Breast Revision on Petite Frame to Go Larger, Is 500cc A Good Size? (photo)

Even more important than the volume of your implants is the width, or diameter.  Your nipples are lateralized, ribs facing forward, slightly depressed lower sternum, very lean build.  500 cc high profile gel probably OK, will be a D or DD cup.  Expect implant edge visibility and/or palpability.  Inner (medial) edge of implants should come closer to your midline than current implants to decrease inter mammary distance to about one inch.

Hello Angelmomma,

You can't fill out sagging breast skin with breast implants. If you look at your appearance now with 300 cc, you already have too much implant above the nipple.  Switching to a larger implant, regardless of profile, will make matters worse, not better.  Furthermore, I will argue that your current 300 cc implants, which appear contracted by the way, are just about the limit that your body's anatomy would dictate.  Switching to larger implants would require lifting your very thin tissues off of your ribs and sternum, and it would be the only covering for these implants.  This puts you at risk for severe rippling, unpredictable tissue stetch, and the double bubble phenomenon. If you want to improve the aesthetics of your breasts, you will need to have a breast lift.

Best of luck!

Hello,

If you go much larger you will probably need a lift. 500 cc sounds a bit large.

 

Best Regards,

 

John Di Saia MD

Your breast appearance is not unusual for a woman who had a pregnancy following breast augmentation.  Your condition is termed pseudoglandular ptois.  This condition is characterized by breast tissue that hangs off of the implant. There is basically a mismatch between the center of the implant and the center of your breasts.   A larger implant along with a release or removal of the inferior portion of the implant capsule will help improve your overall shape.   As for the size of implant best for you, your plastic surgeon is in the best position to determine this based on your tissue characteristics and individual anatomy.  

Your doctor should be able to help you visualize what you desire using homemade sizers made from rice and knee-hi nylon stockings.  If you truly desire the look of what 500 cc's would do for you, go for it and accept the concerns voiced earlier about potential for stretching your skin excessively.  I have not really seen that happen in my practice and have only heard about it from others.  The larger implant will help diminish your  intermammary distance and add more fullness laterally.

Your implants are excessively high and you appear to have a mild contracture contributing to this.  You may consider revising your pocket at your surgery as well and should discuss this with your doctor.

If you are conservative and do not like to take chances, then stay with smaller sizes to avoid the potential long term risks. 

Gel implant would be suggested if you are experiencing issues with rippling or palpability.  And if you go with larger sizes, the gel would definitely be less palpable but realize the temperature changes very slowly.  Discuss your concerns thoroughly with your doctor and they should be able to address all of them adequately.  Best wishes!