Exchange 1000cc saline with 800cc silicone, over the muscle. Will this give more natural movement and feel? (Photos)

Any decision you make will likely require compromises. Moving the implants above the muscle will reduce or prevent the animation deformity, but it may result in rippling. Your photos suggest you have very little native breast issue or fat. Implants above the muscle will have very little coverage and likely leave you with rippling.

Dear braaat7,

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

You would not need a lift to go from 1000 cc to 800 cc. Unfortunately, Motiva would be your best choice for an optimum fill, highly cohesive silicone gel implant, but they currently are limited to 625. The next best alternative is a Natrelle Inspira cohesive.

If you suffer animation deformity the best option is relocating the new implants to the subfascial pocket plane, zero animation guaranteed.

The golden standard of implants nowadays is anatomical shape, textured surface and cohesive gell as filler, their look, touch and feel are highly natural.