From 600cc HP to 400cc moderate profile, not happy. Will 500cc HP get me closest to 600cc ? (Photo)

Some factors which contribute to the outcome of a breast #augmentation are #size, #shape, and #profile.  The #profile is determined by the amount of #projection versus roundness that the you desire, as well as the #size of the implant and size of your chest. Also, the placement or incision location will also have an effect on profile. 
#Shaped implants are all #textured and should not rotate when used properly. In my practice, about 20% of the patients benefit from shaped implants. Your Plastic Surgeon needs to measure you and determine the best shape and size of any implants that are used. You may benefit from a different type of breast #implant with more volume or #projection if you feel the diameter of the current implant is ideal but you desire more #fullness. Such will also be discussed during your consultation. Most importantly, communication  and asking questions of your surgeon and the staff are key. Another element to a satisfying result of your #augmentation is realistic #expectations.

Hello,Well, you might as well laugh about it, because at least you haven't had any major complications.  Seriously, you are honing in on the right size here, and I think 500 HP will be the closet thing to what you want.  Best of luck!

 Hi and thank you for your question. I understand your frustration. A 200 cc change is going to certainly translate into a loss of fullness. Going up to 500 cc implants will certainly make you breasts more full. However the only thing that will get you back to the same fullness that you had with your 600 cc implants is to go back to 600 cc implants. 500 cc might be a good compromise. One thing to consider is finding a practice in your area that uses the Vectra 3-D imaging system. We can use this computer program to show you what an additional 100-150 cc (or any volume you're interested in seeing) would look like on you. You might find this helpful in selecting your next implants. I think the best thing is to describe what you want and rely on your plastic surgeon to make a great choice for you. Good luck to you.Dr. West 

The most important thing is to communicate with your surgeon and have the same goal in mind.  When exchanging implants, there are several factors to address.  The reason why you changed out the 600cc implants?  Were they too wide, too much projection, or both?  In my experience, the majority of the time, it's because the implants are too wide (most of my patients like the projection).  If that's the case, going from a 600 Hp to 400cc moderate profile is a large change (approx. 2+cm projection), and excess skin, skin laxity would need to be taken into account?  Even possible need for "lift".  Breast width (implant diameter) is critical when choosing implant, if the implant is too wide:  It will extend up to collar bone and out under arm, if too narrow, breast tends to droop over it.  Once, width has been measured, then projection is addressed:  Moderate profile, Moderate plus, High, Extra high profile. These factors will help with what implant to choose and ultimately the volume (cc).Going to a 500cc Hp implant will help with projection, roughly .5cm difference in projection.  The width of the breast should be taken into account too because the 500cc implant will be narrower?  Which may be good, if that's the reason why you changed out the 600cc?  So the key: be specific with your surgeon, communicate, so your goals can be accomplished.I hope this helps.   Good luck.

If you felt 600cc was too large and now 400cc is too small then I would say 500CC should get you closer to your desired result.  I would definitely communicate your dissatisfaction with your surgeon.  Best of luck to you!