Experiences with 650cc silicone implants - long term effects on my back and potentially causing more sagging? (Photos)

Question

I had my consultation and about to schedule. I know I have plenty of time before I have to finalize my implant sizes, but want some additional perspective. I am getting a revision to increase volume and minor lift after 2 pregnancies (will have no others). I got 325cc silicone moderate plus sub muscular in 2019. My doctor did my measurements and agreed I could go higher in implant size to add volume and lift, while also go wider to a 14 inch implant to accommodate space and pocket (current are 12 inches and narrow in my chest as I have broad shoulders). Based on my measurements, I tried a 325 implant over my breasts and liked the look, though am wondering if I should go a little smaller. My concern and question is, what are experiences with 650cc silicone implants? I know they are heavier, so worry about the weight long term on my back but all potentially causing more sagging over time. I do weightlift for strength training, however I have omitted chest workouts frequently. Would chest workouts once fully healed help keep the implants up in the pec? Thanks in advance!

Daniel Barrett, MD · Answer

Dear coletay73,

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

Experiences with 650cc silicone implants - long term effects on my back and potentially causing more sagging? (Photos)

Answers (1)

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