Ankit Desai, MD

Thanks for your question, yes, there is experience within the plastic surgery community with implant sizes larger than 800cc in breast reconstruction, though it's relatively uncommon and considered outside the standard range of FDA-approved silicone implants in the U.S., where 800cc is currently the maximum available off-the-shelf. Anything beyond that would typically involve either overfilled saline implants, stacked implants (rare), or custom implants sourced through specialized channels. In carefully selected patients, particularly those who are implant-dependent after mastectomy and are seeking a larger, more augmented appearance, larger volumes can be safely used. The key factors that determine feasibility include the dimensions of the chest wall, the integrity and elasticity of the soft tissue, and the quality of the implant pocket. For patients with a stable reconstruction, no history of complications, and an adequate skin envelope, moving beyond 800cc may be appropriate, but it’s not without added considerations. Larger implants carry more weight and may increase the risk of long-term issues like bottoming out or lateral displacement, especially in thinner individuals or in those with limited soft tissue coverage. Any surgeon considering this type of revision would need to evaluate you in person, perform measurements, and possibly use imaging or sizers to model your goals. It’s definitely possible in the right setting, but it requires a personalized approach and a clear understanding of both the aesthetic goals and the mechanical limitations of the tissues. If you’re seriously considering this direction, I would recommend consulting with a board-certified plastic surgeon who has experience with complex or high-volume reconstruction cases. They’ll be able to guide you through your options in detail and help determine what’s both safe and achievable based on your anatomy and long-term goals.

Based on the details you've provided, your plan to switch from the Natrelle SRX-580 implants to the Mentor BOOST high-profile implants appears to be very reasonable and well-suited to your aesthetic goals. You’ve done an excellent job maintaining your reconstruction, and it’s clear that you have a strong understanding of what you’re looking to achieve. The BOOST implants are known for their soft, cohesive gel and enhanced upper pole fullness, which aligns well with your preference for a fuller, more augmented "fake look." With your current implants having a base diameter of 13.5 cm and a projection of 6.4 cm, the BOOST option, with a base of 14.4 cm and the same projection, represents a subtle increase in width without changing the overall forward projection. This change should provide slightly more volume and medial fullness, helping bring your breasts a bit closer together and enhancing cleavage without significantly altering your overall silhouette.

Choosing the appropriate size for your breast augmentation relies on many factors including your: 1. current breast size 2. the amount of skin you have, 3. your desired cup size 4. your breast and body measurements. You should consult with a plastic surgeon performing breast augmentation regularly who will work with you to pick the right size and profile. It shouldn't be just choosing one of two sizes and the right size for you means incorporating both you and your plastic surgeon's recommendations. Sizing bras do help determine an estimate of the size you hope to achieve. In our Jacksonville breast augmentation practice, we utilize silicone gel sizer to help patients feel comfortable with the size they choose. We also help them decisions by informing them that there can be some limitations according to their existing breast measurements as well as that the sizers appear larger in the bra than inside the body. In addition the use of disposable sizers during the operation, where we place temporary disposable implants and determine what sizes match your desired goals and body help to ensure consistent patient satisfaction. - Ankit Desai, MD, Jacksonville Plastic Surgeon

Choosing the appropriate size for your breast augmentation relies on many factors including your: 1. current breast size 2. the amount of skin you have, 3. your desired cup size 4. your breast and body measurements. You should consult with a plastic surgeon performing breast augmentation regularly who will work with you to pick the right size and profile. It shouldn't be just choosing one of two sizes and the right size for you means incorporating both you and your plastic surgeon's recommendations. Sizing bras do help determine an estimate of the size you hope to achieve. In our Jacksonville breast augmentation practice, we utilize silicone gel sizer to help patients feel comfortable with the size they choose. We also help them decisions by informing them that there can be some limitations according to their existing breast measurements as well as that the sizers appear larger in the bra than inside the body. In addition the use of disposable sizers during the operation, where we place temporary disposable implants and determine what sizes match your desired goals and body help to ensure consistent patient satisfaction.

Choosing the appropriate size for your breast augmentation relies on many factors including your: 1. current breast size 2. the amount of skin you have, 3. your desired cup size 4. your breast and body measurements. You should consult with a plastic surgeon performing breast augmentation regularly who will work with you to pick the right size and profile. It shouldn't be just choosing one of two sizes and the right size for you means incorporating both you and your plastic surgeon's recommendations. Sizing bras do help determine an estimate of the size you hope to achieve. In our Jacksonville breast augmentation practice, we utilize silicone gel sizer to help patients feel comfortable with the size they choose. We also help them decisions by informing them that there can be some limitations according to their existing breast measurements as well as that the sizers appear larger in the bra than inside the body. In addition the use of disposable sizers during the operation, where we place temporary disposable implants and determine what sizes match your desired goals and body help to ensure consistent patient satisfaction.

You may have pain related to irritation of your nerves. Neuropathic pain or nerve related pain maybe caused by irritation or scar tissue or maybe a pressure related phenomenon. Rest assure, there are several treatments for pain due to breast implants. If you do have pain, begin massage to the area of pain to help desensitize the area. If at least 6 months and preferably 12 months have passed after your breast implant surgery, some modalities that may help resolve your pain are: 1. Local Steroid injection to area of pinpoint pain 2. Flector transdermal NSAID patch 3. Intercostal nerve block You should consult with your plastic surgeon to determine what is most appropriate for you and your particular signs and symptoms. Good Luck, Ankit Desai, MD - Jacksonville Plastic Surgeon

Some burning pain or stinging pain is common during the healing process of breast augmentation. Implant massage and time should help the pain resolve over the next few weeks to months. - Ankit Desai, MD, Jacksonville Plastic Surgeon

You should wait at least 6 months for everything to settle and the inflammation to subside before undergoing breast augmentation surgery. 

Your cold is not related to your breast implants. Your cold is likely a viral illness and will not affect your implants. You should see your primary care doctor to further evaluate your symptoms. 

Although saline implants can be filled to  specific volume, there are many different sizes of silicone gel implants. Both saline and silicone gel implants can be used to correct breast asymmetry. Depending on your breast envelope one implant maybe better suited to your body and you may need or consider a breast lift if there is ptosis. Hope that help, Ankit Desai, MD, Jacksonville Plastic Surgeon