What Size for Breast Augmentation Revision?

asked 1 year ago by JennyJenny in NY
Latest answer by Tom J. Pousti, MD
Question viewed 3,350 times
Tags: 270-289 lbs, A cup, implant size

I had breast augmentation a year and a half ago. i feel like my implants are getting smaller every day. I now wear the same bra size i wore before my surgery, which is A-Cup. i have implant malposition, scars are too low as well. the implant is placed underneath the muscle. i have 275cc anatomical implants. I want round 450cc implants (C-Cup) at least, but my surgeon doesnt want to give me more than 350. what do you think?

11 answers to What Size for Breast Augmentation Revision?

You have a good result but want a great result

You have an excellent result with slightly low implants but my guess is that you have a relatively long torso and your crease was low set to begin with. You likely would get an excellent result with 450 cc round smooth silicone moderate plus or high profile implants. However you must be willing to accept the risks of surgery.

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Sizing for reaugmentation.

Thank you for the photo and your description. Based on your photo, you appear larger than an A cup breast. You mention that the scar is "too low." It appears to be just above the fold, which is the proper position for the scar. Overall, the implants appear to be in good position and give you a very natural breast shape. However, with one photo and your body at an angle, it's difficult to judge position. Regardless, it sounds as though you wish to be larger. A short review of... more

David Bogue, MD
Boca Raton Plastic Surgeon

www.drbogue.com

Breast implant sizing

It is very important to communicate your size goals with your surgeon. In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. I have found that the use of words such as “natural” or “C cup” or "fake looking" means different things to different people and therefore prove unhelpful. Also, as you know, cup size varies depending on who makes the bra; therefore,... more

Tom J. Pousti, MD
San Diego Plastic Surgeon

www.poustiplasticsurgery.com

Revision augmentation

To determine the appropriate implant to place in the pocket really depends upon your anatomy and your goals. I couldn't say for sure without an exam. Good luck.

Steven Wallach, MD
Manhattan Plastic Surgeon

New size with implant revision: How to decide?

Ignore cup size, it isn't a very consistent way of measuring breast volume. This is especially true in chosing implant size, which is very subjective anyway. The new size will be limited by the base diameter of your breasts, which your surgeon should measure and then discuss what this means in terms if implant volume and how it affects the location of the scar.

Richard Baxter, MD
Seattle Plastic Surgeon

Be careful about any revisional breast augmentation surgery.

The scars will continue to improve. Your breasts are not getting smaller but it sounds like you would prefer larger size. If there is asymmetry, the photo doesn't show much. If your breasts are soft, I would think carefully about any sort of revision.

Vincent N. Zubowicz, MD
Atlanta Plastic Surgeon

Going Larger with Breast Implant Revision Surgery

There are two issues here. One is choosing the right implant size and the other is the scar location. First and foremost, the size of the implant should be based on several factors, such as the natural width of your breast and the quality of your skin and tissues. If you choose an implant that is too large for your breast, then you will have problems down the line. In determining the best size for you I would primarily rely on the base diameter, or width of your breast. I would not want... more

Babak Dadvand, MD
Los Angeles Plastic Surgeon

Larger implants in a revision surgery

The way you have assessed your situation is well thought out. You absolutely could have 450cc implants. The best choice is smooth round gel and depending on the size of your chest wall then you may want either moderate profile or high profile implants. You have to decide if a little too much breast under your armpit would bother you. Your mal-position is a contraindication of shaped implants and the scar being too low may come up just a little with larger implants... more

Robert B. Winslow, MD
Folsom Plastic Surgeon

How to pick breast implant sizes

1) This is the most common type of question on RealSelf. 2) It is the surgeon's job to pick the right breast implants, not the patient's. Implant selection is really pretty technical. 3) Make sure your surgeon REALLY understands the look you want. Mentioning a cup size is not enough. Show your surgeon pictures of breasts you like. 4) Then your surgeon has to tell you if your chosen look is realistic for your anatomy. The most common mistake is to go too big. 5) I... more

George J. Beraka, MD
Manhattan Plastic Surgeon

Breast Implant Revision

Your implants look slightly low, but overall your result is good in this photo. Bra size is very subjective and depends on the bra maker and bra type, but you look bigger than an A. That said, sure you can go bigger but your surgeon's cautious advice has to do with going significantly bigger on your frame, which I'm guessing is somewhat small. There are issues of tissue compliance, skin stretching, chest wall distortion, going with big implants that you should... more

Douglas J. Mackenzie, MD
Santa Barbara Plastic Surgeon

Changing breast implant size and having too much surgery

This photo looks larger than A cup bra sized breasts to me. I would have to see a photo from before surgery to be sure but on the face of it it looks like your surgeon did a good job. On the basis of just seeing this picture I am not sure I would want to perform any additional surgery if I was your surgeon. Also keep in mind that with each additional breast surgery the risk of later capsular contracture increases.