2nd time around Dr is telling me I have to go bigger to achieve same size

asked 1 year ago by Lilimimi in NJ
Latest answer by Robert S. Houser, DO
Question viewed 164 times
Tags: C cup, implant size, revision

After 10yrs and a baby I have decided to have my breast done again. I am having a breast lift done along with replacing my implants. I would like to remain the same size but my Dr. said that in order to be the full C that I am he will need to increase the implant size. I am confused and nervous why he would need to. Has this happened to anyone else? My Dr. is also saying that in order to achieve a good outcome I will need silicone opposed to the saline that i currently have. I am VERY nervous about getting silicone implants. Any advice/opinions anyone has would be greatly appreciated.

5 answers to 2nd time around Dr is telling me I have to go bigger to achieve same size

He might be right...

If you were considering the change to silicone implants (don't do it if you're worried about it), then it takes a slightly larger silicone implant to give the same projection as a saline implant. So going to a bigger implant is one way to achieve the same look. Also, the lift (and it depends on the type of lift you need) may give you the feeling that you are smaller after surgery. Actually, you are not smaller, you will just fit in to a bra differently so your cup... more

Robert S. Houser, DO
Columbus Plastic Surgeon

Implant size and type

I would agree with Dr. Baraka. There is only one situation where a somewhat larger implant is needed in order to look the same size and that is converting an augmentation implant from above the muscle to below the muscle. Even this is a perception rather than a true size issue. I suspect that you are being misled by the misconception that a larger implant is needed in order to lift the breast. A lift is really only needed when the nipple-areola is too low relative the base of the... more

Scott L. Replogle, MD
Denver Plastic Surgeon

Dr is telling me I have to go bigger to achieve same size

RE: "After 10yrs and a baby I have decided to have my breast done again. I am having a breast lift done along with replacing my implants. I would like to remain the same size but my Dr. said that in order to be the full C that I am he will need to increase the implant size. I am confused and nervous why he would need to. Has this happened to anyone else? My Dr. is also saying that in order to achieve a good outcome I will need silicone opposed to the saline that i currently have. I am... more

Peter A. Aldea, MD
Memphis Plastic Surgeon

You can use saline and same size

Going with the larger implants will increase the risk of sagging and complications. The recommendation of the silicone implants is based on the thickness of your breast tissue and your expectation regarding the softness and the rippling. You can have have saline implants and the same size.

Kamran Khoobehi, MD
New Orleans Plastic Surgeon

Breast augmentation revision works with same size implants.

Hi. 1) I don't understand either. You don't need larger implants unless you want to be larger. A well done breast lift does not make you smaller. 2) Use saline implants. Do not put anything inside your body that is going to make you worry. We have hundreds of patients with saline implants who are perfectly happy. 3) The breast lift is done just with a scar around the nipples if the sagging is not too bad or with lollipop scars for severe sagging... more

George J. Beraka, MD
Manhattan Plastic Surgeon

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