Any surgeon that can do overfilled saline xl breast implants? (Photo)

Question

I am looking for a plastic surgeon that has experience with xl or overfilled saline breast implants. I have attached picture of my current 900 cc silicon breast implants and my desired look. How many cc does it look like(desired look)

Donald R. Revis Jr, MD · Answer

Good morning!I perform more than 200 XL augmentations a year with overfilled saline implants- looks like you may need around 1400cc. Also simply switching to saline will give you a more round appearance like you prefer compared to the more sloped and long result you have right now.I have attached a link to my XL Breast Augmentation photo gallery for your review- hope it helps!

Malcolm A. Lesavoy, MD, FACS · Answer

Because of the unnatural appearance of large overfilled saline implants, most women opt for the natural look.  However, the largest saline implant manufactured is 800 cc and 900 cc by two different companies, and I have actually overfilled to 2000cc, but I do not recommend it.

Tom J. Pousti, MD · Answer

Thank you for the question and pictures. You will find that online consultants will not be able to provide you with specific advice in regards to selection of specific breast implant size/profile. Having said that, it is generally necessary to utilize high or ultra high-profile silicone gel breast implants or overfilled saline breast implants to achieve the types of outcomes you demonstrate with the goal photographs.  Adjustment of the breast implant capsules will also be necessary.
Ultimately, careful selection of plastic surgeon and careful communication of your goals (in my practice I prefer the use of goal pictures, direct examination/communication in front of a full-length mirror, and computer imaging) will be critical. 
Generally speaking, the best online advice I can give to ladies who are considering revisionary breast augmentation surgery (regarding breast implant size/profile selection) is:
1. Concentrate on choosing your plastic surgeon carefully. Concentrate on appropriate training, certification, and the ability of the plastic surgeon to achieve the results you are looking for. Ask to see lots of examples of his/her work.
2. Have a full discussion and communication regarding your desired goals with your plastic surgeon. This communication will be critical in determining breast implant size/type/profile will most likely help achieve your goals. 
In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. I have found that the use of words such as “natural or fake” or "D or DD cup” etc means different things to different people and therefore prove unhelpful.
Also, as you know, cup size varies depending on who makes the bra; therefore, discussing desired cup size may also be inaccurate. 
3. Once you feel you have communicated your goals clearly, allow your plastic surgeon to use his/her years of experience/judgment to choose the breast implant size/profile that will best meet your goals. Again, in my practice, this decision is usually made during surgery ( after the use of temporary intraoperative sizers). Viewing the patient's chest wall in the upright and supine positions, with temporary sizes in place, help select the best breast implant size/profile for the specific patient.
I hope this, and the attached link (dedicated to "larger" breast augmentation surgery concerns), helps. Best wishes.

Arian Mowlavi, MD, FACS (license on probation) · Answer

What you need is a capsulotomy of your medial breast pocket; this will open up the middle or center of your breasts so that your breast mounds are rounder in appearance.

Any surgeon that can do overfilled saline xl breast implants? (Photo)

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