650 cc Saline implants or 750 cc saline implants?

Hello and thank you for your question.   The size, profile, and shape of the
implant is based on your desired breast size/shape, your chest wall
measurements, and soft tissue quality.  This decision should
be based on a detailed discussion with equal input from both you
and your surgeon.   Make sure you
specifically look at before and after pictures of real patients who have
had this surgery performed by your surgeon and evaluate their results.   The most important aspect is to find a
surgeon you are comfortable with. I recommend that you seek consultation with a
qualified board-certified plastic surgeon who can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Thanks for the question. I recommend you to send your photos to us to give you the advise of the volume you'll need because it depends in many parameters such as the chest diameter.Kind regards 

Hello,No one can answer whether they are too big for you, that can only be determined with a physical exam. However, large implants like those, especially if they are saline, will take a heavy toll on your breast tissues over time. You should consider silicone gel.  Additionally, you may need a breast lift too based on your history. Best of luck. 

Hard to answer this question without an in person exam and specific breast measurements. Remember that there is no direct correlation between implant size (cc's) and cup size. Best option is to choose a board certified plastic surgeon who actually takes the time to measure you and examine your breast pocket. Also remember that sizers will only give you a rough estimate. The goal of breast augmentation is to optimally fill your breast pocket, not to overstuff or understuff it. Height and weight have no correlation with breast size. At my practice, we utilize a series of 5 breast measurements that help me determine the ideal implant size, which in turn helps me deliver a 24 hour recovery. Do your research and choose a surgeon who takes the time to sit down with you and discuss your goals/expectations to determine the best size for you. Good luck!!

Thank you for
your question.

The implant has
to fit YOUR body dimensions. The more you deviate from the proper fit,
the more fake your breasts will look.

Since you already had a surgery
before, you may know about the tissue-based planning to determine the implant size.
The planning takes into account the effects of implants on tissues over time, risks of excessive stretch,
excessive thinning, visible or palpable implant edges, visible traction
rippling, ptosis (Sagging), and breast tissue wasting.

To determine the final implant size, many breast
measurements need to be made:  breast
width, breast skin stretch and nipple-to-Inframammary fold distance. The
combination of the breast width along with these measurements will help
determine tissue coverage and the required implant volume to optimally fill the
breasts. If the skin covering your breasts is stretchy (>2 cm), or if your
nipple-to-inframammary fold distance is greater than 9.5 cm, then more volume
is needed for the optimal fill.

Since 450 cc provided an optimal fill last time,
you may probably need more than 100 ccs to get back to your original size
(i.e., DD). Again it truly depends on your current breast measurements, breast anatomy, and chest wall characteristics.

All
this being said, share all your motivations for surgery, expectations
and goals with complete honesty to avoid miscommunication and post-operative
concerns/regrets. Be as specific as you can about what you like regarding your
breasts and what you don’t like. If you trust your surgeon and their judgment and the
decision-making method used to choose the implant size, then you should be in
good hands.

Hope this helps.