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.

There are limits to how large an implant we can use for a given patient.  Using an implant that is too large can cause complications or give an unnatural appearance.  My advice is to listen to your plastic surgeon.  It sounds like he/she will utilize a sizer to determine the largest implant that could be used in your situation, which is a good approach.  I'm sure he is thinking in your best interest, so that your outcome looks great and you avoid any complications from an implant that is too large. 

Every good plastic surgeon has one priority on his/her mind:  safety. If your plastic surgeon feels that the use of  a specific size/volume of breast implant would compromise the safety of the operation ( for example, not be able to “stitch you back up”) then as a patient you have 2 options. The first would be to respect his/her professional opinion;  the second would be to seek a 2nd opinion consultation with a well experienced board-certified plastic surgeon.

 Make sure you do not “push” your plastic surgeon in trying to use a breast implant that is too large for your friend;   doing so will increase the risk of complications and the likelihood of further surgery will be necessary.

 I hope this helps.

 

There are very few "rules" regarding size increase as long as your body is large enough to accept the increased breast size. With 425cc implants in place you should be able to get almost any size you wish with the only limitation being the implant diameter. Sometimes when dealing with sizes this large it is better to have the fill options available with saline implants. It is usually easier to get the projection and size you desire with high profile saline implants filled to the upper limit of the recommended fill range.

With indwelling 425cc implants, you should have no problem placing 700cc implants or more if that is what you want. You have a fair amount of breast skin to begin with and it has been expanded with your first set of implants. By volumetric addition, that is a 75% increase in volume which is well within the range of what your expanded pockets can accomodate. They should be high profile implants so that the base of the implants does not get too wide.

I am advising from a different position. Over the internet very hard to advise the specifics of size and over sizing. Why have u=you not seen more in person consults??