I currently have 400cc saline implants. Would the 550cc silicone h/p, look larger than what I have now?

Question

I was told by my p/s that I do not need a lift. I have no photos. I am 58 years old, 5 foot 5 and weight 115 pounds and I am in very good shape. I would like more volume at the top, as if I am wearing a push up bra. My thoughts are that the 600cc may be too large and 550cc would still appear bigger than what i have now, I would be satisfied going up one cup size. I do not want to end up looking shorter and heavier. Would the 550cc silicone h/p, look larger than what I have now?

Tom J. Pousti, MD · Answer

Thank you for the question.  In regards to specific size/profile of breast implant, despite good intentions, online consultants will not be able to provide you  with  meaningful specific advice.  Ultimately, in person consultation with well experienced board-certified plastic surgeons will be necessary. Careful measurements, dimensional planning, and careful communication will be key.
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're looking for. Ask to see lots of examples of his/her work.  2.  Again, have a full discussion and communication regarding your desired goals with your plastic surgeon. This communication will be critical in determining which operation and/or 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 "more volume at the top" etc may mean 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.  The use of temporary intraoperative sizers, viewing the patient's breasts in the upright and supine position, are very helpful during the breast implant selection process.
I hope this, and the attached link (dedicated to revisionary breast surgery concerns), helps.

Steven Wallach, MD · Answer

A 150 cc implant volume change should be enough to see a reasonable difference. You can try a baggy test with what you have now and add 150 cc's.

David N. Sayah, MD, FACS - Account Suspended · Answer

High
profile implants are well-known for adding fullness through the upper pole, so
if that’s your goal, then high profile implants might work very well for you.
Although it’s hard to correlate cup size to implant size, between 100-150 ccs
will add about one cup size, generally speaking. However, this number varies
widely according to the individual, with some women seeing a full cup size
increase with just 75 ccs, and others not seeing as much of a difference as
they’d like even at 200 ccs. I recommend bringing in some photos of your ideal
breast shape and profile and letting your surgeon determine the implant size
and profile that will help you reach that goal.

I currently have 400cc saline implants. Would the 550cc silicone h/p, look larger than what I have now?

Answers (3)

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I currently have 400cc saline implants. Would the 550cc silicone h/p, look larger than what I have now?

Answers (3)

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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.