Implant exchange: what size would you suggest? (photos)

Question

Saline implants done 4/2013 Left: 400 ccs saline Right: 420 ccs saline Profile: high profile Sub muscular I’ve had 2 pregnancies since, volume loss. They use to be much rounder and fuller. I’m getting a mommy makeover surgery done on 3/2 but didn’t know the implant sizes at that time. He suggested 465 SRX UHP and figured I was probably a 350 or around there. So now that I’m actually higher cc’s, (will discuss at pre op in 3 weeks) what would you guys suggest for these wish pics? Thx!

Daniel Barrett, MD · Answer

Dear librabby,
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

Donald R. Revis Jr, MD · Answer

Good afternoon,
Based on your current photos, goal pics and stats I'm thinking something in the 550-600cc range, HP or XHP?

Connie Hiers, MD, FACS · Answer

I would suggest not going any larger than that because it will be too large for your tissue and frame. You might even consider something like 425 cc's.

Implant exchange: what size would you suggest? (photos)

Answers (3)

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