breasts with large areolas. Now D cup. I would like bigger implants.

Since I had tuberous breasts before surgery & now my skin is stretched. Is it OK to get bigger implants? My breasts now are not tuberous anymore. I have 400cc and would like 700ccs. Is this a possibility since they were tuberous before but not now?

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areola breasts A cup D cup tuberous female 400-449cc 700-749cc silicone implant implant size

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9 Doctor Answers | Asked by Barbara1350 in Chicago, IL

Doctor Answers (9)
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Tuberous breasts- larger implants - the enemy of good is better

The enemy of good is better, an old saying in plastic surgery. Those tight lower folds never completely forget that they were once tight. they do relax a bit in many patients over time, but a nasty double bubble appearance is but a procedure away. Then there may also be new pocket issues that occur that can be very difficult to repair. Radical scoring of the tight lower pole area can lead to death of portions of the breast. If your nipples are still too large, there are various lifts that... more

Is It Safe to Increase Breast Implant Size After Tuberous Complication?

I have performed this in the past and while it is possible it is not necessarily adviseable without you understanding the risks, particularly of bottoming out or a double bubble. There are numerous increased risks associated with this, and I am sure I will not even touch on half of them, but consider the following. The size of the implant has been associated with: 1.Increased risk of loss of nipple sensation 2.Increased risk for long term breast ptosis (sagging) 3... more

Otto Joseph Placik, MD

33 reviews

Chicago Plastic Surgeon

Tuerous revision

I am glad you had a successful outcome from a usual difficult surgey to fix tuberous breasts. As for larger implants, I couldn't say withotu an exam but 700 is quite large.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Can't determine breast implant size without pictures

If your breasts look good now and there is no sign of tuberous changes, then there is no issue with changing your implants. At this point, it is all about how 700cc implants will look on your frame and how your tissues will tolerate that size implant. In general, going larger will increase your chance of complications down the line. Speak with a board-certified plastic surgeon and get his ideas on this. Good luck!

Tuberous breasts are a challenge

You probably don't understand that the tuberous breast is arguably the toughest starting point for cosmetic breast surgery especially in its more severe forms. If you got a good correction of it, it would be smart not to "poke a skunk" and try to push farther. Going with huge implants, while technically possible opens you up to numerous new problems you don't currently have. These include thinning of the tissues and stretching of the skin making downsizing later a real problem... more

Increasing Breast Implant size after tuberous complication

Without photos it would be a guess if you could increase to a 700 cc implant. I doubt it but you never say never. Especially without photos. Regards.

Larger breast implants after augmentation are safe

Larger implants after augmentation are safe, especially as the breast skin has relaxed to accept the larger implant. There are trade-offs to 'going larger'. The aesthetics can be lost causing the breast to round and appear unnatural. The breast tissue can thin resulting in a visible edge of the implant. In a 'tuberous' breast which already has a tight skin envelope the breast can adopt an unnatural pear shape. For those who have a small chest the implant can push below the breast and cause... more

Tuberous breasts and secondary enlargement

You should be fine to do this. Of course, you need to be evaluated prior to the procedure. You need to have adequate coverage over the implant.

Bigger breast implants NOT always better!

Barbara1350, It sounds like you got a good result from correction of your tuberous breast. I would not recommend tempting fate. Replacement of implants, in general, would revisit all of the potential complications of augmentation. Additionally, larger implants place stress on the skin and overtime can thin the breast and stretch the skin. "if it ain't broke, don't fix it! Good Luck ! Dr. ES