350cc or 425cc For CC Revision?

Implant sizing depends on many factors including native breast size, breast-skin tissues, chest measurements, implant type, asymmetries and planned implant position.  Depending on the aforementioned factors a 75 cc change may be a significant change for one individual whereas it may be a small change someone else.

If you start with a small frame, 75cc makes a big difference.  A lady who is 95lbs and 5 foot 1 with a 32A starting size sees a major difference between 350 and 425.  A lady who is 5 foot 10 and 175lbs starting as a 36b is going to see much less of a difference with a 75cc change.  Going bigger on the good side which is already soft should have a minimal (not zero, but small) risk of increasing CC rate on that side.  That procedure should be done first in the OR and is very straight forward.  This is best discussed with your surgeon but if you are having surgery already and want to be bigger, make them both bigger since you will have to recover anyway!   Best of luck!

Without the benefit of in-person examination, the advice he received from online consultants can only be taken as quite general and should not be relied upon during your decision-making process. Generally speaking, for most patients, a 75 mL difference in breast implant volume ( in the breast implant size range that you are considering) Susan will make a modest difference in the appearance of outcome.

The best online advice (regarding breast implant selection) I can give to ladies who are considering breast augmentation revisionary surgery is:




1. Concentrate on choosing your plastic surgeon carefully.  Concentrate on appropriate training, certification, and the ability of the plastic surgeon to achieve the results you are looking for. Ask to see lots of examples of his/her work.






2. Have a full discussion and communication regarding your desired goals  with your plastic surgeon. This communication will be critical in determining  breast implant size/type/profile will most likely help achieve your goals. 
In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. I have found that the use of words such as “natural”  or “C or D cup” etc means different things to different people and therefore prove unhelpful.
 Also, as you know, cup size varies depending on him who makes the bra; therefore, discussing desired cup  size may also be inaccurate

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3.  Once you feel you have communicated your goals clearly,  allow your plastic surgeon to use his/her years of experience/judgment to choose the breast implant size/profile that will best meet your goals.  Again, in my practice, this decision is usually made during surgery.




I hope this (and the attached link) help.

Your question is very complicated. The answer depends factors such as skin quality, natural asymmetry, amount of breast tissue and the wild card is the capsule..  In general, 75 cc is not a lot of difference.  However, that depends upon your starting point.  If your breasts were asymmetric to begin with, then 75 cc may solve the problem.  The answer to your question is also complicated by your capsular contracture.  Once the capsule is removed, it can completely change the dynamics of how an implant sits in a new pocket. That is both the shape, size and feel of the implant.

75 cc may may make a modest difference. If there were no CC I might discourage that small a size change, but if you are having surgery anyway, it seems reasonable. Any smaller size will probably not be noticeable in terms of change. 

I don't think that a larger size will increase contracture risk. All the best. 

Hi.

Seventy-five cc's will certainly make a noticeable difference in size.  So if you want to go bigger, need to operate on both.