I have 440cc silicone implants. I want them bigger. Could I go to 750-800cc? (photos)

Question

I am 5’6” tall and 145 lbs. Last year I had my first BA with 440cc silicone implants place sub-muscularly. I lost almost 20 lbs since and now I think they look too small. They seemed to have settled with a big space in between and I really don’t get the cleavage I want, even with a push-up bra. I want to make sure that I don’t regret going too small again, could I realistically go to 750-800cc?

Daniel Barrett, MD · Answer

Dear avg85,
breast implant type and sizing selection is a complicated process and requires a detailed consultation that includes a discussion of your goals, a detailed examination, and a lengthy discussion. But the decision will always start and end with the patient. When it comes to sizing, we have all of our patients find 3 photos of their desired breast size. We ask for naked breast photos because clothing can obscure the true size (push up bras). Next, we consult with patients and go over the photos and take detailed breast measurements during a physical exam. Next, we using a sizing algorithm to determine a range of implants that will work based on the exam and the measurements.Lastly, during the operation, we use silicone sizers in the operating room to see how the size actually looks in the breast. We sit the patient up in the operating room, while asleep of course, and compare the sizer result with their desired look photos. If it is too small, we start the process over with a slightly larger implant. We don't stop until we get the perfect match.Of all of my breast augmentation patients, every one of them has been happy with their size due to this detailed and meticulous process. You don't want to invest time and money into a result that is either too big or too small.You should discuss your concerns with a board-certified plastic surgeon and make sure that your surgeon understands your goals.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Stuart A. Linder, MD, FACS · Answer

The best method to determine the appropriate size for your redo would be to seek an in office plastic surgery consultation. It appears that you do have space for a larger implant. Best of luck!

Tom J. Pousti, MD · Answer

Thank you for the question. Online consultants will not be able to provide you with specific enough advice to be truly helpful. Keep in mind as you are thinking about your goals that sometimes adjustment of the breast implant pockets (capsule adjustments) may be necessary to achieve the outcome you are looking for (for example, to correct lateral breast implant displacement concerns).
Generally speaking, the best online advice I can give to ladies who are considering revisionary breast augmentation surgery 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 “bigger” or "up a cup size” 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 chosen plastic surgeon to work with you in determining the best plan to achieve your goals.
I hope this helps. Best wishes.

Gary M. Horndeski, MD · Answer

Your breasts are already low on the chest wall and far apart.  Adding more volume to your breasts will make your situation worse.  The technique I recommend is explantation using The Bellesoma Method.  The implants are removed, your breast tissue is reshaped creating upper pole fullness, elevated higher on the chest wall and more medial to increase your cleavage.  Vertical scars are avoided, nipple sensation and the ability to breast feed are maintained, if not injured during your previous surgery.  At the same time or later, fat transfers can be performed if additional volume is desired.  Implants are not lifetime devices.  Fat transfers are permanent and incorporated into the body.Best Wishes,Gary Horndeski, M.D.

Gregory A. Buford, MD, FACS · Answer

Would love to answer your question but this is really something that is better seen in person so that the volume can be assessed against your overall frame.  I would also encourage you to bring in 2-3 photos of a volumetric look that you are trying to accomplish so that your Plastic Surgeon can help guide you in the right direction.I hope that helps and wish you the very best!Warmest regards,-Gregory A Buford MD FACS PCEOBoard Certified Plastic Surgeon and Author

I have 440cc silicone implants. I want them bigger. Could I go to 750-800cc? (photos)

Answers (5)

Answer: Explant and The Bellesoma Lift

Answer: Explant and The Bellesoma Lift

Answer: Thoughts on best size of breast implants for me

Answer: Thoughts on best size of breast implants for me

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Everything you need to know about Breast Implant Revision

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I have 440cc silicone implants. I want them bigger. Could I go to 750-800cc? (photos)

Answers (5)

Answer: Explant and The Bellesoma Lift

Answer: Explant and The Bellesoma Lift

Answer: Thoughts on best size of breast implants for me

Answer: Thoughts on best size of breast implants for me

Browse related questions

Recommended reading

Everything you need to know about Breast Implant Revision

Our mission is to create a world where every investment in modern beauty is Worth It.