Breast Implant Revision: Q&A

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Breast Revision to Go Larger?

iIm 21 years old and currently have 360 cc moderate profile implants. I'm 5'2 and weigh 120 pounds (petite build). My breasts look very natural and although i like how proportionate my implants look i wish i were bigger with more of an upper pole (i still have to wear push up for that upper pole look). I was considering going 460cc HP salines in the near future and was wondering if switching to HP would give me that look? Also i don't want to be too top heavy but want to not have to wear a bra.

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14 Doctor Answers | Asked by beyondhelen91 in Miami, FL

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Breast Revision to Go Larger

Photos would help, although not so much as an in person evaluation. The HPs will give more projection in the upper pole, but the best choice of size and profile will at least partly depend upon your breast width. Assuming your surgeon chose a good width, the current implants are 13.4 cm wide, suggest you breast width is about that amount. The 457 moderate plus has about the same width, more volume, and somewhat more projection. The 450 HP has considerably more projection, more volume and... more

Should I have bigger implants?

Increasing the size of your breast implants will definitely increase your upper pole fullness. I see that you are concerned about being too top heavy. Only you can make that decision as to what is "too top heavy". I recommend that you ask your surgeon to help you try that additional volume on in the office using sizers. This will allow you to look in the mirror and decide for yourself what is too big. Good luck.

High profile breast implants

100cc increase in implant size is significant in a petite woman, and might give you the desired look. The high profile implant is likely to give you a rounder upper pole. The implant does not eliminate the need for a bra, you still need the support, but you may not need a push up bra. Your surgeon can evaluate whether this is a reasonable plan.

Dennis Dass, MD

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Beverly Hills Plastic Surgeon

www.dassmd.com

I patient is a good result after breast augmentation should leave well enough alone will.

Judging from the statement it sounds like the results of the first augmentation was good. There is some dissatisfaction with file size but I would not jeopardize a good result modest improvement in that area. Should the need arise for further surgery such as failure of the prosthesis, that would be the time to go to a bigger size.

Breast implant revisional surgery.

I would feel that your implant size is very suitable for you. Bigger implants often cause more distortion and problems when one is petite as you are. Saline implants are not my preferred implant for many patients. The natural quality of silicone gel is very favored by many Plastic Surgeons and patients alike. Always discuss this fully with your Board Certified Plastic Surgeon before any decision is made. Good luck to you... more

Breast Revision to Go Larger

You are a young petite 5'2" female 360cc in my opinion is already large for you.Going to a larger saline may cause sagging and rippling especially if the implants are above the muscle The implants may appear small if they are low in position It may be possible to elevate your implants internally to achieve your desired look

Breast revision to go larger

Thank you for your question. In order to have more upper pole fullness, a higher projecting implant will be necessary. Since you are happy with the current look of your breasts otherwise, I would select an implant with the same base width of your current implant. The projection could be either a high profile implant, which can look much less natural, or a moderate plus profile. The recovery time for this type of surgery should be minimal, as the pocket is already created. Most... more

Breast Revision to Go Larger?

Larger saline implants mean that a greater proportion of your final breast volume will be implant. The shape will be more like an implant with added upper fullness, true, but so will the texture, possible rippling and wrinkling, additional weight and skin stretch, numbness, and other issues. You are young and have a good result, another 100 cc in my opinion may not be worth the cost and possible disadvantages.... That however, is a decision that in large measure depends on how... more

Adding 100 cc and switching from moderate profile to high profile implants

Usually a small woman has a small chest wall width and an increase in size to 460 cc would necessitate a change to high profile so that the implant width is not too wide for your chest wall. I would recommend always wearing a bra and to see a board certified plastic surgeon of your choosing.

Implant size

Most likely all that you need is more volume overall. High profile by itself will not give you the fullness by itself. I do prefer the high profile for gel implants but not necessarily for saline. Volume us what you need.

Going larger

The high profile implants will give you more upper pole fullness, especially if you are going larger. I strongly urge you to consider switching to silicone gel implants. They will feel more natural and, more importantly, they will remain in a higher position over time. The issue of not having to wear a bra is a tricky one. It depends on how full you expect to be on top, as well as, how much your breasts drop over time.... more

Breast Revision to Go Larger?

Thanks for your question and it is quite common, both on this site and in all of our offices. You have to remember that larger implants weigh more and weight never moves up. To go without a bra after adding a pound of weight to each breast is definitely not a good idea. HP implants compared to medium profiles are narrower in the base (less width and less vertical height) when compared with equal volumes in other profiles. So to get more in the upper breast you have to go with wider, which is... more

Breast revision for more upper pole fulllness

By increasing your breast volume by 100 cc and going from a moderate to high profile implant you will, at least at first, get more upper pole fullness. If your soft tissue can support this increased implant size and weight then it is probable that you will achieve your goals. To get a definitive answer requires a full examination of your breasts and anatomy.

Breast revision larger

Hp implants may give you more upper pole fullness, but that depends upon the implant volume chosen. Without an exam it is impossible to pick out the right implants for you. This is done after an extensive review with my pateints on exam and discussion of their goals.