Bottomed out after breast lift/330 implants. Want to go up to 370-400 cc. Bottom out again possibly? Internal shelf needed?

No, you cannot go larger if you bottomed out with 330 cc implants. You need to go smaller and probably use mesh for better support.

I highly recommend against going larger after "bottoming out". Usually this is because there is inadequate surgical technique or excessively large implants for the breast (or both). You may need some internal support as well such as Galaflex. i would find a surgeon certified by the American Board of Plastic Surgery; ideally, one with an aesthetic fellowship accredited by The Aesthetic Society. I would also review before/after photos, Google reviews, and talk to the surgeon directly if possible.

Unfortunately, you have not provided photographs or told us your bra size. However, if you are having problems with bottoming out with 330 cc implants then you will make the situation worse adding larger implants. You may need to undergo explantation with breast lift and then 6 months later small implants can be placed. I would need more information to give you a more accurate answer.

Best Wishes,

Gary Horndeski, M.D.