380cc Revised to 650/750cc Ok? (photo)

It's important to get accurate measurements of your breasts. In addition, use "rice" bag to determine how much more volume your are seeking. This will help you with finding the ideal fit and volume for your body and achieve the look that you are seeking. There are other considerations with regard to large saline implants. Make sure your plastic surgeon spend the time to go over the pros and cons of large implants and possible consequences over time.

Best Wishes,

Stewart Wang, MD FACS, Wang Plastic Surgery

Thank you for the question and pictures.

I would suggest that you communicate your goals with your plastic surgeon ( I prefer the use of goal pictures)  and ask him/her to do his/her best to achieve the results you're looking for.   As you can imagine,   words such as the “porn star look” may mean different things to different people and can be a source of miscommunication.  Also discussing your goals in terms of resulting breast cup size may be confusing as well.

Once you have communicated your goals clearly, you may want to leave it up to your plastic surgeon to use the breast implant size/profile that he/she feels will do the job based on intraoperative evaluation.

I use  intraoperative sizers and place the patient in the upright position to evaluate breast size. Use of these sizers also allow me to select the breast implant profile (low, moderate, moderate plus, high-profile) that would most likely achieve the patient's goals. The patient's goal pictures are hanging on the wall, and allow for direct comparison.
 I have found that this system is very helpful in improving the chances of achieving the patient's goals as consistently as possible.

Best wishes.

I agree with you that you could go larger, but how large is too large?  I think going over 600 cc's is a bit over the top, no pun intended, but you might be happy with it.  I would probably not recommend going over 500 cc's, because that is when you start having problems related to implants that are too large, such as sagging and stretching of the skin.  Good luck.