I am 3 years post breast augmentation. I chose 175cc Gel Mentor, very unhappy with my results. Revision book (Photo)

I am debating between 325 & 350 Mentor Gel High Profile. Would you recommend this choice and shape being that the existing pocket is currently for 175? Will they sag like this again just be bigger or will the extra skin fill around the implant better being that I chose too small to begin with. Please help ❣

Doctor Answers 2

What size implants

 Without being able to feel how much overlying breast tissue you have, the exact number of cc's necessary to go from what you have, to what you want, is difficult to ascertain. I would guess however, somewhere in the mid 400 mL range will give you the tight perky look that you display in your goal photographs. I would recommend you revisit your plastic surgeon to get there input as well.  Best of luck. 

Louisville Plastic Surgeon
4.7 out of 5 stars 54 reviews

Best breast implants for me?

Thank you for the question and pictures.   You will find that online consultants will not be able to provide you with specific advice in regards to selection of specific breast implant size/profile. Ultimately, careful communication of your goals will be critical.

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” or "full enough" etc means different things to different people and therefore prove unhelpful.  Also, as you know, cup size varies depending on   who makes the bra; therefore, discussing desired cup  size may also be inaccurate.   

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 ( after the use of temporary intraoperative sizers).  Viewing the patient's chest wall in the upright and supine positions, with temporary sizes in place, help select  the best breast implant size/profile for the specific patient. I hope this, and the attached link (dedicated to revisionary breast augmentation surgery concerns), helps. Best wishes.

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 1,498 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.