Currently have 560cc teardrop, cohesive gel implants - want to go bigger. What do you recommend? (photos)

Dear Polly1982,
breast implant type and sizing selection is a complicated process and requires a detailed consultation that includes a discussion of your goals, a detailed examination, and a lengthy discussion. But the decision will always start and end with the patient. When it comes to sizing, we have all of our patients find 3 photos of their desired breast size. We ask for naked breast photos because clothing can obscure the true size (push up bras). Next, we consult with patients and go over the photos and take detailed breast measurements during a physical exam. Next, we using a sizing algorithm to determine a range of implants that will work based on the exam and the measurements.Lastly, during the operation, we use silicone sizers in the operating room to see how the size actually looks in the breast. We sit the patient up in the operating room, while asleep of course, and compare the sizer result with their desired look photos. If it is too small, we start the process over with a slightly larger implant. We don't stop until we get the perfect match.Of all of my breast augmentation patients, every one of them has been happy with their size due to this detailed and meticulous process. You don't want to invest time and money into a result that is either too big or too small.You should discuss your concerns with a board-certified plastic surgeon and make sure that your surgeon understands your goals.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Good afternoon!You can absolutely handle larger- I perform over 200 XL augmentations a year, and this is how I would get you there:1) you need an 800cc HP or XHP round smooth silicone gel implants2) your left (?) breast (right in the photo) has a much larger areola and should be reduced with a donut mastopexy3) for lift and support long term I would use the Original Internal Bra, my strong permanent internal suturing technique, which lifts and supports the weight of your larger implants against sagging over time- it works and it lasts