I had a BA-250CC, Can I go up to 295C or 325CC and not look too full in the upper pole? (photos)

Hi, A slightly larger implant would "fit" and preferentially take up the area on the outside of the breast as it slightly "underfilled" especially on the right of the photo and that causes the nipple to look as if it is too far to the outside when this area in not round as round as it is towards the cleavage. It is best when centered over the implant but is not always possible. Your left nipple is better centered currently, so if you go wider the left nipple might appear to be too far towards the cleavage, although not a huge concern as this is unavoidable in you. Changes will still take place if you wait for them to "settle". I prefer to wait 6 months at least as many patients change their minds about size over time and it can save you from having another surgery. Good luck.

Thanks for your question! Based on your front-facing photos, you appear to have pectus excavatum which I am sure your surgeon explained to you. Unlike some patients, you will have surgical limitations because your breast implants will always want to fall inwards and create that tight cleavage. You could perhaps go a little bit bigger, but I wouldn't advise going far beyond that. Good luck!

Dear Mstdj,
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

You appear to have an excellent result currently. Returning to surgery for an exchange to the 295 mL implant probably is not worth the risk because the change in appearance will be difficult to appreciate. Increasing to 325 mL will add enough volume to be readily apparent. I can't comment on upper pole fullness without knowing the implant make, model, and position and a lateral photo.

You are still early in your recovery. I encourage you to wait until you are about 6 months post op before judging your results. Your implants will appear softer and more natural as swelling resolves. If you are still wanting more volume you can consider the implants that you mentioned at that time.

Hi, Thank you for the questions. It is much easier to exchange your implant now, as your skin and breast tissue has already stretched to some extent and it is easier to fit a larger implant in the pocket. In order to go bigger, You will need to either increase the projection with similar base diameter, which will give you a more augmented look ( fake look over the upper pole of the breast). The other option is to have similar projection with slightly wider base. The latter option would extend towards your upper arms slightly ( side breasts), which is not the preferred option among my patients. If you allow a couple of more months for breast to settle down, you will have a great natural result. I hope this answer helps

You are right, it is very early to perform a revision breast augmentation, but the capsules (scar tissue) have not yet thickened and would require very little revision. I feel you would be able to fit a 295 and maybe even a 325 (although you mentioned looking 'natural' and this might be too large). Increasing the volume of your implants and possibly using a higher profile implant (which are narrower but have more roundness and upper breast fullness) would both give you volume and as they get larger, they also get wider which would fill the lateral portion of your breasts which are a bit narrow now. Your cleavage is quite tight so no further adjustment to this area is necessary.
Best wishes.
Dr. Taranow

Actually, it is best to exchange once your swelling has subsided and the tissues have healed, like 6 months. Your size looks good on you now. Yes, you can go larger, but will have less space between your breasts than you currently have and this will look less "natural". I would keep what you have. Going up just 30 cc's is usually not worth the extra costs and healing time.

Thank you for your inquiry and photos. Based on your height and your chest dimension, I would expect that an implant even up 400cc would serve you well. That would probably put you into a comfortable / full C cup. Also, a peri-areolar lift of the right nipple areolar complex would help to even out the nipple position. Good luck.