Had 350 HP Gel Mentor Implants a Year and Half Ago. Contemplating Getting Revision to 450CC HP Gel Mentors

It's not unusual for patients to come back and wish that they had gone larger once everything has settled from their initial surgery.  My dad, who was also a plastic surgeon, used to tell me that a cup size was about 150-200 cc's.  That was a pretty decent rule of thumb, however, every patient is different.  Most of my patients want to be a full C or small D cup.  Using my dad's rule of thumb, another 100 cc's would probably put you in that range.

What I would tell my patient is that you have to be happy with your result. If you constantly think that you need to be bigger than it is taking up too much of your active thoughts and you just need to go ahead and do it. 100 cc for a 5'6" woman is not an extraordinary leap in size. You may need to change the profile of your implant to a High Profile implant so that the implant is not too wide for your chest. There are always risks involved but nothing out of the ordinary.

Thank you for the question.

 Ultimately, only you will be able to decide whether additional surgery is “worth it”. This is especially true since you are pleased with the results of the breast augmentation surgery in general. Your plastic surgeon may be a good resource for you to communicate your concerns/goals and to weigh these against the potential risk/complications associated with additional surgery.

 Only after weighing the pros/cons will you be able to make a good decision whether or not to proceed with additional surgery. If you do decide to proceed with additional surgery, make sure you communicate your goals clearly;  in my practice, I find the use of goal pictures very helpful during this process.

 Best wishes.