Will 350cc Mod+ to 475cc HP Be a Good Idea?

Question

I'm 4'11", 114 lbs, broad shoulders, BF 1 child and went from 34C to 34B but looked like an A. Had my BA on Sept. 2011 - inframammary, 350cc L&R, submuscular, smooth round, silicone, Mod+. After D&F I look like a C. Have good side boob, but fullness on top doesn't completely fill into a D cup, and I don't like wearing padded bras. I thought I wanted the natural look, but because of greed, I want the close-to-natural but fake look. Will it be a good decision to go with 475cc, HP?

Ronald J. Edelson, MD · Answer

It sounds like you got a nice result, but if you want to go larger, there is nothing wrong with doing it. Just bear in mind that it will cost you. Is it worth the cost? and do you think that will make you happy? Think about it carefully before jumping back into surgery.

M. Scott Haydon, MD · Answer

Thanks for your question. Without examining you or seeing a photo it is hard to comment. Based on your description however, I think a 350CC implant M+ is probably the upper limit of normal with respect to your base diameter. A 475CC HP gel will be very round and unnatural. It will also likely be spilling out into your armpit. This will need to be better discussed with your plastic surgeon. Best of Luck!

Kenneth Hughes, MD · Answer

475 cc HP may be an appropriate choice to take you to your goals. 125 cc may be enough to give you a D cup, but cup sizes are inaccurate. An exam would be better to help establish current anatomy and goals. Find a plastic surgeon with ELITE credentials who performs hundreds of breast augmentations and breast augmentation revisions each year. Then look at the plastic surgeon's website before and after photo galleries to get a sense of who can deliver the results. Kenneth Hughes, MD Los Angeles, CA

Vincent N. Zubowicz, MD · Answer

The revisional procedure that you describe doesn't make much sense to me in less there is a clinical reason to reoperating. If your breasts were soft and natural, I would not put that result on the line with a revisional procedure that will change the breasts only modestly.

Aldo Guerra, MD · Answer

Thanks for posting Maryangel. Your measurements suggest you're a petite woman, both short and thin. Increasing your breast implant size by 125 cc typically results in a visible difference. It is also reasonable to suggest the HP will be a better fit for you at that new and higher volume. There's no way to know what cup this all will achieve without a full exam and consult. Best wishes, Dr. Aldo.

Ronald Iverson, MD · Answer

It is a very good question.. You definitely need a consultation with the examination to answer the questions you have raised.. High profile might make the upper fullness you are looking for even more of a problem. Also, that might not be enough of any increase in volume to make you happy.

	Good luck.

Kenneth R. Francis, MD, FACS · Answer

Dear Tinyangel,

	The fake but natural is an interesting concept.  Upsizing to 475cc HP implants will definately achieve your D cup upper pole fullness, but will NOT look very natural.  Good luck!

Steven Wallach, MD · Answer

I think to pick the right implant for you, you need to be examined in person. A 125 cc bump in the implant volume may give you a 1/2 -1 cup bump.

Jeffrey Zwiren, MD · Answer

You really need a close and thorough examination to determine the proper breast implant profile and size to give you the best result. Every patient wants there implants to be up and in but the reality is that time weight and gravity tend to push them down and out. After examining your skin quality, shape of your implant capsule and breast dimensions suggestions could be made for helping you achieve your goals. You may need some narrowing of the implant capsule as well.

Tom J. Pousti, MD · Answer

Despite your excellent description of body type and goals,  it is not possible to give you specific advice without direct examination or at least viewing pictures.   Ultimately, careful communication of your goals, careful measurements (dimensional planning),  careful selection of appropriate breast implants and skillful execution of the procedure will be important steps in achieving your goals.
	 

	Generally speaking, the best online advice I can give to ladies who are considering  revisionary breast augmentation 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're 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. I have found that the use of words such as “natural”  or “C or D cup” or "fake look" 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.      

	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.   

	I hope this (and the attached link) help.

Will 350cc Mod+ to 475cc HP Be a Good Idea?

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