I Want to Switch 480cc Saline Implants for 650cc Silicone, Too Big?

The answer is yes!  It is reasonable to exchange the saline for silicone to reduce the rippling.  The heavy implants will stretch your skin over time.

Dr. ES

Hello Is1218,

Of course the doctors recommended that you go bigger - you first told them you wanted to be bigger, right?  Unfortunately, few surgeons are going to tell you 'no', because they're afraid you'll walk out the door and go to a doctor that says 'yes'.  And most women will.  Most surgeons know better, but can't afford to loose the business.

You are tall and thin, and I understand you want more 'umph' in your bra size. The problem is that you are already too thin and small breasted for the 480 cc implants you have now.  Switching to the same size gel implants does not guarantee the elimination of rippling, but switching to larger gel implants will unlikely change your rippling status. Why? The larger implants will expand and further thin your already thin tissues, and even gel implants ripple, sometimes severely.

One possible solution involves placement of acellular dermal matrices (ADM), like Alloderm or Strattice, lining the inside of the implant pockets and forming a barrier between your implants and your skin.  The downside is excessive cost (more expensive than a pair of silicone gel implants) and no guarantee of 'eliminating' rippling.  If this solution sounds like a possibility, you should see a few seasoned surgeons with great reputations in breast implant revision.  Their certification in the ABPS and membership in the ASAPS is, of course, an important requirement.

Best of luck!