Will an increase of 100cc make a big difference in the appearance of my implants? (photos)

Question

I'm 250/270cc moderate rn and exchanging for bigger because I want more upper pole. My surgeon is deciding with moderate plus and 350 and 385. I don't want to be too much bigger.. just better upper pole. This won't make me MUCH bigger right? I'm also getting pocket tightening and galaflex from bottoming out/lateral displacement

Leland Deane, MD, FACS · Answer

Biggest trap in the world: thinking that more upper fullness will be achieved with a larger implant without problems later. Even if you get the upper pole fullness that you seek (amd the implant increase you mention is significant), your breasts will eventually stretch again and you will get accentuation of the bottoming out deformity that you already have in the photos.

Daniel Barrett, MD · Answer

Dear 385ccgirly,
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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Gianfranco Frojo, MD · Answer

One shot glass is approximately 45cc. Going up in size from 250/270 to 350/385 is like adding 3-4 shots worth of volume. I would make sure that your surgeon understands what your goals truly are with the surgery.

Gary M. Horndeski, MD · Answer

Implants are a foreign body and they are not held internally by any attachments. As a result, gravity is acting on your implants and has displaced them inferiorly and laterally. Increasing to a large volume will add additional weight and additional forces to displace them even further. Galaflex will not last and will not be able to hold the additional weight. You are better off using the same implants and have the pockets extended upward and inward and reinforce inferiorly and laterally. This will be less expensive, more effective and will create more upper pole fullness you desire.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Sean Fisher, MD · Answer

100cc difference should change your overall volume by less than a cup. Upper pole fullness is largely determined by implant projection and implant positioning. Reinforcing your IMF and adding mesh will all for the implants to sit higher allowing for more upper pole fullness. Ultimate implant selection should be based on your native breast base width and match this up with the appropriate volume and projection. 
Sean Fisher Aesthetic Plastic Surgeon

Connie Hiers, MD, FACS · Answer

Increasing by 100 cc's will be a difference and probably move you up a cup size. However, you are bottoming out with these implants and will have the same risk with larger implants. Hopefully the mesh will give support while you are healing.

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