Should I Revise from 339 to 450?

I (5 wk post op) got 339cc silicone unders. I am 5'9" and 110 lbs. Since I am thin, I was concerned about looking heavy and aug. would have been noticeable. I am okay with how I look now, but not 100% satisfied. I wanted to stay proportionate to my frame and have a size that aged nicely (weight gain or sagging). I was deflated 32a pre surgery. I thought a 32c would be great, but do not feel better in clothes. Would 450cc bump me to a fuller look without being huge or should I stay where I am?

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A cup 5 ft 8 in to 6 ft 0 in silicone implant under muscle 1 week post-op 110-129 lbs deflation

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9 Doctor Answers | Asked by tinycurves

Doctor Answers (9)
Community Comments (1)

Wanting bigger

Hi At 5 weeks, I would agree with the other doctors here who recommend waiting. I find that after 6 months, many patients who initially wanted to change their size, eventually become more comfortable with their implants and no longer desire a size change. question: during your initial consultation with your PS did you "try on" sizers in the bra to determine this implant size? what about that did you like that you are no longer satisfied with? Although I... more

Bigger breast augmentation

At 5' 9' tall your lowest normal weight is 125# and you are 110# which puts you 15# under you lowest normal weight. Your body type must be very slender, so although you are tall which usually allows a sizable implant, you might go too big for your body build. Remember that another surgery has all the risks of the first surgery and you might not get such a satisfactory result the next time around. Beware of the grass-is-greener effect always thinking that you will look a... more

Should I Revise from 339 to 450

Give yourself a few months before deciding. As the implants settle into place, the size may seem more satisfactory than it does now. If you choose to upsize, anything less than 100 cc may result in a change that is too hard to notice. Try a "rice test" at home. Fill some stockings with raw rice, and see how much volume you need to get to a good size, using the stockings as fillers in a sports bra. That will help choose the size of a larger implant. Thanks for your question, all the best. more

Implants and size issue

It is very difficult to say what size would be best for you without an exam. I would give it a few months to "equilibrate." If you are not satisfied, then add volume to your bra and see what you like.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Wait 3 months

I like to wait at least 3 months for the breasts to settle, but as far as a size difference is concerned, I like to go up a minimum of 150 - 200 cc / side.

339 to 450 cc Implant Upsize

At 5 weeks postop, give yourself until the 3 month mark to heal before revision. In general, for an upsize to be worthwhile you need at least 100 cc increase. I would think that the increase you have suggested would likely be OK. As a taller woman, more volume can usually be tolerated, but your plastic surgeon can better evaluate you. Kenneth Hughes, MD breast implants Los Angeles, CA

Deficient size concern after breast augmentation

Hello 'tinycurves', thanks for your question. Many times during a breast augmentation consult, patients ask me what size they think they should be, or if it were my wife or family member, what size do I recommend for them. I answer them by saying I recommend doing whatever size THEY want to be, and it is not my place to judge and dictate for women what size they should be. Some women prefer a smaller, modest look, while others like the attention that a DD augmentation... more

Timing of Breast Implant Exchange for Bigger Size

Give yourself a minimum of three months to adjust to the new breast look. If you are still convinced then you want to be a bigger you will likely need to consider going more than 450cc (32% volume change) as such size increase will be less than you think by the numbers. TThe volume may be 32% but the increase in visible breast size will be much less than that.

Larger volume

Size is something that you really need to discuss with a plastic surgeon who can examine you in person. Everyone is different as far as which volume will work best to meet their needs/desires. That said, I would say that you are still relatively early in your post-op period. I tell my patients that they won't see their final results until about three months following their surgery. Your implants are still going to settle. Since you are already thinking... more

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Comments (1)

tinycurves 7 Feb 2013

Thank you for all the comments and advice. I will definitely wait to finish the healing process before making any decision for a revision. My biggest disappointment was that not a lot of time was spent discussing size before surgery. My main concern was health. My surgeon did a fabulous job and I will use him again, but I wish more attention had been given to making sure we properly communicated. He heard me say I wanted to be conservative and went with a desired bra size instead of explaining the differences in bra size. (ie. 32C is much smaller than what I thought a C was based on my friends with larger frames who wore C) I think we had a different idea of "bra sizing." I should have educated myself more, but figured he was the expert. Now, I am left close to what I wanted, but still feeling that with a little more communication I could have been SO happy! A revision means more money and another surgery. Is it really worth that? I wish I didn't have to decide and communication would have given me exactly what I wanted in the first place. Should I wait a few years, see if I have complications, continue to wear the dreaded padded bras, hopefully gain a little weight and naturally enhance my breasts, and then consider revision? Ugh! Anyways, thanks for all the professional advice!

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