How to Get More Projection from Breast Implants?

A 500cc High Profile Saline will PROJECT MORE than a 500cc High Profile Silicone implant. More specifically you will want the end of the volume range to be 500cc. This gets confusing but you really need something in the range of a 400cc High Profile Saline implant that can be filled to 500cc at the end of its recommended fill range. These vary slightly among the manufacturers so it is important to discuss it with your surgeon. Of course, you will be trading off the benefits of the silicone implants if you exchange the implants. Furthermore the increased projection will come at the cost of the width and may mean that you have less cleavage or outer fullness.

Breast implants help to project breast tissue forward and increase the overall volume of the breast.

They are also used to help "fill out" breast volume that has been lost from having children (regardless of whether you have breastfed or not!) or following weight loss.

However, implants often do not address all of a woman's goals on their own.

If the aim is to achieve greater projection in addition to greater volume, a breast lift (mastopexy) may also be required.

For many women, it is necessary to "redrape the crepe" of loose, baggy skin around the augmented breast.

A Board-Certified Plastic Surgeon with a great deal of experience in breast augmentation and lifts can help evaluate your specific situation and guide you in the best option to achieve your goals.

At 5'2" and 138lbs with 500cc implants you are definite not a D. A DD maybe. Remember cup size is relative. The most cost effective way for you to enhance your breast size is to change what's around them. If you are able to lose weight in your midsection it will preferentially make the breasts look much larger. I'm not saying you are over weight but toning the abdomen will change anything.
The only surgical option is go to a larger implant or if the implants you have are Mentor then change them to Allergan. Allergan implants have more projection for the same volume.

One of the concerns I have when evaluating patients for breast augmentation is making sure a patient has realistic expectations of what they can achieve from breast augmentation surgery. Occassionaly, patients desires are unable to be achieved based on their breast anatomy.
In your case, I feel the most likely way to achieve more projection is to exchange your silicone implants for saline implants of the same size. The trade off would be that you lose the advantages of the silicone implants, which are they look and feel more natural than saline implants. Trying to put in a larger size silicone implant runs the risk of distorting your anatomy thereby ,causing you to possibly end up with an inferior cosmetic result.
I would recommend discussing your concerns with your plastic surgeon. Make sure you are on the same page in terms of what you want and what can ultimately be acheived based on your breast anatomy.
Good luck

Hello,
I think you need to be careful in selecting your plastic surgeon, of course, but also in deciding whether it is sensible to undergo a revision. Based on your measurements, a 500cc HP silicone implant is beginning to push the edge of the envelope on what your chest wall, muscle and skin envelope of the breast are likely to accept without developing complications.
Some of the complications of upsizing your implants could include synmastia ("uni-boob"), outward projection of the implants underneath the armpits, or ptosis (sagging) of the implant as it drags your natural breast tissue and stretches your skin downward.
However, if you feel the need to upsize, a saline implant of the same volume (high profile) may provide you a degree of added projection. I find that cc for cc, saline implants make a breast look a bit rounder and larger. For example, a 500cc saline implant will make a breast look larger than a 500cc silicone implant. When you go in for your consultation, your surgeon should assess your skin envelope as well as determine the extent of ptosis you have, as these may be significant factors in determining the projection your augmentation provides.
Good luck.

Remember  a high profile saline implant will always give more projection than a similar size high profile silicone implant  due to the nature of the filler material  .
This is always an option if you prefer a very round ,ballish, fake looking breast .

You already have a large implant. You could always get a more projecting implant e.g allergan style 45. However, this might not be what you need. Once you choose a higher profile ,your implant diameter gets narrower.
Your goals must be well communicated with a board certified plastic surgeon in your area. An honest professional advice will balance between your goals and the safety of this procedure. Best of luck!

At 5'2" your 500 cc high profile implants put you at a D cup from what you tell us. How much more projection (and size) do you think you would like? At some point larger breast implants make you look heavier rather than enhancing your figure.
There is also a limit on how large an implant (high profile or not) that will comfortably fit in your chest and remain soft. Having said that, it is possible to go larger. Have a long discussion with your surgeon before going ahead. There are risks to exchanging implants.
Your surgeon did a good job the first time, so I am not sure you need to look for someone else. Just make sure you have realistic expectations. In our Santa Rosa, California breast augmentation practice, we have placed implants up to 750 cc in patients with your build with excellent results. Best of luck.

Ideal shape of the breast has changed over time (Marilyn Monroe vs Pam Anderson) and is in the eye of the beholder. As a plastic surgeon, one of my jobs is to educate you to achieve your goals. Not to change your goals, but to find out what they are for you, and to try to get exactly that. I will offer advice as to what you are trying to achieve if it is out of the normal, but it is really your decision. The highest probile implant is a style 45 Allergan implant. Some of the "gummy bear" style 410 Allergan implants can look very high profile as well (the MX or LX), but these are only available tocertain doctors that are part of an FDA trial. You should find a member of ASAPS and get a consultation.

From the information you have provided there is not much more room left for more projection. Unless you go with a much larger implant the projection will not change much. Obviously going with even a large implant than the one you currently have (which is large to begin with) can cause other issues such as tissue stretch, unnatural appearance, implant visibility and disproportionate appearance of your chest. Discuss your goals with your surgeon carefully. There is no perfect answer and you have to make tradeoffs. Focus on improvement and not perfection. Revision surgery can also lead to capsular contracture which can be difficult to treat. So, becareful. Good luck.