5'7, 160lbs, age 22, 345cc - can you advise on BA revision? (Photos)

Question

I had a BA when I was 19, 22 now. I'm 5'7 and 160lbs. When 19, I was 135 so my 345 implants do seem smaller. My first surgeon was adamant on a natural look but I knew right after, I was someday going to do a revision as I wasn't too satisfied with the result although they look nice. I have a wide chest and don't have as much volume as I wanted. I have attached images before/after my 1st surgery, and what I want. Is what I want something that could be realistically achieved & a good ref. photo?

Donald R. Revis Jr, MD · Answer

Good afternoon,
I perform over 250 XL augmentations a year, more than any other surgeon in the U.S. You can absolutely achieve that size and look and I would accomplish that with a Mentor MemoryGel XHP silicone gel implant in the 700, 755 or 790cc size.

Gerald Minniti, MD, FACS · Answer

Based solely on photographic information and comparing your appearance to the goal appearance, you'll need an implant that is nearly three times the size of what you have now, putting you firmly in a territory beyond silicone gel implant's available sizes, and above the recommended fill amount of the largest saline devices. I would get sized in a plastic surgeon's office using purpose built sizers.

Daniel Barrett, MD · Answer

Dear caaat99,
breast revision surgery is the most difficult plastic surgery procedure performed. Botched breast surgery alters normal tissue planes and laxity, the ability of breasts to heal properly, and leaves scar tissue that dramatically affects the level of difficulty of the corrective surgery.Many patients come in to correct poor outcomes from their initial surgeries. The most common problems are due to implant malposition, bottoming out of the implant, poor scarring, and incorrect implant size.While the type of revision required will depend on the result of the previous surgery and the desired result of the patient, some revisions involve extensive pocket repair that may or may not need specialized external bras.If you are considering breast surgery revision, you should speak with a board certified plastic surgeon and have yourself properly assessed. Only after a thorough examination you will get more information and recommendations. Also, you have to make sure that your surgeon understands your breast augmentation goals.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Connie Hiers, MD, FACS · Answer

You can go larger, but larger is a more heavy implant on your neck and shoulders and tissue and may sag more over time. Please do not go too large.

Douglas Taranow, DO, FACOS · Answer

You should do well with a revision breast augmentation. You will require significantly larger implants to achieve your wish pics. 
Dr. Taranow

Darryl J. Blinski, MD · Answer

Your volume of implant used was too small. I recommend replacement with 500-600 cc implants fo get close to wish pc. But you will still have space inbetween.

5'7, 160lbs, age 22, 345cc - can you advise on BA revision? (Photos)

Answers (6)

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