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!
BA Revision Input? (photo)
Doctor Answers 12
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.
Breasts that are soft and natural after augmentation should be kept away from revisional surgery.
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
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.
Gary Horndeski, M.D.
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It shouldn't be a problem to switch to a larger size
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
I wouldnt go upper weight and volume choose better higher profile 5-6/ no aumentar el peso mejor el perfil mas alto 5-6
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
BA Revision Input?
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
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.
Changing breast implant size from midrange to high profile
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.
Changing from 371 to 500 cc implants
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.
371 cc to 500 cc HP implants
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.
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.