Would 850cc - 1000cc be right for me? (Photos)

I had a previous BA it's apparently 625cc smooth round saline overs. But my breast aren't even, one side is bigger and harder. Now I have scar tissue. I'm gonna get it done again and was thinking of going between 850cc-1000cc HP silicone gel under muscle. Would that be a good decision for me? What would be a perfect size for my body type?

Doctor Answers 4

Would 850cc - 1000cc be right for me?

Thank you for the question.   You will find that online consultants will not be able to provide you with specific advice in regards to selection of specific breast implant size/profile.  Often, patients who are looking for the "larger, round look" benefit from the use of high or ultra high-profile silicone gel breast implants or overfilled saline implants.
Ultimately, careful communication of your goals (in my practice I prefer the use of goal pictures, direct examination/communication in front of a full-length mirror, and computer imaging) will be critical.  Generally speaking, the best online advice I can give to ladies who are considering revisionary breast augmentation surgery (regarding breast implant size/profile selection) is: 1. Concentrate on choosing your plastic surgeon carefully. Concentrate on appropriate training, certification, and the ability of the plastic surgeon to achieve the results you are looking for. Ask to see lots of examples of his/her work. 2. Have a full discussion and communication regarding your desired goals with your plastic surgeon. This communication will be critical in determining breast implant size/type/profile will most likely help achieve your goals.  In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. I have found that the use of words such as “perfect size” or "D or DD cup” etc means different things to different people and therefore prove unhelpful. Also, as you know, cup size varies depending on who makes the bra; therefore, discussing desired cup size may also be inaccurate. 3. Once you feel you have communicated your goals clearly, allow your plastic surgeon to use his/her years of experience/judgment to choose the breast implant size/profile that will best meet your goals. Again, in my practice, this decision is usually made during surgery ( after the use of temporary intraoperative sizers). Viewing the patient's chest wall in the upright and supine positions, with temporary sizes in place, help select the best breast implant size/profile for the specific patient. I hope this, and the attached link (dedicated to revisionary breast augmentation surgery concerns), helps. Best wishes.

Breast Revision

Good evening!At least one of your goal photos is a patient of mine, and to go above 800cc in the U.S. requires saline implants since silicone implants don't come any larger than 800cc at present.You need a capsulectomy for your scar tissue, a donut mastopexy to lift your implant position, the Internal Bra for support, and 850-1000cc sounds awesome!I perform more than 200 XL augmentations a year- I have attached a link to my XL Augmentation photo gallery for your review- hope it helps!

Breast Implant Revision/Breast Augmentation/Anatomic Gummy Bear Implants/ Silicone Implants/Breast Implant Revision Surgery

I appreciate your question. The best way to determine implant size is based on chest wall measurements that fit your body.  Once we determine that we can choose the profile based on what you want or need to achieve.   Implants under the muscle, there is less risk of capsular contracture.  Anatomic implants tend to give a more natural shape with more nipple projection. The best way to assess and give true advice would be an in-person exam.  Please see a board-certified plastic surgeon that specializes in aesthetic and restorative breast surgery. Best of luck! Dr. Schwartz Board Certified Plastic Surgeon Director-Beverly Hills Breast and Body Institute #RealSelf100Surgeon #RealSelfCORESurgeon

Large implants

With smooth round implants placed over the muscle, the risk of capsular contracture (scar hardening) is much higher. As a result, switching your implants to a sub muscular position, with possible reinforcement using a material like Strattice, would be a good idea.  However, the size range you are considering is a bad idea in my opinion.First of all, no FDA approved silicone implants in the US are currently larger than 800cc.  To get in the range you are talking about (assuming you had surgery in the US), you would need an overfilled saline, which would be a higher risk implant for rippling and stretching the tissues.  Beyond that, the sheer size and weight of an implant that size will create tremendous wear and tear on your breasts over the years, which can be difficult or impossible to fix.You may like the look of very large, round implants, but you have already experienced some problems and will probably compound them if you go larger.  Ideally, you should visit a skilled plastic surgeon that has a focus in breast revision that can perform measurements and help you select implants that are properly fitted for your body.  You may have to compromise on size, but what you gain in terms of safety, longevity, comfort and proportion should be a very fair trade off.  Good luck!

Robert Cohen, MD
Santa Monica Plastic Surgeon
5.0 out of 5 stars 39 reviews

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