Switching from saline to silicone, currently have moderate saline (under) wanting HP silicone. How many CCs? (Photo)

I currently have 350cc's, to get more volume and projection I'm thinking about going to a HP - how many CC's do you think would give me a nice full appearance without being too top heavy? We are thinking between 425-500cc's I'm 5'3 120lbs Bdw 13 Current bra size 36 C

Doctor Answers 4

What size implants

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In my experience, you need to add a least 100 mL to your implant such that the change will be obvious. The base width of the implant takes into consideration the base width of the chest wall. Going to a high profile configuration will allow you to place more volume without exceeding the base width of your chest wall. Therefore, the numbers that you show sound about right to me. Good luck with your surgery.

Louisville Plastic Surgeon
4.7 out of 5 stars 58 reviews

Deciding on Implant Size with Your Breast Revision

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Depending on the reason for the breast revision determines the sizing outcome. However, there are no guarantees with size predictions for revisions. Initially, if a woman wears a size 36 AB bra and would like to be a C cup, which is the average size that women wear and the average size bra that is sold, she needs a volume of approximately 350 to 390 cc to make that change. This becomes less if she's wearing a 34 bra, because it has a smaller strap size and the cups have a smaller diameter. A smaller diameter implant would then be a volume of approximately 300 to 350 cc. In the same way if she was more petite, maybe a double zero or size one and wore a 32 AB bra, then to become a 32C cup she would only require about 250 to 300 cc. This is a general number, and of course there are other factors that will affect this. 

Other factors which contribute to the outcome are #size, #shape, and #profile.  The #profile is determined by the amount of #projection versus roundness that the you desire, as well as the #size of the implant and size of your chest. Also, the placement or incision location will also have an effect on profile. 
Another element to a satisfying result of your #augmentation is realistic #expectations.
#Shaped implants are all #textured and should not rotate when used properly. In my practice, about 20% of the patients benefit from shaped implants. Your Plastic Surgeon needs to measure you and determine the best shape and size of any implants that are used.

Jed H. Horowitz, MD, FACS
Orange County Plastic Surgeon
4.9 out of 5 stars 116 reviews

Implant Revision

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Thank you for posting your photo.  Based on your photo alone, it appears that you will get a very nice result from a revisional breast augmentation with new larger silicone gel implants.  I would suggest you consider the Allergan Inspira implants that will help achieve your goals and a natural feel.   In terms of sizing, an in-person consultation is really needed.  I would also bring some "wish pics" to illustrate your desired look goals.  I would also like to assess your chest wall dimensions to determine which range of implants would look best to achieve your goals.  Please visit with a board certified PS to learn more about your options.  Best wishes,

Dr. Basu

Houston, TX

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Implant options

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desiring a "full appearance" and "not being too top heavy" needs to be discussed more in person.  we have so many implant options now.  based on our discussion, I help you find the right profile to meet your desires. a BDW of 13 sounds too wide for someone with your proportions.  I am getting very high satisfaction with the Natrelle Inspira line.  the full profile an extra full profile are patient favorites.  without seeing you, impossible to make definitely recommendations.  

Please make an in-person consultation with a ABPS board certified PS to evaluate you and discuss your options.

Hope that helps and best wishes!

Dr. Morales

ABPS Board Certified

Houston, Tx

Rolando Morales Jr, MD
Houston Plastic Surgeon
5.0 out of 5 stars 44 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.