A to D cup with 380 cc saline implants, should I have gone bigger?

Question

Before the augmentation I was a negative A. my stats are 5'6, 143.8lbs, athletic muscular frame. I went with a 380CC saline implant. I do wear a 34D bra but I feel as if I choose one that is too small. I feel like I should have went up to at least a 450CC implant. I do have to have a revision because of Capslar Contracture so I am leaning toward a bigger implant and also silicone. My surgeon said the 380CC fit me beautifully but I feel like I should have went bigger. Thoughts based on my stats

Ryan Neinstein, MD, FRCSC · Answer

Thanks for the question, if you really want to go larger it is important that you understand that the extra weight will eventually win and stretch your tissues more than a smaller implant. If you are ok with that tradeoff than you should discuss a larger implant

Christopher Khorsandi, MD · Answer

Size choice is based on a number of factors: breast tissue thickness, breast base width, patient goals etc.  You could consider a second opinion if you are unsure of your surgeon's recommendation.  Seek a board certified plastic surgeon who is familiar with revision breast surgery.  Good luck.

Erik Hoy, MD · Answer

The implant size is ultimately one that you have to live with, so you should choose the size you are most comfortable and happy with.  But, your surgeon will help guide you as well.  One thing to keep in mind in this decision is that a larger implant will stretch your thin breast tissue more over time.  Also, you may want to discuss the use of acellular dermal material with your surgeon, since this could decrease your risk of capsular contracture, thicken your thin tissues, and provide support to the soft-tissues of the breast, particularly if you increase the size and weight of the breast with a larger implant.  Best wishes,-Erik Hoy, M.D.

Jeffrey Zwiren, MD · Answer

If your soft tissue will expand then you should be able to increase the size of your breasts.  I would go with your plastic surgeon's recommendations

Steven Wallach, MD · Answer

If you want to go bigger and your chest can "handle it", then it should be possible to have larger implants with your revision surgery.

A to D cup with 380 cc saline implants, should I have gone bigger?

Answers (8)

Answer: Implant selection

Answer: Implant selection

Answer: Breast implant revision

Answer: Breast implant revision

Recommended reading

Everything you need to know about Breast Augmentation

Our mission is to create a world where every investment in modern beauty is Worth It.

A to D cup with 380 cc saline implants, should I have gone bigger?

Answers (8)

Answer: Implant selection

Answer: Implant selection

Answer: Breast implant revision

Answer: Breast implant revision

Browse related questions

Recommended reading

Everything you need to know about Breast Augmentation

Our mission is to create a world where every investment in modern beauty is Worth It.