800cc Breast Implant Replacement Possible for Second Surgery?

I would urge you to proceed with caution and heed the advice provided by your plastic surgeon. Placing this large of an implant in a constricted or tuberous breast is more likely to exceed the original breast diameter when compared to a normally small breast (that is not constriced). This could easily produce a double bubble type appearing breast. I would consider ordering a breast imaging study to evaluate the parenchymal distribution over the existing implant to evaluate if it is possible for your existing breast tissue to drape an 800 cc implant.

It is possible to create more space with a revision operation and fit larger implants in the pocket.  You have to carefully evaluate your goals before choosing an implant size.

 There are very few patients whom  eight 800 mL implant is right for. I have only use this implant on one occasion for patient who was over 6 foot tall and weighed close to 160 pounds.    The patient's body size and breast base with, made the implant seem natural on her body without significant stretch of her native breast tissue. For other patients and 800 mL implant can lead to long-term complications. The goal of breast augmentation surgery is to increase size and to provide a lasting satisfying look for a patient. Discuss your goals with a board-certified plastic surgeon who can explain the risks of large implants and determine whether or not your body is right for this type of procedure.

                  It’s
definitely possible to replace your current breast implants with 800cc implants, but is it the right thing to do? Since your current
surgeon is opposed to this maneuver, it’s important that you be cautious and
proceed slowly. Without pre-operative pictures or a physical examination it’s
virtually impossible to make a recommendation.

                  In
the majority of patients, 800cc breast implants would be inappropriate for a
variety of reasons. These implants might negatively impact aesthetics by
disrupting harmony, balance and proportion with surrounding structures. In
addition, it would probably cause upper breast fullness which would create an
artificial appearance.

                  Over
the course of time, utilizing large implants might have secondary consequences
such as stretching of skin and the development of breast sag. This may result
in the need for multiple secondary procedures.

                  It’s
important that you get multiple opinions before proceeding with this procedure.
Make sure you have a thorough understanding of the aesthetic implications and
long term consequences of large breast implants. 

It may be possible for you to go larger.  This will depend on a number of factors.  These will include the width of your chest, the profile of the implant and the amount of natural tissue coverage.  I believe it is important to chose an implant that fits your chest dimensionally well.  For example, if you currently have moderate plus profile gel implants, switching to a high profile or ultra high profile implant may achieve the results you desire. The benefit of the different profiles in breast implants enables the surgeon to make a person a variety of different sizes while maintaining a good dimensional fit.