Can you keep the same implant size for multiple replacements?

The size of a woman’s breasts can be affected by hereditary factors, extreme weight loss, the aging process, and pregnancy.  There’s no sure way to prevent aging-related changes in your breasts.   In general after a period of time, which is variable, larger breast implants can be placed due to tissue stretch.  Two years should allow you to go bigger by at least 100 cc, maybe larger. The most important clinical factor in determining breast implant size is the base width or diameter of the patient’s native breast. If the patient would like more volume to obtain a larger cup size, the implant profile can be shifted from a moderate+ profile implant to HP implant. The average implant size placed in the US is 350cc which fall without your range of 300-375cc. 
None of the modalities to approximate final results from breast implants are 100% accurate; they merely facilitate the patient and the board certified PS concurring on the size and type of breast implant which will come the closest to reaching the patient's goal. My patients prefer to try on sizers under garments they typically wear to determine if they fit as expected and help allay some of their trepidation associated with this decision. Have another conversation with your PS and ask to try on a profile bra with 300-375 cc sizers under a tailored blouse, tight sweater, swimsuit, workout clothes, tank tops, and other garments you typically wear so that you have the best idea of whether the garments fit as desired with the implant selected.  I would recommend that you go with the size that boosts your self-esteem, and fits your anatomy.

Good question!  No, you don't have to go bigger each time you replace the implants.  You can stay the same or even go smaller too.  The outcome depends upon how your breasts change with the implants.  Best of luck!

The short answer is no you dont have to.  As far as needing several replacements, I am not sold on that either.  The silicone implants that are made today have a rupture rate of 0.8%.  Therefore, they are very well made.  The key is to have a successful first surgery and to pick a size that does not stress your tissues excessively.  The is the key to having a long time frame before needing additional surgery down the line.  Also, taking care of your breast with the use of a sports bra/support bra as much as possible will aid in giving you a long term result.Good luck on your surgery.Hope that helps.

Of course everyone is different but what you say is correct at least in part. In many cases the skin of the breast stretched and you lose upper fullness. For some women they will go bigger to get more upper fullness and then the cycle happens over and over again. Try not to get drawn into that  trap. Mid 300 cc implants are pretty conservative so consider going a little larger.

Dear 
As long as there are no issues with implants, there is no need for replacement. If you ever need to replace your implants, you can keep the same size. There is no need for increase in size. 
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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Thank you for the good question. You are wise in considering the longer-term concerns of undergoing breast augmentation surgery. As you can imagine, every patient is different. Some patients will experience significant breast size change over the course of years; others will not. Factors such as genetics, weight gain/loss, pregnancy... vary form one patient to another. For example, some common changes seen with the breasts  after pregnancy include " involutional  hypoplasia" (breasts  become smaller)  and/or breast ptosis (" drooping"). The changes the breasts experience may be related to genetic factors, skin elasticity changes, hormonal effects, and/or weight gain/loss around the time of pregnancy. My best advice: careful selection of plastic surgeon and careful communication of goals.   I would not suggest that you "start small";  instead, aim for an outcome that you will be pleased with (understanding that long-term predictions in terms of breast size cannot be reliably made). Best wishes for an outcome that you will be very pleased with long-term.

Choose the size you want and stay with it. However, if you choose too heavy, you may need to go down in size over time. I have seen women with 40 year old saline implants that looked great at 40 years. It is possible, you may not need many replacements. If your implants are doing well at ten years and you are happy with the size, they do not need to be replaced. Only replace when needed.

The decision to replace one's implants can be due to problems such as capsular contracture or rupture, but more commonly for improvements in the cosmetic result as our bodies certainly change over time. I am sure you will know exactly what you want in the future when the day comes for a revision. People upsize, downsize, change implant types, do lifts, replace with the exact size, and even remove their implants because it is what is best for them at the time. I am sure the decision will be clear for you when the time comes.

When choosing implant size and style, you need to make the selection for what fits your body and expectations TODAY.  Breasts are very dynamic and change size and shape throughout the lifetime of a woman based on hormonal changes, pregnancy, breast feeding, weight gain and loss.  You can no more predict what your breasts will look like in ten years then predicting who will be president of the United States in 10 years.So, pick the implant that will make you happy today and worry about your appearance in 10-20-30 years or how ever long your implants last.  I have women who have had their implants for over 30 years and still look wonderful.  If and when you decide to have another procedure you can go larger, smaller or just have them removed, it makes no difference.Good Luck!

The simple answer is NO! In the future your surgeon will be able to adjust your breasts as needed for the desired volumeDr Corbin