330cc overfilled to 500cc - is my very small chest wall the reason dr didn't use a bigger implant to achieve my goals?

Question

Dr. gave me 330HP overfilled to 500cc.

Ted Eisenberg, DO, FACOS, FAACS · Answer

Modest overfilling has been shown to produce a protective effect in reducing deflation rates. See my published article in the link below. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Semih Yildiz, MD, FEBOPRAS · Answer

A very small chest wall or narrow breast base can absolutely limit how wide or large an implant can be used safely. The implant has to fit the breast footprint and soft-tissue coverage; going beyond that can increase the risk of visible edges, malposition, bottoming out, or an unnatural shape.

A 330 high-profile implant filled to 500 cc may create more projection, but it does not necessarily solve a width or cleavage goal. The best next step is to review the implant dimensions and operative plan with your surgeon or get an in-person revision consultation to see whether a different implant style, pocket change, or accepting the tissue limits is most realistic.

Daniel Barrett, MD · Answer

Dear jessieb0118,
I understand your concern. However, without a proper assessment, it would be difficult to determine what is wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Gary Lawton, MD, FACS · Answer

There is really no excuse to overfill a 330 HP implant to 500.  Could have used a 420-500, 460-550 or 500-600.  The surgeon most likely did not have the correct implant to use.

Leila Kasrai, MD, FRCSC · Answer

330cc to 500cc is a rather large amount of overfilling during breast augmentation. Please discuss with your surgeon.

Gerald Minniti, MD, FACS · Answer

You provide this one fact without any other information, but it really doesn't matter. There is no good reason to do something like that. I don't know a single surgeon certified by the American Board of Plastic Surgery who is also in good standing with their state medical board, i.e. hasn't lost their license to practice medicine, who would do that.

Ronald J. Edelson, MD · Answer

Implants are designed to be overfilled but not by that much. Generally implants  get overfilled by about 10 percent of the  volume.

Daniel P. Markmann, MD · Answer

Unfortunately, without pictures, it is impossible to know.   500cc is a relatively large volume.   Why he chose 330 size to overfill is a question you will need to ask him/her.

Camille Cash, MD · Answer

This question can only be answered by your surgeon.  Perhaps it was related to discussions you had with her/him in the past.  What sizes were you considering during your consultations? Your surgeon should be able to provide clarity on the selected implant.

Connie Hiers, MD, FACS · Answer

It would be best to ask your surgeon why he did not select a larger implant. He may not have had a larger implant with him, or did not want to use a larger based implant because of your chest size. Or, perhaps your surgeon was not planning originally to place 500 cc's, but decided to increase the size.

330cc overfilled to 500cc - is my very small chest wall the reason dr didn't use a bigger implant to achieve my goals?

Answers (12)

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