I want big fake implants again - how big should I go? (photos)

Hi, thank you for sharing your question. The optimal upper limit of sizing will depend on your breast anatomy in order to do the procedure safely. A proper size can only be determined after an in person evaluation. Consult a board certified plastic surgeon to review your options.

With revision augmentation you can go bigger , but implant selection should be based on your breast base measurements and breast envelope that can take the weight of the implants. You might consider using mesh to support your tissues internally. there will be risk of dropping of tissues with the weight is new implants . Please see a Consultant Plastic Surgeon to discuss the issues and size options for you .

Dear megansheriff,
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

Good evening,
I perform over 250 XL augmentations a year, more than any other surgeon in the U.S.- let's go bigger- how about 900cc?

With your implants dropping, do not go bigger. Your tissue may not be able to support any more weight.

I would recommend getting evaluated for a mastopexy or breast lift as well as placing the implants under the muscle. I am sure if you share your goals with your surgeon they will be able to steer you in the right direction. Make sure to ask your surgeon to show you mastopexy scars so you are aware of what to expect after the surgery. Also, this is a fairly involved surgery and will likley be much more expensive than your initial breast augmentation (just a warning).

Megan,
I would like to see your previous (naked) breast photos and your present pictures to compare. This would aid in choosing the correct implant (and determine if a lift is required).
Dr. Taranow

Exchange to saline largest volume without negating the warranty is 800 cc. If you do not care about warranty then overinflation of saline implants to 1,000 cc +. Expect fees to be in $10,000 ranges.

Hello, and thanks for your question. It is ultimately up to you to decide how big you want to go. At our office, we provide a virtual computer system where you can visualize yourself with different implant sizes, so you can gauge what size you want. I'd probably guesstimate 550-600cc at least but it is hard to say without talking to you in person. The best thing to do would be to see a surgeon in person so that they can have a better look and give their opinion. Please see a board-certified physician for your consultation. Best of luck to you!

Sincerely, James Fernau, MD
FACS Aesthetic Surgery Certified, American Board of Plastic Surgery Certified, American Board of Otolaryngology/Head & Neck Surgery Member: American Society of Plastic Surgery (ASPS) American Society of Aesthetic Plastic Surgery (ASAPS) International Society of Aesthetic Plastic Surgery (ISAPS) American Academy of Facial Plastic Reconstructive Surgery (AAFPRS) American Academy of Otolaryngology/Head & Neck Surgery (AAOHNS) American Society for Laser Medicine and Surgery (ASLMS) The Rhinoplasty Society

Hi and welcome to our forum!
Here's the dilemma...you wish your breasts to be larger although you already note that the weight of your present implants has stretched out your skin and soft tissue to the point where you notice that "the implants have dropped extremely". A further increase in size will also increase the weight of the breasts which will lead to increased sag, perhaps even eventually requiring a breast lift with its additional scarring. Be careful!
Visit a board certified plastic surgeon for evaluation and discussion.
Best wishes...