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

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.

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

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!

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

If you are unhappy with the size of your breast implants, it's important to speak with your plastic surgeon about your concerns. In some cases, the size of the implants can be revised through a secondary surgery, known as a breast implant exchange.

During this procedure, your surgeon will remove your current implants and replace them with new ones that are a different size or shape. However, it's important to keep in mind that there are risks associated with any surgical procedure, including the risk of infection, bleeding, and anesthesia complications.

Before undergoing a breast implant exchange, your plastic surgeon will need to evaluate your current breast tissue, skin elasticity, and implant placement to determine whether you are a good candidate for the procedure. In some cases, additional procedures may be necessary, such as a breast lift or fat transfer, to achieve the desired results.

It's important to have an open and honest conversation with your plastic surgeon about your goals and expectations for your breast augmentation, so that together you can come up with a plan to achieve the results you want.

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.

Most women cannot support the weight of 650 cc implants over time. This large size will stretch and thin your own tissue even more. You have a nice size now. Please don't ruin your breasts with large heavy implants. You will not be happy long term.

You might consider a plane change to the subfascial position for the implant. This will give more medial cleavage and fullness because the muscle pushes the implant down and out. However I do agree with other answers that implants that are too large for your body frame/chest wall will definitely cause you problems in the long term. With the plane change you may achieve that fullness and larger feel/look even with the same or it slightly larger implant.

Thank you for your question and photographs. As others have stated the fact you have ultrahigh profile implants tells me that you do not have adequate base width to allow for larger implants.

The concern is that if your surgeon attempts to make more room in your implant pocket to allow the medial aspects of your breast to touch as you show in your photo of your desired fullness, there is serious risk that you could end up with Symastia which would be a very unfortunate result.

I would speak with your plastic surgeon and expressed her disappointment however at present your breasts look quite good and are likely enhanced as much as possible without the risk of complication.

You look like the maximum diameter UHP has been used so IMO you can't go bigger without causing some potentially unfixable problems. You can't just pull volume numbers out of the air, you need to fit the diameter of the implant to the diameter of your chest like fitting a shoe on your foot. Some people are wide enough to get really high volume implants and some are not. Go back and discuss with your surgeon because the photos provided are hard to evaluate.