Confused on size: 430cc or 450cc? Currently have 360cc (Photo)

Thank you for the question and pictures. Ultimately,  careful selection of your plastic surgeon and careful communication of your goals (in my practice I prefer the use of goal pictures, direct examination/communication in front of a full-length mirror, and computer imaging) will be critical. Keep in mind, as you think about options, that adjustment of the breast implant capsules may be necessary to achieve your desired outcome.





Generally speaking, the best online advice I can give to ladies who are considering revisionary breast augmentation surgery 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. I have found that the use of words such as “natural” or "up a cup size” or "too big for my frame" etc means different things to different people and therefore prove unhelpful.



Also, as you know, cup size varies depending on 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 chosen plastic surgeon to work with you in determining the best plan to achieve your goals.







I hope this, and the attached link (dedicated to revisionary breast augmentation surgery concerns), helps. Best wishes.

Thank you very much for enquire.The only type of breast implant that can be re-filled with a syringe are the saline implants (if the valve can be located) but the consistency is that of a bladder filled with water, therefore i recommend you change them for Cohesive Gel - Silicone Breast Implants with textured cover ("gummy bear implants".They are quite safe and aesthetically best as they give a firmer consistency, better projection and most natural appearance than Saline implants.Respectfully,Dr. Emmanuel Mallol Cotes.-

The gap between your breasts can be improved by dissecting the pocket of each implant medially.  This will help round out the shape in this area.  Going up to 450 cc should be fine based on your current breast ptosis and skin quality.