Thank you for the question. There is no "straight answer" and no state law when it comes to overfilling saline filled breast implants. In other words, you may receive a different response from every plastic surgeon you talk to. Some general thoughts regarding overfilling saline breast implants may be helpful to you: Saline breast implants are usually filled within a range provided by the breast implant manufacturer. Utilizing saline volumes in the UPPER range of the manufacturer's recommendations helps cut down on concerns such as breast implant rippling. Sometimes, patients who are looking for a certain "round, fake look" benefit from the use of overfilled saline implants. This involves filling the saline implants past the range provided by the manufacturer. I have found, through significant experience, that for the appropriately selected patient, very nice outcomes can be achieved safely. Of course, the use of overfilled saline breast implants does have some potential drawbacks such as a firmer feel. Generally speaking, the best online advice I can give to ladies who are considering 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. Have a full discussion and communication regarding your desired goals with your plastic surgeon. This communication will be critical in determining 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. For example, I have found that the use of words such as “natural look” or "C or D cup" etc means different things to different people and therefore prove unhelpful. Also, as you know, cup size varies depending on him who makes the bra; therefore, discussing desired cup size may also be inaccurate. Again, the use of computer imaging has been very helpful during the communication process, in our practice. 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, after the use of temporary intraoperative sizers. I hope this (and the attached link, dedicated to larger breast augmentation surgery) helps. On this page, you will see many examples of patients who have undergone breast augmentation surgery with overfilled saline breast implants. Best wishes.