How long till I can get a revision for bigger implants? (photo)

Question

I am 7 weeks post op With 480 UHP under the muscle implants. I feel like my implants aren't as big as I expected them to be.. It isn't anything against my surgeon personally I think he does good work! I just wish I chose a bigger size. I want to go to 600 cc at least so I can be a DD or more..With the pictures provided do you think my body frame could fit 600 ccs plus ? If so, when can I make a consultation to have another surgery? Do they have to finish dropping ect ..

Earl Stephenson, Jr., MD, DDS, MBA · Answer

I think you result is very good.You certainly can get a consultation now and have your new implants place in a little over one month.

Thomas A. Mustoe, MD, FACS · Answer

I do agree that your implants have dropped and you have a nice shape. However, to minimize the chance for a complication such as capsular contracture due to scar tissue, I would wait a minimum of 3 months before increasing breast size, and ideally 6 months. At that point I agree, that to make a meaningful change in size you need to go up at least 150cc.  You do have to remember that the risk of bottoming out does go up, but your frame looks like you would be fine with larger implants.

Jed H. Horowitz, MD, FACS · Answer

Typically, it's best to wait 6 to 12 months depending on the reason for #revision.  Matters such as sagging or drooping  and size change will not improve with time. As with all cosmetic surgery, results will be rewarding if expectations are realistic. With any surgical procedure, there are some #risks which your doctor will discuss with you during your #consultation.

Gary M. Horndeski, MD · Answer

Bigger
implants will not solve your problem. A larger implant will make them hang even
lower than they are already.Your
problem it not lack of volume but poor positioning.You would benefit from a simultaneous
lift.Most women refuse breast lifts
because of the ugly vertical scars associated with lollipop or boat anchor
incisions.I recommend a new technique
called Breast Augmentation with Mini Ultimate Breast Lift&trade;.Using only a circumareola incision it is
possible to reshape your breast tissue creating upper pole fullness, elevate
them higher on the chest wall and more medial to increase your cleavage.Aligning the areola, breast tissue and
implant over the bony prominence of the chest wall maximizes anterior
projection with a minimal size implant.The implants you have currently will be adequate but need to be
repositioned and your breast tissue needs to be repositioned as well.This should have be done at the time of your
first operation. Best Wishes,Gary Horndeski, M.D.

Robert S. Houser, DO · Answer

As stated before, there is a period of time you should wait before proceeding with any type of revision implant surgery.  You are young, and so your implants may continue to settle for another couple of months, thus appearing "bigger."  In the meantime, your body is creating a layer of scar around your implants called the "capsule."  A soft capsule means a soft implant and good result.  Doing anything to jeopardize that is foolish.  So you let the capsule mature for at least 6 months before another surgery.  If you do another surgery, add more than just 120cc or I think you'll be underwhelmed with the change.  Hopefully, you'll realize that you have a great result with where you are now a live a little before "upgrading."  Good luck.

Curtis Wong, MD · Answer

you should continue seeing him/her.  Since you chose the size, your surgeon won't feel threatened and should be happy to help you achieve what you desire, assuming it will fit on your frame.  Looking at pictures won't do that but from what you have provided, you look pretty good as is.   As for timing, I always recommend my patients wait a little as it may be just enough to allow you to become better acquainted with the size and look and realize that is is good enough.  More surgery brings more risk, costs, and the potential for long term deleterious effects that would require more surgery.

Tom J. Pousti, MD · Answer

When it comes to breast surgery, there is no specific/accurate correlation between size of breast implant used and specific cup size achieved.  Therefore, discussing goals or evaluating outcome of surgery based on specific cup sizes can be a source of miscommunication and/or disappointment. Generally speaking, the best online advice I can give to ladies who are considering revisionary breast augmentation surgery ( regarding breast implant size/profile selection) is:1. Concentrate on choosing your plastic surgeon carefully.  Concentrate on appropriate training, certification, and the ability of the plastic surgeon to achieve the results you are looking for. Ask to see lots of examples of his/her work.  2.  Again, have a full discussion and communication regarding your desired goals with your plastic surgeon. This communication will be critical in determining which operation and/or breast implant size/type/profile will most likely help achieve your goals.In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. I have found that the use of words such as “natural” or "DD cup" etc means different things to different people and therefore prove unhelpful. Also, as you know, cup size varies depending on who makes the bra; therefore, discussing desired cup  size may also be inaccurate.   Therefore, I ask that my patients not base their communication preoperatively OR  their satisfaction with the outcome of surgery postoperatively, on achieving a specific cup size.  3.  Once you feel you have communicated your goals clearly,  allow your plastic surgeon to use his/her years of experience/judgment to choose the breast implant size/profile that will best meet your goals.  Again, in my practice, this decision is usually made during surgery.  The use of temporary intraoperative sizers, viewing the patient's breasts in the upright and supine position, are very helpful during the breast implant selection process.I hope this, and the attached link (dedicated to  revisionary breast augmentation concerns), helps.  Best wishes.

Peter E. Johnson, MD · Answer

Your photos show a result the is very good, however you can have a larger  implant if you wish. The 600cc implant may not be what you want, as it takes at least 150cc to make a visible difference when sizing up or down. Wait at least 3 months to allow the skin envelope to relax before you upsize.

Marc J. Salzman, MD, FACS (retired) · Answer

We make our patients wait a few months. Sometimes they realize that they are actually big enough. It takes 6-8 weeks for the inflammation surrounding the implant to abate. At that time you can safely go larger. If only a small amount of an increase would make you happy, liposuction with fat transfer to the breast can give you a more athletic abdomen and larger breast. Good luck.

How long till I can get a revision for bigger implants? (photo)

Answers (9)

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