Implant exchange, going from 350cc saline to 635cc silicone - will this look good with my proportions? (Photo)

Question

I am 5’3, 130lbs

Mert Demirel, MD · Answer

Going from 350 cc saline to 635 cc silicone is a very large increase, especially at 5'3" and 130 lbs. Even if the implant technically fits your chest, it will likely create a much fuller, heavier, and more obviously augmented look.
Silicone may feel softer and more natural than saline, but the size difference matters more than the material. A 635 cc implant can increase risks of stretching, bottoming out, rippling, implant visibility, back/neck discomfort, and future revision surgery.
Proportion is personal, but if your goal is natural or balanced, I would be cautious. If your goal is a very full, round, high-volume breast, then 635 cc may match that look, but it should be chosen with full understanding of the long-term tissue effects.
The implant base width, profile, skin stretch, nipple position, and pocket support are more important than the cc number alone. If the implant is too wide or too heavy for your tissues, the result can look crowded or drop over time.
My advice would be to try external sizers, review photos of patients with similar height and weight, and ask your surgeon why 635 cc is appropriate for your exact breast width and tissue quality. If you have any doubt, consider a more moderate increase rather than jumping almost 300 cc in one surgery.

Gary M. Horndeski, MD · Answer

If you are size 32 or 34, each 100 cc of implant corresponds to 1 cup size change. If you are size 36 or 38, each 200 cc of implant corresponds to 1 cup size change. From this, you can determine the volume required to achieve your desired goal.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Camille Cash, MD · Answer

From the posted photo your current implants seem to be in harmony with your proportions.  The 635cc implants will be much larger and could potentially make you appear top heavy.  Many surgeons have sample implants that you can "try on" to give you an idea of how you may look after surgery.  This may help you with your decision.  I've included a video on implant selection that I hope you find helpful.

Implant exchange, going from 350cc saline to 635cc silicone - will this look good with my proportions? (Photo)

Answers (3)

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