Is 590cc ultra high profile too big for me? (Photo)

Based upon the photo you have provided, you appear to have a very nice result from your augmentation.  When performing breast augmentation, I utilize dimensional planning, which matches the dimensions of the implant to the patient's chest wall dimensions.  While it is impossible to know your pre- (or post-) operative dimensions from your photograph, it appears that you surgeon did an excellent job matching the implant to your chest wall.  Using Mentor ultra high profile implants, a 400cc implant has a base width of 10.6cm and a projection of 5.4cm, while a 590cc ultra high profile implant has a base width of 12.5cm and a projection of 6.3cm.  While you would achieve a noticeable increase in breast size, you will also be adding almost an inch and a half to you breast width.  Whether or not the added width would be a good match for your frame can only be determined by a physical exam; if the implant is too wide, placement would result in either a change in shape of the implant or the implant extending over the side of the chest wall.  Another consideration should be the added weight.  Replacing 400cc implants with 590cc implants will add over 13 ounces in weight,  which may increase the risk of your breast skin stretching over time, may increase the risk of back discomfort, and may cause discomfort with activities like running.Be sure to carefully consider the potential risks of benefits of the revision with your surgeon.Best wishes.

Dear steph246,breast implant type and sizing selection is a complicated process and requires a detailed consultation that includes a discussion of your goals, a detailed examination, and a lengthy discussion. But the decision will always start and end with the patient. When it comes to sizing, we have all of our patients find 3 photos of their desired breast size. We ask for naked breast photos because clothing can obscure the true size (push up bras). Next, we consult with patients and go over the photos and take detailed breast measurements during a physical exam. Next, we using a sizing algorithm to determine a range of implants that will work based on the exam and the measurements.Lastly, during the operation, we use silicone sizers in the operating room to see how the size actually looks in the breast. We sit the patient up in the operating room, while asleep of course, and compare the sizer result with their desired look photos. If it is too small, we start the process over with a slightly larger implant. We don't stop until we get the perfect match.Of all of my breast augmentation patients, every one of them has been happy with their size due to this detailed and meticulous process. You don't want to invest time and money into a result that is either too big or too small.You should discuss your concerns with a board-certified plastic surgeon and make sure that your surgeon understands your goals.Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

You currently have a lovely shape and appearance with 400 cc.  In general in order to make it worthwhile to increase breast implant size, I would recommend going up at least 150cc, so 590 cc will achieve that goal. You will have more width to your breast (side boob), and with large implants there is an increased risk of implants dropping over time, or symptoms of back pain, which I have seen, just as in patients with large breasts who seek out breast reduction.  As long as you are aware of the down sides, you should be able to achieve a nice result, given when you are starting from.