Breast implant exchange, 300cc to 450cc - will I turn out too big? (photo)

Your breast can only tolerate a certain size volume. This is determined by careful tissue-based planning by a surgeon that is well experienced in revisionary breast surgery. It truly depends on the type of implant as well as there are multiple profiles depending on the implant company as well. I would recommend seeing a board-certified or board-eligible plastic surgeon with aesthetic surgery training and experience to tackle this type of problem in a safe and efficient manner. Best of luck!

Dear mdeltoro27,
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

I do think that upsizing her breast implants will give you more full appearance. If you are concerned about looking too big I would push back against her surgeon. Sometimes it is helpful to compare your desired appearance with pre-and postop photographs of people very similar to yourself in build. If he would like to use a smaller implant, There is always the risk that he would have liked to have been bigger, but the same goes for putting in too large of an implant

No one can answer what is "too big" for you. However, go back to your surgeon and ask to try on a sizer that is 150 cc's so you can actually see the difference.