Is there a noticeable difference going from 650 to 800 in a silicone implant? (Photos)

Question

I have 650cc over the muscle silicone and I couldn't be more thrilled with how they look to to me. Considering a little bigger, I know that I can only go up to 800 in a silicone and I just did I'm unsure whether it's going to be a noticeable difference? I'm not sure I want to go to the expense and recovery if it isn't really going to be that different. I'm 5'7" 170 pounds and a 36DD currently, I'm not sure if a 150 CC's on each side would equate to a cup size or not?

Urmen Desai, MD, MPH, FACS · Answer

I don't think that an additional 150cc on top of the large volume that you have will be worth it.  If you do decide to pursue revision surgery,   I recommend an in-office examination as well as a detailed discussion with a surgeon who you are comfortable with.   Finally, make sure your surgeon is a Double-Board Certified Plastic Surgeon certified by the American Board of Plastic Surgery (ABPS), a member of the American Society of Plastic Surgery (ASPS), a member of the American Society of Aesthetic Plastic Surgery (ASAPS), and a fellow of the American College of Surgeons (FACS).Best,Dr. DesaiBeverly Hills Institute for Aesthetic Plastic SurgeryHarvard Educated, Beverly Hills & Miami Beach TrainedDouble Board-Certified, Double Fellowship-Trained Beverly Hills Plastic Surgeon

Dallas Buchanan, MD · Answer

Thank you for your pictures and questions. An increase from 650 to 800 cc would be a 23% increase in size, so I would consider this a noticeable change. It will probably be near a cup size in change, but that is a guess. Whether that is worth the surgery is only a question you can answer. Another piece of advice or caution, with 800 cc implants (or 650 cc implants for that matter) over the muscle, these implants are not going to age well with time. You may be happy now, but as time goes by, the weight of an implant that size is going to stretch the breast skin envelope and result in a low set implant and breast position. Most patients with this situation end up needing a revision in a few years with downsizing of the implant and a breast lift (mastopexy) to remove excess skin. In planning, just realize that this is probably in your future at some point.Hope this helps!

Mathew A. Plant, MD, FRCSC · Answer

There will definitely be a difference between the two, but if it will be enough to make it worthwhile to go through the surgery and expense is very difficult to answer for someone else. I'd suggest doing a rice test to see if you like the increase in size and if so then book a consultation with a board-certified plastic surgeon near you to discuss your options. Best of luck!

Curtis Wong, MD · Answer

won't make a huge visible difference (using Mentor HP for reference) would only be 1.1 cm wider with 0.3 cm more projection.  Is that worth it knowing that large implants above the muscle will droop with time?  I don't think so and I would counsel you against doing this as the benefit will be minimal in my opinion and not worth the costs, risks, and long term complications.  And do you really want DDD cup breasts?

Nicholas A. Flugstad, MD · Answer

Yes, that would be a noticeable difference and may increase your size by about one cup size. Bra sizing is very subjective, and there is no exact implant volume that corresponds to a cup size. Please keep in mind that very large implants on top of the muscle can lead to bottoming out, stretching of your breasts, possibly rippling. If you are quite happy with your current breasts, it may be best to leave them alone and not mess with a good thing. Congratulations on your surgery.

Tom J. Pousti, MD · Answer

Thank you for the question. Keep in mind as you are thinking about your goals that sometimes adjustment of the breast implant pockets (capsule adjustments) may be necessary to achieve the outcome you are looking for.  Also keep in mind that there is no accurate/reliable/predictable correlation between size/profile breast implant utilized and cup size achieved. My thoughts regarding the potential need for revisionary breast surgery:  I advise patients to carefully consider their degree of concern with the outcome of the initial breast surgery and weigh these concerns against the potential risks/complications associated with the planned revisionary breast surgery.   For example, if the patient is concerned about her breast appearance on a daily or frequent basis, it is likely that revisionary surgery will be helpful when it comes to improving her quality of life.  On the other hand, if the patient's degree of concern seems minor and/or she is  infrequently concerned about the areas of concern, I would recommend against revisionary  breast surgery.

Generally speaking, the best online advice I can give to ladies who are considering revisionary breast augmentation surgery is:
1. Concentrate on choosing your plastic surgeon carefully. Concentrate on appropriate training, certification, and the ability of the plastic surgeon to achieve the results you are looking for. Ask to see lots of examples of his/her work.
2. Have a full discussion and communication regarding your desired goals with your plastic surgeon. This communication will be critical in determining breast implant size/type/profile will most likely help achieve your goals. 
In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. I have found that the use of words such as “natural” or "up a cup size” or "noticeable difference" etc means different things to different people and therefore prove unhelpful.
Also, as you know, cup size varies depending on who makes the bra; therefore, discussing desired cup size may also be inaccurate. 
3. Once you feel you have communicated your goals clearly, allow your chosen plastic surgeon to work with you in determining the best plan to achieve your goals.
I hope this helps. Best wishes.

Michael F. Bohley, MD · Answer

Thank you for your question. It's always difficult to predict cup size, in large part due to variations in manufacturing depending upon the brand and style of bra. Many patients have experienced being in two completely different cup sizes with two different brands. Most patients will see a definite size change with a 150 cc increase in volume. However, if your happy with your result, the costs and risks of further surgery need to be considered as well. In surgery there is a saying that 'the enemy of good, is better.' Best of luck to you.

David A. Sieber, MD, FACS · Answer

Thanks for the great question. The additional 150cc would take you up a little shy of a cup size. I generally tell patients that they will need to increase the size by at least 100cc to see a noticeable difference. The decision is ultimately up to you!Best,~Dr. Sieber

Lisa Lynn Sowder, MD (retired) - Account Suspended · Answer

I think you answered your own question when you said you couldn't be more thrilled with your current implants.   I would not recommend a larger set of implants.  Your current implants will respond to gravity over time and as you age, you should expect some sagging.  The bigger the implant, the more gravity will work on it.  I would use the $$$ you are thinking of spending on larger implants and put it in a future breast lift fund!

Richard P. Rand, MD, FACS (retired) · Answer

In the usual size ranges it takes 75-100 cc's to even see a difference up or down. But at the higher end, the difference of 150 cc's will not be very much, plus the implants will be wider than yours.

Is there a noticeable difference going from 650 to 800 in a silicone implant? (Photos)

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