What Size Should I Have for my Breast Implant Revision? I Want a Sexy, Kim Kardashian-Like Result.

Dear Mirjano,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

Hi Mirjano, Dissatisfaction with the size of one’s implants is the most common reason patients seek a breast revision, almost always switching to a larger implant. Every surgeon uses a different angle when working with patients to determine what size implants will give them the outcome they want. I am a fan of The Rice Test and "Wish For" photos from patients. I have no idea what was the method your surgeon used or what took place, but I can say this process is about what YOU want, not what anyone else thinks. Your surgeon is a trusted source that should advise you if your choice is too large and will result in complications or too small and not give you the optimal result. Regardless, you've got some time because no one should be attempting a revision on you for a few more months. Be patient and let your breasts heal and change to their final shape over the next few months. You may be pleasantly surprised. Best of luck to you.

Yes, it is possible to #increase your implant size with a #revision. However, the #pocket may require adjustment and a lift may be necessary; to better #support the new implant depending on an evaluation. Additionally, a mesh for further support may be helpful depending on the #implant size and skin #elasticity.Typically, it's best to wait 6 to 12 months depending on the reason for #revision.  Matters such as sagging or drooping  and size change will not improve with time. As with all cosmetic surgery, results will be rewarding if expectations are realistic. With any surgical procedure, there are some risks which your doctor will discuss with you during your consultation.Your procedure should always be performed by a #PlasticSurgeon who is board-certified and has a great deal of experience specializing in cosmetic #surgery. You will then greatly improve your chances of getting the result you desire, and, without the need for another revision surgery. It is suggested that you look at before and after photos of the surgeons actual patients, and read patient #reviews. Gathering all of this information will help you make a well-informed decision.