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.

Hi there-
There are a few things to consider here....
The answer to your question is that yes, it is possible. If you are certain you would like to do this, I would wait until at least a year has gone by so that your skin is best able to tolerate this and your capsules are mature.
Having said that, however, I would want you to be very careful in your decision making- large implants will increase your chances of having a problem with sagging, thinning of the breast skin, leading to possible implant visibility and the ability to easily feel and see the implant. This will also pretty much commit you to a breast lift later in life, when you are at a point at which you may not be so happy to have such large breasts, especially if children do come along.
Please be careful, think about how your decisions may affect your future, and proceed with the advice of your responsible and Board Certified Plastic Surgeon.

Hi Barbara1350, Dissatisfaction with the size of one’s implants is the most common reason patients seek a breast revision, almost always switching to a larger implant. Every surgeon uses a different angle when working with patients to determine what size implants will give them the outcome they want. I am a fan of The Rice Test and "Wish For" photos from patients. I have no idea what was the method your surgeon used or what took place, but I can say there are sometimes limitations with your anatomy and fitting the larger cc implants. With your history of TBD, I would be hesitant to recommend anything without seeing you in person. But remember this, your surgeon should have your best interest in mind. If they told you 800cc was too big, it's too big. Will you be able to "shop around" and find someone to do whatever you want? Absolutely. But before you do, check out some of the posts from women with these large implants. As some of the other doc's here have said, they do not age well. And further down the road, you're asking for a host of complicated revisions. Do our research! Good luck!

There are many factors to consider in increasing your implant size, including your chest wall and breast dimensions and your tuberous breasts. While it is most likely possible for your breasts to accommodate  800 cc implants now that your breast skin and fibers have stretched, I would pay careful attention to your plastic surgeon. Review the impact of having minimal breast tissue on the final result, and then ask if he or she would be willing to proceed if you had your mind set on an 800 cc volume. If he or she says no, then that would be a good indication that there is a good chance you wouldn't be satisfied with the result. Once the skin has stretched, the breast tissue thinned, and the tone gone, the clock can't be turned back. 

If your surgeon suggested not going past 500 cc's please listen to him.  Your tissue may not support the weight of a larger implant.  Yes, we can shove a large implant into you, but in a few months or years your breasts may not look good. If you want to go larger, you might want to discuss fat transfers with your surgeon. Otherwise, enjoy your size and a more natural look.  Tuberous breasts can be very challenging.

From
a technical standpoint, yes, it’s always “possible” to go larger. As other
surgeons have mentioned, however, going bigger doesn’t always mean getting
better results. Breast augmentation in tuberous breasts is already very
difficult due to the limitations of the natural breast shape. These existing anatomical
limitations will make going larger even more of a challenge. Without an exam,
my suggestion would be to trust your current surgeon’s advice about not going bigger
than 500 CCs. It’s important to keep in mind that 500 CCs is already a pretty
large implant, and the larger you go, the more potential aesthetic
complications you’ll face, some of which may require yet more surgery down the
road for correction.