There is only some much implant that can be placed in a small breast at one time. In one year the breast will be stretched out more and a new larger implant can be placed. It should be noted that putting too large of an implant in a small breasts leads to problems later. You might consider getting several opinions before you opt to go even larger.
size 36 A each 200 cc’s of implant corresponds to 1 cup size change. To achieve a D would require 600 cc
implants. Since you have had 425 cc
implants and your skin envelope is tight, it is unlikely that he could put in
600 cc implants. The elasticity or stretch
of your chest would not accommodate implants that large. If a large implant was attempted, they would
extrude inferiorly and laterally requiring revision. Over the next 6 months to a year, your tissue
will stretch out and be able to accommodate that size implant. However, implants that size are heavy (weigh more
than 1 lb each) and they will descend. I
always recommend small round textured silicone gel implants placed
retro-pectoral since they look and feel more natural, are more stable, less
likely to ripple or have complications needing revision. Implant profile is irrelevant in the
retro-pectoral position since the muscle compresses it. I would NOT recommend larger implants because
you will likely have complications and require revision.
Gary Horndeski, M.D.
Just as in pregnancy your abdomen stretches so does the breast with an implant in place. In some cases we use a breast expander to stretch the tissues before implanting a permanent implant...
Thank you for your picture. Your surgeon is probably referring to the amount of stretch (lack of give) that you skin has to accommodate larger implants. 3-6 months from now your skin will relax and could be stretched a bit further to accommodate larger implants
Thank you for the question.
I agree with the picture that shows your actual breast size, they're not stretchy enough to fit a larger implant and I do agree with you PS to wait for the skin laxity.
Your post operative photos show that your skin if very tight. Your surgeon likely placed the largest size implant that he could without disrupting the infra-mammary fold. That would have caused various problems including bottoming out of the implants and/or double bubble. Once implants are placed, the skin and muscle will stretch and relax allowing a larger implant to be placed several months down the line. I hope this helps!
I think he probably meant your tissues overlying the implants were too tight as the photo appears that way. If you still want to go bigger, allow the tissues to soften for several months and your body will accept a larger implant with no problem.
You appear to have a tight skin envelope and I agree that not much larger an implant could have been placed at the time. Over the next 3-6 months the pocket will strtch out and a larger implant can be used.
Every patient's anatomy will dictate how large of an breast implant can be used SAFELY. If a surgeon tries to use a breast implant that is too large for a patient's frame, the patient will be exposed to risks such as breast implant displacement/malposition (such as symmastia, lateral breast implant displacement, bottoming out…) or greater palpability/rippling of the breast implants.
In your case, as your tissues “relax” over the course of the next several months, it may be possible to increase breast size further. For now, continued patience and continued follow-up with your plastic surgeon will be in your best interest.
I hope this helps.
Hello, your doctor is right, you have a tight skin envelope, which means there is not much room to fit in a big implant, but skin has the ability to expand after a couple of weeks when the implant settles in and the skin doesn't feel that tight, so after 6 months a bigger implant may fit in. Remember a bigger implant may look better, but it also means more probability to trouble right after surgery or on the long run. At this point, I would tell you to use a lot of moisturizer cream so you don't get stretch marks, and I mean a lot, in 6 months if you still want bigger implants, talk to your Plastic Surgeon, right now you have a beautiful result, just let it settle, you may be surprise as to how happy you are with your new size. Good luck!