Unhappy with 450 cc UHP silicone implants, 5’3 135-140 lbs, I want a very large look. Would 650 cc be suggested? (Photos)

Question

So like I said, I have 450 cc ultra high profile under the muscle silicone implants and I’m not really happy with the size. I was under the impression that it was going to give a bigger look, and I feel bad, because I was talk down from what I really wanted and now I feel like I still have to wear padded bras to get the result I want. After doing some more research I feel like the size I should’ve went with was about 650 cc. What typically happens when a patient is unhappy with the size?

Derek Fletcher, MD · Answer

I can only speak for myself.  I want my breast augmentation patients to be happy!  If my patient is dissatisfied with the result, and I can safely achieve the goal, I will offer to fix it.  I usually don't charge form my time.  I ask the patient to cover the cost of the operating room.

Ali Sajjadian, MD, FACS · Answer

Thanks Cnoelle19 for your question. You can be a candidate for revision surgery if you're dissatisfied with the size of your existing implants. The current implants are taken out and replaced with bigger ones during this process. Although 650cc implants may undoubtedly result in a noticeable increase in breast size, there are a few things to think about before choosing one:
-Body Frame: Because they may appear out of proportion, larger implants may not be appropriate for smaller frames.
-Tissue Quality: Larger implants may be more noticeable and more likely to ripple in thinner tissue.   
-Weight and Strain: The added weight of larger implants may cause pain, especially in the back and neck and may cause significant stretching of breast skin.
-Post-Operative discomfort: Since larger implants frequently necessitate more extensive incisions, recuperation times and post-operative discomfort may lengthen.
-drooping: Larger implants' weight over time may cause drooping, particularly in people with less natural breast appearance.   
-Larger implants are more likely to develop capsular contracture, a disease in which scar tissue develops around the implant.
To find the ideal implant size for your unique body type and desired result, it is imperative that you speak with a Board-Certified Plastic Surgeon. They may talk about your objectives, evaluate your anatomy, and allay any worries you might have.
Keep in mind that the ideal implant size is one that boosts your confidence and blends in with your natural characteristics.
Hope this was helpful!
Best wishes,
Dr Ali Sajjadian 
TRIPLE Board Certified Plastic Surgeon

Camille Cash, MD · Answer

I'm sorry you are unhappy with the results of your breast augmentation.  An exam is needed to determine if a larger implant is recommended for you.  It is important to keep in mind the risks and benefits of selecting larger implants.  If you select an implant that is too big for the given space it may result in issues.  I encourage you to speak to your surgeon about your concerns.

Brian K. Reedy, MD · Answer

Thanks for your question! I'm sorry that you didn't get the result you were hoping for; however, you did get a nice result surgically. Depending on what you started with, that large of an implant may not have been possible in an initial surgery. I would express your concerns to your surgeon, and you always have the option to replace your implants. Good luck!

Daniel Barrett, MD · Answer

Dear cnoelle19,
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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Unhappy with 450 cc UHP silicone implants, 5’3 135-140 lbs, I want a very large look. Would 650 cc be suggested? (Photos)

Answers (10)

Answer: Replacement

Answer: Replacement

Answer: Implant size

Answer: Implant size

Recommended reading

Everything you need to know about Breast Augmentation

Our mission is to create a world where every investment in modern beauty is Worth It.

Unhappy with 450 cc UHP silicone implants, 5’3 135-140 lbs, I want a very large look. Would 650 cc be suggested? (Photos)

Answers (10)

Answer: Replacement

Answer: Replacement

Answer: Implant size

Answer: Implant size

Browse related questions

Recommended reading

Everything you need to know about Breast Augmentation

Our mission is to create a world where every investment in modern beauty is Worth It.