How much difference is there between 400cc and 525cc? (photo)

Question

I currently have 525cc implants and wanted to go a bit bigger as since having had children they are not looking quite how they did before having them. I went for a consultation and was told I would need an uplift instead and the biggest implant I could have would be 400cc. I'm disappointed as the reason I was considering more surgery was to go slightly bigger. Only the left breast needs the uplift, the right side is fine but I will have to have both done.

Gary M. Horndeski, MD · Answer

Thank you for your question and photo,You do not need implants! All you need is a breast lift that will use your own tissue to fill the top of your breasts. The Bellesoma Method was not only designed to achieve upper pole fullness without implants, but it has also eliminated the dreaded vertical scar component. Breasts are beautifully reshaped and elevated with minimum scarring. Long term results are this technique's hallmark. An internal support is fashioned using a woman's own tissue to keep the newly shaped breast high for years to come. Nipple sensitivity along with the ability to breast feed is also preserved. Remember, implants are not stable devices and as such require maintenance in the form of costly revisions. I hope this helps. Best wishes and kind regards, Dr. Gary Horndeski

Earl Stephenson, Jr., MD, DDS, MBA · Answer

Thank you for your pictures. I agree with not increasing the size of your implants. It is already apparent that with 525 cc implants that your skin cannot tolerate that size and weight. Downsizing your implants with a breast lift would be your best option. Additionally, using some type of internal support such as GalaFlex® or Strattice® would be beneficial.Best wishes.

Steven Wallach, MD · Answer

Remember that the heavier the implants the more likely you might get early ptosis recurrence. It may also depend upon the dimensions of your chest and the size of the implants.

Gregory Sexton, MD · Answer

I would suggest a second opinion. You may be able to get away with just larger implants, or you might need a lift, but You probably can go to the size you want.
Good luck,
Greg Sexton, M.D.

Tom J. Pousti, MD · Answer

Thank you for the question and picture. The operation you are considering is not necessarily straightforward;  experience does matter when it comes to achieving an outcome that you will be pleased with.Generally speaking, patients undergoing the breast augmentation/lifting combination operation should understand that it is significantly more complex than breast augmentation surgery only and that it is associated with will a significantly higher risk of complications and need for additional surgery.  Again, it will be important that you educate yourself regarding the pros/cons/risks/complications associated with breast augmentation/lifting surgery.
 Remember, that during breast lifting surgery, some skin is removed, thereby limiting the "space" available for breast implants. On the one hand, breast augmentation surgery is expanding the breast skin “envelope” while breast lifting is (by definition) tightening up the breast skin envelope. These 2 forces are counteracting each other. Therefore, it becomes important to remove the appropriate amount of breast skin and to use the appropriate size/profile of breast implants to balance these 2 forces appropriately and to allow for achievement of the patient's goals while minimizing risks of complications. 
Generally speaking, the best online advice I can give to ladies who are considering breast augmentation/lifting or revisionary breast surgery ( regarding breast implant size/profile selection) is:
1. Concentrate on choosing your plastic surgeon carefully. Concentrate on appropriate training, certification, and the ability of the plastic surgeon to achieve the results you are looking for. ***Ask to see lots of examples of his/her work.
2. Have a full discussion and communication regarding your desired goals with your plastic surgeon. This communication will be critical in determining breast implant size/type/profile will most likely help achieve your goals. 
In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. For example, I have found that the use of words such as “natural” or "C or D cup" etc means different things to different people and therefore prove unhelpful.
Also, as you know, cup size varies depending on him who makes the bra; therefore, discussing desired cup size may also be inaccurate. Again, the use of computer imaging has been very helpful during the communication process, in our practice.
3. Once you feel you have communicated your goals clearly, allow your plastic surgeon to use his/her years of experience/judgment to choose the breast implant size/profile that will best meet your goals. Again, in my practice, this decision is usually made during surgery (read about the tailor tacking technique), after the use of temporary intraoperative sizers.
I hope this (and the attached link, dedicated to breast augmentation/lifting surgery concerns) helps.  You will find a separate page, on the same website, dedicated to revisionary breast surgery concerns. Best wishes for an outcome that you will be very pleased with.

William A. Wallace, MD, FACS · Answer

How did you feel after your other consultations?
You should certainly go to more than just one surgeon. This is your body. You owe it to yourself to enter into surgery with a good feeling about your surgeon.

How much difference is there between 400cc and 525cc? (photo)

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