Implant Exchange - what size implant should I choose?

Question

I am currently have Natrelle 615srx, however I have a bit of bottoming out on one side and am going back for an internal bra & implant exchange. I have really wanted 650-700 srx, however I am torn between which ones to get because I don’t want to look silly a. I am very broad up-top, so I also don’t want to look too small either. I am also having a full tummy tuck which will shrink my waist a little, hopefully.

Daniel Barrett, MD · Answer

Dear srn0128,
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

Connie Hiers, MD, FACS · Answer

Your implants are now too large and heavy for your frame and so you are having some bottoming out from the weight. Please do not go larger or you may repeat this problem. I would suggest tightening the pocket and going down in size to around 450 to 500 maximum. Long term you should do better.

Implant Exchange - what size implant should I choose?

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Implant Exchange - what size implant should I choose?

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