Going from 425 mod profile to 600-750 hp? (photo)

This is a common issue.  You want a certain size and your Plastic Surgeon is concerned that the size implant you have chosen will be too large.  I think that if your PS is willing to test out the size you want during surgery with sizers, then you should trust his professional opinion.  However, if you are adamant that you want a certain size implant, then you may want to consult with another board certified plastic surgeon. 

It is our job to put the patient's safety first and to minimize the risk of complications. 

Increasing your current implant #size may cause additional #sagging. Also, increasing implant size requires adjusting the #pocket and often a #breast lift may be necessary; to better #support the new implant. Additionally, a mesh for further #support may be helpful depending on the #implant size and skin #elasticity. Your doctor may not recommend a size increase due to the added weight which may stretch the skin.The type and shape of the #implant will also determine the final result and the right implant for the revision is contingent on shape of body and your desired outcome. Perhaps, you may benefit from a different type of breast #implant with more volume.Typically, it's best to wait 6  to 12 months depending on the reason for #revision. Matters such as sagging or drooping  and size change will not improve with time. If you do decide to go smaller, please keep in mind a Breast #Lift may be necessary to #tighten loose skin.As with all cosmetic surgery, results will be rewarding if expectations are realistic. With any surgical procedure, communication and asking questions of your surgeon and the staff are key. Another element to a satisfying result of your #augmentation is realistic #expectations.

Part of a surgeons job is to do what is, in their opinion, best for the patient. Unfortunately, sometimes the right thing for a surgeon to do isn't always what a patient thinks they want. The body has limitations. It is likely that your surgeon is recommending what he/she feels is the best to achieve a good outcome for you now and in the long-term. Best Wishes!

Thank you for your question and for providing the photos. It is impossible to make any definitive choices based on photos alone, but I can offer some thoughts. There are some limits regarding the maximal implant size that your body can fit. The issues that determine this include the overlying skin and soft tissue, and the width of your chest and breast. When the limits of either of these two factos are exceeded, the results can be unnatural and distorted.

It is also important to think in 3 dimensions when thinking about breast implant selection. Your current breast implants have a width of 13cm with 4.5 cm of projection. Changing to a high profile silicone implant will give you more projection, but also more width. The  750cc high profile implant has a width of 15.1 cm and a projection of 5.9 cm. This is a significant increase in width, which could lead to excess superior fullness and nipples located at the lower portion of the breast. In addition, your skin has to have enough elasticity and excess to accommodate the extra projection that you are hoping for.

I would suggest continued dialog with your plastic surgeon. If you are uncomfortable with his recommendations, then sometimes a second opinion can be helpful. Keep in mind that there are some limits, and that the ultimate goal should be breasts that are beautiful and not just big.

Best of luck with your breasts.

Jeff Rockmore

Your surgeon should be able to give you the size you want, but may not want to if he thinks it is too large. You may need an anterior capsulectomy to remove scar to allow for stretching.

If your surgeon cannot/ will not do what you want, then you can go elsewhere for second opinion.