BA Revision Input? (photo)

I currently have Natrelle 15 implants 371cc's. I'm considering a revision to 500 HP to keep the same width that I currently have. My height/weight is 5'3 and 115. I've attached some photos. BTW I am 57 but in great shape. I think my BWD is 12-13? My PS only does "natural" augmentations so wouldn't go any bigger than the 371. I realize I should have waited to find someone who was on the same page but it is what it is. I do really like my result just wanted bigger. Thank you for your input!

Doctor Answers 12

Size change

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Great result.  However, beauty is in the eye of the beholder.  If you want to be larger/fuller, then staying with an implant that has the same diameter is correct. 

Santa Rosa Plastic Surgeon
4.9 out of 5 stars 34 reviews

Breasts that are soft and natural after augmentation should be kept away from revisional surgery.

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It appears as though you have a very good result from a breast augmentation. I would strongly advise you to consider not putting that resulted risk by going through another operation.

Larger implants will not solve the problem

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Unfortunately, you have not given us your bra size.  However, if you are a 32 or 34 each 100 cc's of implant corresponds to 1 cup size change.  If you are a 36 or 38 each 200 cc's of implant corresponds to 1 cup size change.  Going from a 371 cc implant to a 500 cc implant is a 129 cc increase.  Your after photographs show your breasts touching in the midline and they are beginning to droop as they were pre-operatively.  The added weight in the subglandular position caused accelerated descent of your breast and you will need revisions.  I would definitely not recommend larger implants.  I believe you will be satisfied with smaller silicone gel implants, placed retro-pectoral and a simultaneous Mini Ultimate Breast Lift.

Best Wishes,

Gary Horndeski, M.D. 

Gary M. Horndeski, MD
Texas Plastic Surgeon
4.6 out of 5 stars 230 reviews

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It shouldn't be a problem to switch to a larger size

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Switching from a 371 cc to a 500 cc is about a 33% increase, which will increase your breast volume about one cup size.Switching to a high profile implant as suggested by some of my colleagues will increase projection without changing the diameter of the implant.You will have more fullness in the upper portion of the breast

Joseph M. Perlman, MD
Houston Plastic Surgeon
4.3 out of 5 stars 27 reviews

I wouldnt go upper weight and volume choose better higher profile 5-6/ no aumentar el peso mejor el perfil mas alto 5-6

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it is difficult to realize  than with less weight and volume you may easeally win better projection i only would  rather choose to change your preety breasts with high projection 5-6 and you will get what you want with same  volume 375 will look like 500

es un poco dificil de entender  de que con implantes de alto perfil 5-6 conseguirias lo que quieres con el mismo vol. 375 parecerian de 500 cc

Ramon Navarro, MD
Mexico Plastic Surgeon

BA Revision Input?

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      Increasing implant size from 371 cc to 500 cc with a switch to a higher profile implant should be a reasonable revision to perform.  Find a plastic surgeon with ELITE credentials who performs hundreds of breast augmentation and breast augmentation revisions each year.  Then look at the plastic surgeon's website before and after photo galleries to get a sense of who can deliver the results.  Kenneth Hughes, MD Los Angeles, CA

Implant exchange

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Your results look very nice, and if you want larger it may be possible to give you what you want. Best to be seen in person.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

Changing breast implant size from midrange to high profile

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In comparison to the Natrelle style 15 (midrange profile) silicone implants, Natrelle style 20 (high profile) silicone implants tend to give a rounder appearance to the upper pole of the breasts - a "push up" bra look.  If that is the look you desire, and the correct implant diameter (according to your chest wall dimensions) is maintained, there should not be a problem with exchanging the implants.

I would advise consulting with board-certified plastic surgeons who are experienced using high profile implants, to confirm that the implants are appropriate for you.

Good luck.

Craig S. Rock, MD
Houston Plastic Surgeon
5.0 out of 5 stars 29 reviews

Changing from 371 to 500 cc implants

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You are considering increasing your breast volume by 120 cc.  This would be about 1/2 cup size.  If this is the appearance you desire then there is no medical contraindication.  It is a matter of personal choice.   

Jeffrey Zwiren, MD
Atlanta Plastic Surgeon
4.5 out of 5 stars 20 reviews

371 cc to 500 cc HP implants

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Based on the information you provided, an exchange to 500 cc High Profile implants is possible. However, I suspect you breast will look less natural and given the extra skin stretching, you may end up with droopier breasts in the future. 

Karol A. Gutowski, MD, FACS
Chicago Plastic Surgeon
4.9 out of 5 stars 76 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.