450cc Moderate Saline Implants to 750-800cc? Am I crazy?!

Maybe not crazy, but certainly setting yourself up for implant malposition and need for a revision. The larger volume will be hard for the pocket to handle and the skin and gland will stretch and thin. The loss of elasticity over time will make it likely that the implants will not maintain its intended position and likely will bottom out or spill out into your arm pit. The diameter of the implant is simply too wide for your chest. I do use these large implants on breast reconstruction patients, but they also have mesh implanted to help support the weight. Best of Luck!

Breast revision surgery in your case would be an elective procedure and only you can determine if it is worth while doing.However having said that, you are considering rather large implants which will have its toll on your tissues over time.  A patient with larger implants will have faster soft tissue thinning and stretching than a patient with smaller implants.  Patients with high profile implants will also have the same issue.Therefore you really have to consider if it is worth it to move forward and undergo the procedure.  I would recommend you discuss this with your surgeon or be evaluated by a board certified plastic surgeon to discuss this in more detail.Good luck.

Additional elective cosmetic #surgery is a personal choice. As with all cosmetic surgery, results will be rewarding if expectations are realistic. If you do decide on a revision to #increase your implant size or choose a different implant, the #pocket will need adjusting and often a breast #lift is also be necessary to better #support the new implant. Additionally, a mesh for further support may be helpful depending on the #implant size and skin #elasticity. A different type or wider implants may also be an option if deemed a candidate.
It's best to consult with a board-certified plastic surgeon who is specialized in cosmetic breast surgery. Such is most suitable to perform your breast #augmentation. You will then greatly improve your chances of getting the result you desire, and, decrease the need for #revision surgeries. Aside from checking board-certification, it is suggested that you look at before and after photos of the surgeons actual patients, and read patient reviews. Gathering all of this information will help you make a well-informed #decision. Please be advised that each patient is unique and previous results are not a guarantee for individual outcomes.

There are consequences to almost doubling the size of your implants. Going to an 800cc implant may not give you the same breast that you have now, just in a larger size. A larger implant is heavier and wider than your current implant. The weight can thin the tissues and you could develop visible rippling and the implants could displace with sagging or a lateral position. You need to see a board certified plastic surgeon who can assess your tissues and anatomy and who will discuss the risks and trade offs with larger implants. You don't want your "upgrade" to become a nightmare.

Choosing larger implants can lead to more issues due to the size and weight of them. This is definitely patient anatomy dependent.

Without the ability to review your photos or physical exam, its impossible to say with certainty if this is a good idea or not. Every individual has a different frame. An individual who is over 6 feet tall with a wider frame can accommodate larger implants more readily than someone who is smaller in stature. in general, larger implants are associated with higher re operation rates and more complications. These revisions are more expensive to fix and so if you go down that road, you need to be prepared to deal with a higher, more expensive, and sooner likelihood of needing corrective surgery. The large implant stretches out the skin, weighs more, and will not in many cases last as long as a smaller implant.

Thank you for the question.  Although it is not possible to provide you with definitive advice without an person evaluation, most patients are able to "go larger" at a second stage, once the breast tissues have expanded (after first-time breast augmentation).  Sometimes, during this revisionary surgery, adjustment of the breast implant capsules is also necessary to achieve the desired outcome.





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.  







Ultimately, 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 "D or DD cup” or "lots of underboob" 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.

Implants of that size on your frame are excessive and will almpost certainly lead to significant problems in the future that may not be able to be corrected. To feel small at a double DD is more an emotional or mental issue we refer to as body dysmorphia as DD cups are far from small. It's important you be happy, that is our goal as cosmetic surgeons, but we are also physicians and have to worry about your health.