Will a larger implant make much difference in projection/volume/cleavage? (photos)

Question

I got 360cc moderate classic mentor implants and developed CC on the right after about 1.5 years. I'm hoping to get it fixed but also debating going up in size. My chest wall diameter is 13.5 and I hesitate to get HP or higher (unnatural). I'm thinking of going up to 450cc moderate plus (the largest recommended for my size) but not sure if it'll make enough difference to make it worth the added cost and risk. I want more projection, more volume in the upper pole and natural cleavage. Thoughts?

Finny George, MD · Answer

Hi, thank you for sharing your question. Based on your photos, going up in size to 450cc will help create more volume, projection and upper pole fullness and cleavage. The larger you go, the less natural it may look. The exact size and shape of the implants can only be determined after measurements are taken by your plastic surgeon. I hope this helps.

Casey Anderson, MD, FACS · Answer

I generally tell patients the 100 cc increase tends to start making a noticeable difference. It is not possibly to 100% accurately predict cup size. In the most general terms, 125-150 cc equate to a cup increase.

Justin Perez, MD · Answer

All great questions!When considering going up in implant size there are benefits and downsides. On the upside, if you stayed moderate profile and went up in cc's, you would achieve more volume, more projection, and a wider implant by definition is a "taller" implant, meaning it can help fill out the upper pole of the breast-- so 3 of the goals on your list would be met. Larger implants do of course carry some risk of stretching out the breast tissues in the years to come- in these patients I like to consider placing an internal bra (galaflex or durasorb) to support the implant over time. These considerations are of course best discussed with the plastic surgeon performing your case who has evaluated you and examined you in person, but hopefully that helps! Happy to be of assistance in the future if needed! Have a lovely weekend. Dr. Perez

Leopoldo Baccaro, MD · Answer

It appears your implants sit slightly low on the chest. I’d recommend a repair of the inframammary fold and lateral pocket, and additional support with GalaFlex mesh scaffold.

As far as implants go, you may not need to go much larger, but I agree that a higher profile implant will achieve what you’re looking for.

Gary M. Horndeski, MD · Answer

You are dissatisfied with your results because you have capsular contracture. If your implants are in front of the muscle then they will have to go behind the muscle. Your breasts are bottoming out which occurred because your breast lift was inadequate. The skin envelope is the only thing lifting your breasts and is stretching out from the load of the implants. You will need a repeat breast lift and at the same time place the implants totally submuscular. If the implants are already submuscular then you may need a capsulectomy.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Donald R. Revis Jr, MD · Answer

Good afternoon,
I actually very much like the idea of going up to the 450cc Mod Plus size, but I would also perform the Original Internal bra, my strong permanent internal suturing technique, which would allow me to tighten up your pockets just a little bit which also increases cleavage and upper pole fullness. I first developed this technique over 20 years ago and today it is the most common revision I perform, 5-6 times a week- t works and it lasts!

Harry T. Haramis, MD, FACS · Answer

Capsule unfortunately can recur with a revision. Biological mesh usually reduces capsule formation.

If you want more upper fullness and projection, larger high profile implants instead of larger moderate implants would be better.

Further discussion with your/a plastic surgeon is recommended for best options.

Shlomo Widder, MD · Answer

Dear Marylander,
   Thanks for posting your picture and sorry for your problem. From observing the pictures you appear to be C cup size. 450 cc implants will bring you to small D cup size, which is a nice size. It will give you a fuller upper pole , nicer cleavage and more projection, however depends on the size of the breasts implants pockets that you have right now and the tightness around the implants you might need complete capsulotomy also on the left breast, in addition to the right side that already has capsule contracture. That procedure will enable the surgeon to dissect further the medial margin, which will give you a nicer cleavage. 
  As a side note and it is personal preference, your areolas are too large in my opinion and you can have areola redion procedure at the same time.
   Always consult with experienced board certified plastic surgeon who operate in accredited surgery center for your safety. Check the before and after pictures in the photo gallery, to make sure that they are attractive with nice cleavage, upper pole fullness, symmetrical and natural looking.
             Best of luck,
                            Dr Widder

Zoran Potparic, MD · Answer

Your breasts are seated low on your chest wall and that makes difference regarding fulness in the upper pole. If you want enlargement and profile, fulness, high profile implants are better choice. Good luck.

Daniel Barrett, MD · Answer

Dear Creative9004,
breast revision surgery is the most difficult plastic surgery procedure performed. Botched breast surgery alters normal tissue planes and laxity, the ability of breasts to heal properly, and leaves scar tissue that dramatically affects the level of difficulty of the corrective surgery.Many patients come in to correct poor outcomes from their initial surgeries. The most common problems are due to implant malposition, bottoming out of the implant, poor scarring, and incorrect implant size.While the type of revision required will depend on the result of the previous surgery and the desired result of the patient, some revisions involve extensive pocket repair that may or may not need specialized external bras.If you are considering breast surgery revision, you should speak with a board certified plastic surgeon and have yourself properly assessed. Only after a thorough examination you will get more information and recommendations. Also, you have to make sure that your surgeon understands your breast augmentation goals.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Will a larger implant make much difference in projection/volume/cleavage? (photos)

Answers (17)

More Breast Augmentation Questions

WE SEND PRETTY
EMAILS

Answers (17)

More Breast Augmentation Questions

Mother of 2 - Are these tubular breasts? Will a lift or areola reduction affect my milk ducts? (photos)

I'm almost 6 months post-op - Why did these stretch marks happen? (photos)

Insurance for ER visits related to breast augmentation?

One implant looks bigger than the other - is there something wrong with my 6 year old implants? (photos)

breast augmentation 6 months ago - what can I do to fix this? (photos)

Why are low profile implants rarely used? In what circumstances are low profile implants better?

WE SEND PRETTY EMAILS

WE SEND PRETTY
EMAILS