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

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.

Thank you for your question and for sharing your photo. Size of the implants can be very personal choices that a patient makes. In many cases, patients can go from a A cup to a D cup or larger. In our practice, I begin by asking whether you are looking for more projection or perkiness and whether you mind have some of the breast tissue push outwards on the side. In addition, I ask you to try on different external sizers to give you a sense of what your breast may look like and the feel of extra volume in the breasts. In addition, I take details measurements of the breast including the base diameter of the breast. Your volume range and the breast shape preferences helps me the further guide you in your implant selection and to give you guidance on what the breast might look. Given that you have 375 MP now, I would still go through the same process but would ask that you wait until the six month to one year mark to allow your breast implants to fully settle.  You may want also consider the higher profile implants if you want larger sizes.I would visit with some board certified plastic surgeons in your area to discuss your options and goals in more detail.

Breast
implant exchange for size should always be delayed at least six months
following breast augmentation surgery.Not only does it take time for women to adjust to their new breasts, but
the breasts are also undergoing significant changes during this time
period.These changes make aesthetic
judgements difficult within the immediate post-operative period.After
six months it’s appropriate to re-evaluate your situation.If you’re still interested in increasing your
breast size, aesthetic judgements can be more easily made at this time.It’s important to maintain good communication
with your plastic surgeon.When the time
is right your plastic surgeon should be able to formulate a treatment plan that
addresses your anatomic findings and achieves your aesthetic goals.

To determine the best size for exchange you will have to seek consultations in plastic surgeons' offices. I would expect that you will increase volume by at least 150cc. Best of luck.

That range will be good, as long as the space is opened medially.  I would think that a capsulotomy would help create the contours you want, then adding more volume and projection would provide the fullness. 

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.

If you want a larger size, we would advise waiting at least 6 months and preferably one year.  Yes it is possible to go to the size you are thinking about. As far as the Kardashian photo you posted, a clothed photo with a push up bra gives you no information on what that person looks like without clothes. Some patients with droopy smaller breasts can look significantly different with the right bra. 

You are still early in the healing process, and need to wait.  Do discuss your concerns with your surgeon.  But remember, this was the size you and he decided upon.  You may not have enough tissue to support a larger implant.  Please listen to his advice.

Two months is really too soon to think about revision surgery. I advise my patients to wait at least a year before making any changes, since the body’s healing process can take longer than you realize.

I would also say that your current results look very nice, and going much larger does run the risk of looking disproportionate on your frame. Since you said you don’t want the results to look fake, this is an important point to take into consideration. It’s also important to keep in mind that every surgery carries a risk of sub-par results, and sometimes it’s better to stick with an original, beautiful result than risk a revision that may not turn out as well as you hope.