Breast implant revision - went from 390cc to 495cc and there is not much change. Should I have gone bigger? (Photos)

Question

I had saline 390cc implants for 15 years. I undeeent a revision o upgrade to silicone and I wanted a full cup size bigger. I was a C with 390ccs. I don’t feel much bigger with th 495cc i. Should I have gone bigger to achieve a full cup size. I don’t know if I really want to in undergo another revision. I’m 5’1 116 lbs. I want to be a full D cup.

Daniel Barrett, MD · Answer

Dear cmax27,

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

Yucel Sarialtin, MD · Answer

Good day,
Thank you for your question.
While you upgraded from 390cc saline to 495cc silicone implants, the increase in volume (about 105cc) may not have been enough to produce a visibly fuller cup size, especially considering silicone implants tend to feel and appear slightly smaller than saline of the same volume due to their different material properties. At your height and weight (5'1", 116 lbs), implant projection, width, and profile play just as significant a role as volume in achieving a "full D" cup appearance. Many patients find that to gain a full cup size difference, especially from C to D, an increase of at least 150–200cc is typically more noticeable. That said, if you’re generally happy with the shape and feel but just slightly underwhelmed by the volume, it’s reasonable to take time before considering another revision.

Darryl J. Blinski, MD · Answer

Based on two posted in sports bra, type clothing, hard to determine if there was an increase best to repost feral nude photos. Or virtual consult with. In my opinion, you should’ve gone to at least a 650 cc implant if you wanted a much improved size differential. Again, best of virtual consult with ex exchanging implant is an easy operation expect fees to range from $5000-$8000. Again, best of her consult with

Breast implant revision - went from 390cc to 495cc and there is not much change. Should I have gone bigger? (Photos)

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