Is it OK to go this much over BWD for exchange?

Question

My surgeon said he would be willing to go 1.7 cm over my bwd for my exchange but I thought this could cause issues. This would take me from 255 to 360cc. Is it okay to go over the bwd this much?

J. Jason Wendel, MD, FACS · Answer

Thank you for you question regarding implant size for exchange.

In my experience, you can increase the volume and not compromise the breast width diameter by choosing a higher profile implant.

To be sure, see two or more experienced, licensed and board-certified providers in your area for a complete evaluation to make sure you are a good candidate and that it is safe for you to have treatment.

I hope this helps.

Daniel Barrett, MD · Answer

Dear cyndspan,
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

Connie Hiers, MD, FACS · Answer

Because of the soft tissue, we have about 1 to 1.5 cm of wiggle room before the implant is too large for the base. Going up in profile will give a more narrow base to the implant.  Your surgeon who has measured you will be the best one to guide you.

Is it OK to go this much over BWD for exchange?

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Is it OK to go this much over BWD for exchange?

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