Would 400 not fit? What are my options if I want bigger boobs? (Photos)

Thank you for sharing your experience—your feelings are completely valid, and it’s clear that you went into your revision with both realistic expectations and a desire for a noticeable size increase.
From a surgical perspective, your surgeon likely made an intraoperative judgment based on the pocket size, skin elasticity, and chest dimensions. Although you were hoping for 400cc, if the tissue tension was too high or if placing the implant risked complications like rippling, bottoming out, or unnatural projection, the choice to go with 360cc may have been a safety-driven decision. High-profile implants also project more than moderate-profile ones, so while the base width is narrower, the forward projection is greater, which could explain why the result looks more “full” than necessarily “bigger.”
If you still desire a larger size, your future options may include:
Staged Augmentation: After your tissue has had time to adapt and stretch (often 6–12 months), a larger implant might fit better in a second revision.
Fat Grafting (When Feasible): If your body weight or fat distribution changes, or you decide to gain a little weight, you may become a candidate for fat grafting to subtly increase volume.
Tissue Expanders (in rare cases): If a significantly larger increase is desired and the tissue is too tight, tissue expansion could be considered—but this is typically reserved for reconstructive scenarios.
Combining Implants + Fat: Even with the current implants, adding a small volume of fat can enhance size and shape in a natural way.
Ultimately, if you love how your breasts look but are still thinking about size, it might help to revisit your goals in a few months once healing is complete. You’ve already achieved an improvement in shape and correction of the deformity—which is a big win—and size can always be adjusted later if needed.

Dear livfoxy,

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

Your breasts are not the same size as they wear in the first photo. I would not suggest going any larger for your frame and tissue will not support this. You are nice and full for your frame now. Please enjoy what you have. Going bigger will just stretch and sag and look even more fake with the round ball look.