8 months post op 295cc moderate profile silicone implant and I am considering going bigger. Told I only have 2 options. Advice?

Dear InstaGurl,   Front and side views of your before and after pictures would have been helpful. Breasts implants size selection depends on your desire, your chest and breasts circumference measurements in inches and your anatomy.    Since we do not have your pictures and you did not provide the needed information, it is difficult to recommend the appropriate implants size for you. However, you definitely have more option than the 2 you mentioned and especially if you get saline implants (my preferred) , you have much more flexibility for adjustment on the operating room table.    If your surgeon is not more forthcoming to accommodate your wishes, consider consulting with other experienced board certified plastic surgeons. Most importantly, check their before and after pictures in the photo gallery, to make sure that they are numerous, consistent and attractive with nice cleavage, perky, symmetrical and natural looking.                          Best of luck,                                          Dr Widder

So, just like you have a shoe size that fits your foot optimally, there are certain implant sizes that will optimally fill out your chest wall. Your surgeon likely took those measurements, and based upon that number, can vary the volume plus or minus by a few millimeters in width AND by varying the projection. Projection refers to the distance the implant will add going forward off of your chest wall. A lower profile implant projects less than a low plus, followed by a moderate, full and extra full. [Of course, to confuse things, the implant companies do not have the same nomenclature to describe the various profiles!]If your surgeon thought that your ideal implant width for a moderate profile was 295, it makes sense that the same number could be extrapolated to the high and extra high profiles. Because the next size up or down is usually only a few millimeters different, there probably is some wiggle room. So, no, you are probably not limited to those exact sizes, but probably that general ball park. Best of luck!

The sizing of the implant is totally dependent on you chest wall diameter or footprint. those may be your only options however this is best done with measurements and an examination. I would wait one year before any size change or revision surgery

There are more choices than 2 implants, though your surgeon may feel that those are the best 2. Use 3D imaging based on your preop photos to try out implants sizes. And if you feel unsatisfied, seek another consultation. Best wishes. 

Dear InstaGurl,In today's plastic surgery world, choices for breast implant sizes and shapes are numerous.  If you feel limited in your choices, you might ask your surgeon if there are other volumes available from other manufacturers.  Even if your surgeon is an exclusive user of one breast implant manufacturer or another, he/she may be able to make an exception for your situation.  The other breast implant companies will welcome the business.  Good luck!

Hello and thank you for the question. It is VERY COMMON for patients to want to go bigger after breast augmentation surgery. There is a time frame it takes to adapt and get accustomed to the implants. I would suggest that 8 months is still too early. The ideal implant both matches your frame and breast width. I think there are more than just 2 options for sizes, but the fact remains you should continue to wait. In my experience of doing this for almost 20 years, I find that most patients who wanted to go bigger find they are happy with the size after a year. The ones who opt to go bigger too soon often regret going bigger. The patients who wait a full year and still want to go bigger are often the happiest since they gave the results a full year to sink into their minds and they tend to not have second thoughts about the exchange. Remember, every surgery has risks and there is no guarantee that your second or third procedure will be as flawless as your first even with the same doctor. Be happy with your new breasts and enjoy each day the fact you had a successful outcome. Best to you. @bennettyangMD

Dear InstaGurl,Hello and thank you for your excellent question. There is a huge variety of implants on the market, so you can certainly find something of a different volume, if you want. It is best to answer your question during a face-to-face evaluation, when you can discuss your goals and expectations for the procedure, and you can have a physical examination to evaluate for that procedure. I recommend that you find a board-certified, or board-eligible plastic surgeon with whom you are comfortable. Be sure to have all of your questions answered during a face-to-face meeting with your surgeon, and review before and after pictures of similar patients whom have had this procedure. If you have any questions, call our office for assistance. Good luck!

Best,

Jon Ver Halen, MD FACS

Harvard educated plastic surgeon

Texas “Top Doc” 2017, 2018

RealSelf100

America’s Top Plastic Surgeons, Consumer’s Research Council, 2010 – 2018

BeautyAdvisor Top Contributor