I’m don’t know what to do about “boob envy.” Can I go from 415cc to 500cc on a 5'4 105-110 lbs frame?

This is a tough decision for a lot of women.  You have a certain image in your mind of what you think you want your breasts to look like and you feel like you want to achieve that look.  Unfortuanately, that image in your mind may not be the result that you achieve, even when you use a larger implant.The reason for this is because you are a very thin, petite woman.  In order to increase the volume of your implant you will have to increase how wide your implant is.  The implant cannot move any closer to the center of your chest, so any increase in implant diameter pushes further out to the side of your chest and will make you look heavier (like you weigh 105 lbs from the waist down, and 145 from the waist up).Ultimately, you can decide to have a larger implant, but it may still never look like the image that you are picturing in your head.I hope this helps you understand things a little bit better.Richard H
Fryer, MD FACS
Board
Certified by American Board of Plastic Surgeons (ABPS)
member
American Society of Aesthetic Plastic Surgery (ASAPS)
member
American Society of Plastic Surgery (ASPS)

I recommend waiting a little longer before revising the breasts.  A lot of patients have "boob envy" the first few months after surgery.  I usually have my patients wait 6 months before exchanging to a larger size.  Most patients are happy by 6 months.  I recommend discussing with your current plastic surgeon but if you're not happy with his recommendations you can always get another opinion.

I am sorry to hear about your concerns after breast augmentation surgery. Your plastic surgeon will always be your best resource when it comes to accurate assessment, advice, and/or meaningful reassurance. 


It may help you to know that a significant percentage of patients at your early stage of recovery will feel that they are too big or (more commonly) too small.


Generally speaking, breast implants will "drop" into the pocket that was created during surgery. The rate of breast implant "settling" may depend on factors such as size of breast implant pocket dissected, tightness of the overlying skin/muscle layers, and size of breast implant utilized. Normally, it takes about 3-6 months (for some patients longer) to see the final result.  Therefore, I routinely ask my patients to wait at least 3-6 months before evaluating the end results of the breast augmentation surgery. This waiting time allows patients to (usually) physically and psychologically adapt to the new body image. 


In other words, it is much too early to evaluate the outcome of the procedure performed; your breasts will undoubtedly change over the course of the next several weeks/months.   The vast majority of patients with your concerns at your stage in the recovery process, turn out to be much happier two to three months after the procedure was performed.  Understandably, patients often experience significant emotional "ups and downs" around the time of surgery.


My best advice: exercise patience.  Keep in mind, that a significant percentage of patients at your stage in the recovery process feel that they are "too big" or "too small".  In the long run, once patients have adjusted physically and psychologically to their new body image, the vast majority of patients are very pleased.
 
If in the longer term you remain displeased with your breast size, re augmentation with larger breast implants may be an option.  There is no "standard" waiting time necessary when it comes to proceeding with revisionary breast surgery.
  
Best wishes for an outcome that you will be very pleased with.