415 & 385cc, high profile breast augmentation - what are your recommendations? (Photos)

Question

February I had saline implant leak. February I had implant exchange and capsulectomy repair.I stressed in four emails that I didn’t want to be bigger , that it was actually a fear of mine, when I woke I was 415 and 385 cc.high profile. I sent over my mentor card it was 350 cc . Now I can not fit any of my tops. I had my breast implants for 20 years I know my size before . Why is my breast also lower and closer than before .I hate them and sad. Capsulectomy was only one side. I am told it’s my pr

J. Jason Wendel, MD, FACS · Answer

Thank you for your question regarding your high profile implant breast augmentation and for including photos.

The increase in implant size is likely responsible for your breasts now being closer together than previously.

For specific questions like this and about your recovery in general, it is best to speak directly with your doctor or doctor’s representative – such as his or her nurse, or the physician on call for the practice.

You will likely get many differing opinions from members of the RealSelf Community, but they have not personally seen or examined you. Nobody should know you or your unique set of circumstances better than your doctor.

If you feel you are not being listened to or you are doubting your doctor’s recommendations, then it is certainly within your rights to seek a second opinion and get the advice from another board certified physician. This should be done through an in-person consultation with a thorough evaluation, including a review of your history, review of all prior treatment and with a physical examination.

Best wishes!

Daniel Barrett, MD · Answer

Dear Frogamber,
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

Connie Hiers, MD, FACS · Answer

You did not show photos of your breasts out of clothes, so I cannot be specific. I would suggest going back to your surgeon and discussing your concerns. The implants could be exchange for something smaller.

Darryl J. Blinski, MD · Answer

Great posted in clothing photos! NOT helpful though...Either repost in nude or try virtual consults with... Exchange fees range from $4,000-$12,000.

415 & 385cc, high profile breast augmentation - what are your recommendations? (Photos)

Answers (4)

Answer: Implant sizing???

Answer: Implant sizing???

Recommended reading

Everything you need to know about Breast Implant Revision

Our mission is to create a world where every investment in modern beauty is Worth It.

415 & 385cc, high profile breast augmentation - what are your recommendations? (Photos)

Answers (4)

Answer: Implant sizing???

Answer: Implant sizing???

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Recommended reading

Everything you need to know about Breast Implant Revision

Our mission is to create a world where every investment in modern beauty is Worth It.