Can I get larger implants? 3 months post op - 300cc/305cc Ideal Implant (Photo)

Question

I am 3 months post op now - I had 300cc/305cc saline implants under the muscle through the inframammary fold. As inflammation subsides, I am noticing the projection of my breasts are getting smaller. I was hoping to end up about 1 cup size larger than what I am at but I do currently like the shape. Based on the before/after pictures, do you recommend I stick with this size or would it be an option for me to get larger implants?

Daniel Barrett, MD · Answer

Hi chewbacca272727,
  
I understand your concern and it is quite normal to be concerned about the outcome following a breast augmentation surgery. However, you are still in the early stages of the healing process at 3 months post op. 
  
You will need to be patient at this moment and follow what your surgeon has instructed you to do post operatively. 
  
At the early stage of the healing process, the tissues around the implants are still swollen. Once the swelling subsides and the implants drop to their final position, you will be able to see the final result of your breast augmentation surgery. 
  
Dropping of implants is part of the healing process and this occurs after the tissues surrounding the implants slowly relax, allowing the implants to settle into their final position. It can take about four to six months for the implant to drop down to their final position. Also, your breasts can drop at different rates. 
  
But if you are still concerned, you can always visit your plastic surgeon and discuss your concerns. This way, you will be reassured. Also, if after six months, you are not satisfied with the appearance of your breast, you can visit your plastic surgeon and discuss the possibility of revision surgery. 
  
Lastly, follow your plastic surgeons post-operative instructions and advice for faster healing and recovery.
  
Daniel Barrett, MD, MHA, MS
  
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 morning!You do have a wider-than-ideal gap and have room for larger implants, so I vote to go for it. At least 100cc but up to 200cc more!

Mathew A. Plant, MD, FRCSC · Answer

You currently have a great result that fits your frame perfectly. You could go up a size to the 330 but it might be a bit wide for your chest. I’d suggest booking an appointment with your surgeon to discuss your concerns since they’ll know your measurements and be able to give more specific advice. Hope that helps!

Patricia A. McGuire, MD · Answer

You have a very nice early result from your breast augmentation. The implants fit the anatomy of your chest well. It is common to second guess the size of implants after breast augmentation and you could go larger in the future. There are consequences to larger implants with time so you would need to talk to your surgeon about how larger implants could affect your breasts to make an informed decision.

Tom J. Pousti, MD · Answer

Thank you for your question & photographs. Whether or not to proceed with revisionary breast surgery: generally speaking, I advise patients to carefully consider their degree of concern with the outcome of the initial breast surgery and weigh these concerns against the potential risks/complications associated with the planned revisionary breast surgery.   For example, if the patient is concerned about her breast appearance on a daily or frequent basis, it is likely that revisionary surgery will be helpful when it comes to improving her quality of life.  On the other hand, if the patient's degree of concern seems minor and/or she is  infrequently concerned about the areas of concern, I would recommend against revisionary  breast surgery.
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 "C or D cup” or "full round breasts" 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.
 Best wishes.

James M. Sheridan, MD · Answer

Dear chewbacca272727,Thank you for your question.  the short answer is yes you could opt to change to a larger size.  Understand though that typically from an expense perspective the costs would be born by you.  Your results look excellent and at 3 months I would advise you to wait at least 8-10 months befroe making a definite decision to change things.  Hope this helps & good luck.James Sheridan, MD

Steven Wallach, MD · Answer

I would give it a full 4 months minimum, maybe even 6.  If you feel that you are too small, then you might be able to go larger. Best to be seen in person.

Justin West, MD · Answer

Hi and thanks for the question. What you are describing is very normal. As swelling goes down your breasts will look smaller. So patient who liked their size at month one sometimes are disappointed 3 months later. I think your early results look good based on the photos you provided. The implants appear appropriate for your frame and well positioned. That being said, you could certainly choose to exchange them for larger implants later. I ask my patients to wait 6-12 months. This gives them time to really figure out what they think about their results, and allows time for the skin to relax so they can accommodate larger implants if they decide to change them. Best of luck to you.
Dr. West

Douglas Taranow, DO, FACOS · Answer

You have beautiful breasts now, but if you desire larger breasts, go for the revision/replacement surgery.  The second procedure is much easier as the pocket is already made so there is significantly less cutting and post op pain involved.Best of luck with your decision.Dr T

Johnny Chung, MD, FACS · Answer

Thank you for your question. Your results are very nice, but if you desire larger implants I recommend speaking with your PS. The procedure would be slightly easier as the muscle has already been elevated. It is definitely a possibility for you. Best of luck with your procedure.

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