Breast Augmentation: Q&A

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What Size? Saline to Silicone?

Hi I had a benelli lift and augmentation back on 2008. I had a baby and now I gave my breast saggy again. Doing a lift in two weeks. Changing from saline to gel silicone this time. I want to go back to how I was before with my 375 saline but just a bit bigger. If I want to go just a little bigger but not necessary a full size how big does my implant shod be now that I am changing to silicone.

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sagging 4 years post-op saline to silicone

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3 Doctor Answers | Asked by Mimiflorida

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Saline to silicone

Saline implants are shaped a bit differently than silicone in terms of profile. So what I usually do is see what the projection of the original implant and diameter is and match it up to the silicone and if the patient wants more volume, I usually go from there providind that the origianl implant was sized appropriately.

Steven Wallach, MD

13 reviews

Manhattan Plastic Surgeon

Exchanging from Saline to Silicone Gel Implants and Sizing Concerns?

Thank you for the question. Although I cannot provide you with precise advice without direct examination or viewing pictures, some general advice may be helpful. Often, in my experience, when exchanging saline to silicone breast implants a larger silicone gel breast implant is necessary to achieve the same size/ look. I would suggest that you communicate your goals clearly with your plastic surgeon. If you have any concerns about the position of your current breast... more

Size change

Mimi- This discussion will be best with your surgeon in person where an exam can take place. As far as size change, most surgeons feel that about 200 to 225 cc makes about a cup size change, so you might want to think about half of that, therefore 475 to 500 cc. . However, consider also that you may have lost volume with the pregnancy in addition to the sagging that has occurred. Consider when you decide: do you want to be bigger than you were... more

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