Implants replacement to 800cc achievable? (PHOTOS)

Question

Hello, so I have been trying to get a bigger breast for years, I had no breast, first time I got 180cc, second surgery I got 350 cc and third I got 550cc. Now I want to go bigger since that is the look I want to achieve. I am now on the 550 and still think they are medium. I am 106 pounds 5'3. The first three pics is me now and the last two is my desire. I want to go to 800cc

Miguel Mota, MD · Answer

Hello and thank your for posting with photos. The answer is yes. Hard to say if that is an appropriate size for your without an in person evaluation, but you can certainly go bigger if you wish. Please keep in mind that an 800cc implant is very large. The larger you go the heavier they will be. This might be an issue on your back years to come. Implant weight is one of the factors related to ptosis. Meaning, the bigger they are the faster they might fall. Your stretch marks might also get worse if you go bigger. Plus, if you ever decide to go back to smaller implants, your will need extra scars to tighten the skin and lift your breasts. As long as you understand the pros and cons of going much bigger, I believe there is no problem with achieving your goal.Best of luck,Dr. Miguel Mota

Ted Eisenberg, DO, FACOS, FAACS · Answer

I recommend an in person evaluation by a plastic surgeon to be measured and discuss your goals. After I measure and discuss goals with my patients, we then look at pictures of former patients with similar measurements with different size and style breast implants. My patients tell me that this process is very helpful in determining what size breast implant is right for them. 
Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author                           
RealSelf Distinguished Hall of Fame Inductee

Luis A. Mejia, MD · Answer

Hello dear!
Thank you for your question and provided information as well..
Based on your photos, it seems that you have symmetrical and beautiful breasts for which you wish to add more volume. There are many ways that plastic surgeons perform measurements in order to determine which breast implant size, style and shape will best suit your goals. It is important that you communicate to your board-certified plastic surgeon what are expecting, to make certain that your goals are realistic. It's helpful to show pictures of results you'd like, but please keep in mind that these are other people and your body is different from everybody. In my office, we use a method of sizing with silicone gel forms of known volumes. This is proven to be a very accurate means of determining what size will might be of additional interest to you as well. After saying all this, I think you could go 800cc with no problem, but keep in mind that the size, profile, and shape of the implant is based on your desired breast size/shape, your chest wall measurements, and soft tissue quality.  This decision should be based on a detailed discussion with equal input from both you and your surgeon.   
Hope this helps and best of lucks.
Dr. Luis Mejia.

Donald R. Revis Jr, MD · Answer

Good morning!Obviously you have already found my website- I perform over 200 XL augmentations a year, and I know that you can go to 800cc- no problem- patients LOVE them!

Dallas Buchanan, MD · Answer

Thank you for your pictures and questions. The question of whether or not this is achievable depends on your anatomy and exam. If the base diameter of your breast does not allow for placement of such a large implant (~15.5 cm in diameter), then you are asking for trouble. I personally think that the photos in your "goal" pictures are patients where they have exceeded that rule and although they may be fine now, I can assure you they are going to have significant problems in the very near future and are going to need revision surgery in the next 3-5 years. Your photos already show some signs of skin envelope laxity and stretching of the lower pole (early pseudoptosis) and increasing the implant size is going to result in an increase in that. If you do proceed with revision surgery and increase size to 800 cc, you need to make sure you understand that this is going to increase the changes of problems (symmastia, etc.) and also going to likely lead to an early re-operation for revision. If you are accepting of that, then you can consider proceeding. If you do, I would certainly recommend soft tissue support of an implant that large with Galaflex mesh. Make sure you discuss this option with your plastic surgeon who is board certified by the American Board of Plastic Surgery.  Hope this helps!Dallas R. Buchanan, MD, FACSOwner & Board-Certified Plastic SurgeonVIVIFY plastic surgery

Anthony Barabas, MBBS, FRCS (Plast) · Answer

I have performed 550cc to 800cc a couple of times and it worked fine. The first time I thought it was going to be too big an increase, and warned the lady I might put in smaller implants than 800cc, but after performing or capsulectomy (or even just a release of the capsule - capsulotomy) I was surprised that the breasts comfortably expanded up to accomodate 800cc implants. However, as other surgeons have pointed out, this isn't without risk of earlier complications in the long run with this size of implant.

Kenneth Hughes, MD · Answer

Without an exam it is impossible to say whether the larger implants would be right for you.  Larger implants tend to be more reasonable in taller patients, wider patients, and transgender patients.  These larger implants will create more tissue thinning over time, have more potential for rippling, more potential for bottoming out, greater likelihood of breast lift revisions, etc.  Choosing an implant based on an aesthetic goal that exceeds your anatomic capacity may lead to complications and possibly revision.

Finny George, MD · Answer

Hi, thank you for sharing your question. You will be able to achieve your goal, however an in-person evaluation would help determine your skin envelope laxity. I hope this helps. Best of luck!

Daniel Barrett, MD · Answer

Dear glendasbd,
breast implant type and sizing selection is a complicated process and requires a detailed consultation that includes a discussion of your goals, a detailed examination, and a lengthy discussion. But the decision will always start and end with the patient. When it comes to sizing, we have all of our patients find 3 photos of their desired breast size. We ask for naked breast photos because clothing can obscure the true size (push up bras). Next, we consult with patients and go over the photos and take detailed breast measurements during a physical exam. Next, we using a sizing algorithm to determine a range of implants that will work based on the exam and the measurements.Lastly, during the operation, we use silicone sizers in the operating room to see how the size actually looks in the breast. We sit the patient up in the operating room, while asleep of course, and compare the sizer result with their desired look photos. If it is too small, we start the process over with a slightly larger implant. We don't stop until we get the perfect match.Of all of my breast augmentation patients, every one of them has been happy with their size due to this detailed and meticulous process. You don't want to invest time and money into a result that is either too big or too small.You should discuss your concerns with a board-certified plastic surgeon and make sure that your surgeon understands your goals.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Nelson Castillo, MD · Answer

Thank you for sharing your question and photographs.  Assuming the 800 HP or UHP fit into your now stretched breast pockets you should be a candidate for a replacement.  Be sure to have a thorough discussion with your surgeon about the risks of such large implants and techniques that can be used to help minimize complications.

Implants replacement to 800cc achievable? (PHOTOS)

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