Is it worth it to go up 50cc? (Photos)

Question

I have an unusual situation. I had 350cc saline implants put in june 2017 and 3 weeks later i had exposed my right implant from lifting too much and had to have it removed. After this ordeal, my dr offered to upgrade both my boobs for an additional cost of 1250 and give me 400ccs which he highly suggests is perfect for my body and frame. I was told going a little bigger would give me that perky tight feel that i want. Im 5’, 106-118 lbs and 32. I Cant decide what is the best decision for me

Anita Patel, MD, FACS · Answer

Any time you are on the fence about elective plastic surgery, don't do it. I would recommend waiting until the answer becomes clear to you. Once you have a procedure, you cannot take it back. If you are happy with your current size and shape, there is no reason to go in for an increase in size. Also, I'm not clear on what you mean by "upgrading" the breasts. Do you mean increasing the size, or changing to new implants, or simply adding volume to your current implants? Adding volume to give a tight feel is not a reason to have surgery, since that tight feeling is temporary, and only lasts as long as it takes your skin to relax around the larger volume. It is very rare for an implant to get exposed after a standard breast augmentation, so I am wondering if there were other factors were involved (hematoma? infection? trauma?) In the photo the breast volume appears asymmetric, and it also looks like there are incisions related to a breast lift, not just an augmentation. If there is asymmetry, this may be a reason to go back in, but it is hard to answer the question without getting the full history and doing an exam. While online forums are a great way to get information, photos do not take the place of seeing a plastic surgeon in person, and it may be a good idea to get a second opinion. Please make sure you seek out a plastic surgeon who is certified by the American Board of Plastic Surgery and has experience doing breast implant revisions.

Urmen Desai, MD, MPH, FACS · Answer

Going up by 50cc is not worth it.  It will not be all that noticeable.  The implant selection should be based on a combination of your desired size, soft tissue dynamics, breast base diameter and skin elasticity.  I recommend an in-office examination as well as a detailed discussion with a surgeon who you are comfortable with.   Finally, make sure your surgeon is a Double-Board Certified Plastic Surgeon certified by the American Board of Plastic Surgery (ABPS), a member of the American Society of Plastic Surgery (ASPS), a member of the American Society of Aesthetic Plastic Surgery (ASAPS), and a fellow of the American College of Surgeons (FACS).Best,Dr. DesaiBeverly Hills Institute for Aesthetic Plastic SurgeryHarvard Educated, Beverly Hills & Miami Beach TrainedDouble Board-Certified, Double Fellowship-Trained Beverly Hills Plastic Surgeon

Gerald Minniti, MD, FACS · Answer

Hello, There is more to your story than you probably know. Implant removal that early almost always has to do with implant infection, which is not caused by too much lifting. You clearly have peri-areolar incisions, and I highly recommend you and your surgeon avoid using them again, given the risk of re-contaminating your new implants. I think you should get a second opinion from a few ABPS certified/ASAPS member surgeons who specialize in revision breast surgery. Best of luck!

Anthony Deboni, MD · Answer

Thank you for your question photos. I have found it in order to make a meaningful difference, usually at least 100 mL per size necessary. I would listen to your surgeons input, but realize that 50 mL will likely make very little difference in your ultimate shape and size. Best Regards.

Mathew A. Plant, MD, FRCSC · Answer

Without examining you it's difficult to give specific advice but if you felt your breasts weren't as "perky and tight" with the 350cc implant as you wanted then adding 50ccs may make a difference. The best way to judge is to try the implants at a sizing session and see if they look right. Hope that helps!

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Is it worth it to go up 50cc? (Photos)

Answers (9)

Answer: 50 cc Increase in BBA

Answer: 50 cc Increase in BBA

Answer: Is it worth it to go up 50cc? (Photos)

Answer: Is it worth it to go up 50cc? (Photos)

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