Is a 75cc increase a noticeable amount with a implant replacement from saline to silicone? Should it be more?‏ (photo)

I
recommend a new technique called Implant Exchange with Mini Ultimate Breast
Lift™.Using only a circumareola
incision it is possible to reshape your breast tissue creating upper pole
fullness, moving them high on the chest wall and more medial to increase your
cleavage.At the same time, implants can
be exchanged.Aligning the areola,
breast tissue and implant over the bony prominence of the chest wall maximizes
anterior projection with a minimal size implant.Small round textured silicone gel implants
placed retro-pectoral look and feel more natural, are more stable, less likely
to ripple or have complications needing revision.Implant profile is irrelevant in the
retro-pectoral position since the muscle compresses it.This technique avoids the ugly vertical scars
of the traditional technique, maintains nipple sensation and the ability to breast
feed.Best Wishes,Gary Horndeski, M.D.

This may be more than you want to consider but some of my patients who REALLY can't decide elect to have their saline implants evacuated in the office prior to surgery. The advantage is that they can see exactly how much breast tissue they have before committing to a particular implant. Its relatively painless except for the pain of walking around without a breast for a couple days. Not for everyone but always an option...Good luck

Thank you for your pictures.  75 cc would be somewhat noticeable.  100 cc would be noticeable.  Make sure that you sit with your PS to discuss your expectations prior to exchange.

I think you are correct in believing that a silicone implant will provide a more natural feel than your saline implants, but sizing up is unlikely to make a significant improvement in the fullness you have in the center of your chest.  When implants are placed under the muscle, it is important to leave the muscle attachments to the sternum (breast bone).  If those attachments are released in order to give a patient more cleavage, it can result is very unnatural motion of the breasts when the muscles are flexed.  Women who have more cleavage after BA either have more natural breast tissue in the center of their chest or have their implants over the muscle.  Your surgeon may be recommending the 500 cc implant because it is the largest that will properly fit within your chest measurements.  A larger implant may just give you more fullness under the arm, rather than in the center of your chest where you want it.  In addition, 25 cc is really a very small amount, so the size difference between 500 and 525 is really quite small.Talk to your surgeon about why they recommended 500 and their opinion whether either implant is really going to give you the additional fullness you're seeking.  Even if they believe they can use this extra size to give you more fullness in the center of your chest, I'd like to caution you that it will make your left nipple, which is already pointing a little sideways, look even more off center.

In my opinion increasing volume should be at least 100 ccs or 150ccs. But this needs IN PERSON examinations and discussions... 

Thank you for the question and good quality photographs!  Based on your photographs, I think that you are starting at a good place and should have a very nice outcome with revisionary breast augmentation surgery.  Some thoughts may be helpful to you: there is no specific  implant “life”;  in other words, if patients are pleased and there are there have been no problems with the breast implants there is no necessity to remove/replace.  Sometimes, patients will have very nice/soft outcomes with saline breast implants;  consultation with well experienced board-certified plastic surgeons will help you when it comes to determining whether the use of silicone gel breast implants will necessarily be “softer”.  For some patients, especially petite patients or those with smaller breasts implants, a change of 75 cc may result in a very noticeable difference; for other patients a greater increase in volume may be necessary to achieve the desired outcome.
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”  etc means different things to different people and therefore prove unhelpful.
 Also, as you know, cup size varies depending on him who makes the bra; therefore, discussing desired cup  size may also be inaccurate. Again, best not to discuss your goals and/or judge the outcome of the procedure performed based on achieving a specific cup size.
 
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. I generally select appropriate breast implant size/profile after the use of temporary intraoperative sizers and viewing the patient's chest in the upright and supine positions.
I hope this (and the attached link) helps.

Most patients need at least a 100 cc implant size increase to have a noticeable difference.  A small implant patient may need less and larger implant patient may need more.  Using rice in a zip-lock baggy in a soft bra has been a good way to estimate size increases in my practice.

Discussions about sizing are helpful in that they provide your plastic surgeon an impression of what you would like for a result.Accurate sizing is performed in the operating room where the ultimate implant selection must be performed.The lifespan of breast implants has not been definitively determined.  So that may not be the best reason for reaugmentation.  If you wish to increase size or advance to gel implants those are better reasons.I advise my patients not to settle on a number but instead - on a look. That way I can best meet their expectations.I hope this helps.

if i may offer my opinion, a 500cc for a woman who is only 5'-0" and 99 lbs is quite sizable (kudos on staying thin!!) . having said that,  the difference of 500 and 525 is very small. your breasts naturally sit somewhat far apart and that will not change.i personally would leave it at 500cc and but if you really wanted 525 cc that is fine. i would not recommend going much larger than 525 cc but the choice would be yours.good luckdavid berman md