I have 500cc implants and looking to go bigger. I'm thinking of 800-1000cc. Is this too big? (Photo)

Chronic pain, capsular contracture, implant migration/bottoming out, areola widening, and nipple numbness are just a few long term consequences from larger implants. I wish more of my colleagues were open and honest about the risks and complications associated with large implants. Please visit the breast augmentation revision forum on this site for more information to make an educated and informed decision.Best wishes,Gary Horndeski M.D.

It is very difficult to determine the exact size and shape implant you will require to best match your ideal breast image without an examination by a board certified plastic surgeon. Choose not just any board certified plastic surgeon, but one with many years of frequently performing breast augmentation surgery including different approaches, techniques and implant choices. This is because several measurements not to mention your breast characteristics are needed to determine the optimal implant size to obtain your goals. Without knowing these dimensions it would be difficult to make this determination. For example, the existing base width of your breast will determine, in many cases, the maximal volume per implant profile that you can accommodate. To illustrate; a 100 cc difference may make a significant difference with a narrow base width breast, but much less of a difference if you have a wide chest wall and wide breast “foot print”. Therefore, just because your friend may have a great result with let’s say a 350 cc implant to make her go from a “A” cup to a “C” cup size does not mean that you will have the same result with the same size implant. . Further simply placing implants in a bra to determine the size best for you is not always accurate as the bra often distorts the size, is dependent on the pressure the bra places plus the implant is outside your breast and not under it among other variables. Computer software morphing programs that automatically determine the best implant size can be helpful in some but not all cases (e.g. doesn’t work well in my experience with existing implants, sagging or asymmetric breasts). Using “want to be” photos however are useful if simply provided to the surgeon as I will further explain in the below link.

Good evening!When done properly, XL augmentations should have no increased risks over the long term- last year alone I performed 200 augmentations at or above 800cc. I think you are an excellent candidate for an XL revision.I would recommend the following:1) a nipple incision- the safest way to place XL implants2) The Internal Bra, my strong permanent internal suturing technique which supports your larger implants over the long term3) overfilled saline implants in the 800-1000cc range, size to be determined when I measure your chest, we review photos together, and you have the opportunity to try on the implant sizers here in the office over your current implantsHope this helps!