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

Question

I am 5'0, 28yrs, 126.6lbs w no kids. I do weightlifting and I already have 360cc saline. I was 34b before my surgery, well 3 years later I feel I'm not as big as I wanted to be and I'm looking to increase size and I would like to know if 450cc or 430cc is too big for my frame? Since I've been lifting a lot I've seen a reduction in my size. I was suggested 450cc saline implants, under the muscle. Also I was thinking that if I go bigger,it will help me close a bit the gap between my breasts.

Tom J. Pousti, MD · Answer

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.

Emmanuel Mallol Cotes, MD · Answer

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.-

John Michael Thomassen, MD · Answer

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.

Nathan Eberle, MD, DDS, FACS · Answer

you need to sit with your surgeon to have a discussion about not only the volume but the look you want. Realize that your breasts sit far apart/you have a wide sternum, which will make it nearly impossible to get your implants/breasts right next to each other. I am sure they can be closer than you have currently, but that is just your breasts and the way they sit on your chest. As for size, no reason to use saline anymore, silicone/gel feel and look much better. Changing the profile/style can give you a perkier look depending on what you have in now(likely Mod+). Any implant swap under the muscle, you need atleast 75-100cc increase to see a significant difference in size. Best of luck.

Daniel Barrett, MD · Answer

Eva,
Great questions and congrats on staying in great shape. Your implants are bottomed out in the photo you sent. I would suggest a consultation to be certain but you likely need a pocket revision and upsize to a moderate profile silicone textured implant.  Your widened look is due to bottoming out and incomplete release of the pectoralis medially.
Daniel Barrett, MD, MHA, MSCertified, American Board of Plastic Surgery Member, Am. Society of Plastic Surgery

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

Answers (9)

Answer: Chest dimensions

Answer: Chest dimensions

Answer: #breastimplantrevision #Breastimplants

Answer: #breastimplantrevision #Breastimplants

Recommended reading

Everything you need to know about Breast Implant Revision

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

Answers (9)

Answer: Chest dimensions

Answer: Chest dimensions

Answer: #breastimplantrevision #Breastimplants

Answer: #breastimplantrevision #Breastimplants

Browse related questions

Recommended reading

Everything you need to know about Breast Implant Revision

Our mission is to create a world where every investment in modern beauty is Worth It.