Will overfilling 450cc saline implants to 500 cc or 550 cc make a difference? Cc's Yay or Nay. . .

Question

I'm scheduled to get 450 cc saline implants under the muscle here in a few days. Will overfilling to 500 or 550ccs Really Make a difference in Size or feel?

Jeremy Hunt, MBBS, FRACS · Answer

Overfilling the implant will make a difference in size, but in this case it is only 10% and may be not minimally perceptible when it comes to the final result. The advantage though of overfilling is it will minimize rippling, and if the tissue coverage is minimal then this will be a greast advantage

	 

	Jeremy Hunt

Earl Stephenson, Jr., MD, DDS, MBA · Answer

Overfilling saline implants within the company's suggested range will make a difference in volume, size, shape and at times feel.  The more the volume the firmer the "feel" of the implant.

	Dr. ES

Craig S. Rock, MD, FACS · Answer

I generally fill a saline implant to the upper limit of the manufacturer's recommended fill range, to decrease the chances of rippling. Overfilling the implant will make it feel firmer, can change the shape of the implant, and may actually cause rippling along the edge of the implant.

John Paletta, MD · Answer

Depends on the type of implant. High profile come with a range I tend to fill between minimum and 50% of the upper range, beyond that they feel too hard. For moderate profile implants I do not like to stay at the minimum and prefer to be at the upper range to minimize rippling.

Kenneth Hughes, MD · Answer

Saline implants have a range of volumes from minimum to maximum. I generally fill to the maximum to minimize rippling, but I typically do not overfill unless there is a compelling reason to do so. Find a plastic surgeon with ELITE credentials who performs hundreds of breast augmentations each year. Then look at the plastic surgeon's website before and after photo galleries to get a sense of who can deliver the results. Kenneth Hughes, MD Los Angeles, CA

Jeffrey Zwiren, MD · Answer

The implant manufacturer has specific minimum and maximum volumes for filling a saline filled implant. If you go under that amount the implant can crease, over that amount the implant will be firmer, rounder and may develop more rippling along the edges. So stay within the manufacturer's suggested limits.

Scott L. Replogle, MD (retired) · Answer

In my opinion and experience, saline-filled breast implants should be filled to their rated volume and no more than 10 % more than that (which makes a significantly noticeable difference in size). Over-filling, in my experience, means filling the implant beyond 10% of the rated volume or beyond the manufacturer's limit. Like under-filling, this is a bad idea for palpability and perhaps long term results. 

	Within the rated to 10% extra volume, I do not see a consistent difference in feel. Most of the feel issues have to do with how much you can feel the saline-filled implant on the side and lower pole of the breast where the pec muscle doesn't cover. 

	Incidentally, for first time breast augmentation, over 80 % of my patients are still choosing saline-filled implants when I try to objectively list to them the advantages and disadvantages of saline-filled implants compared to silicone gel-filled implants. Unless there is a size asymmetry to adjust for or the patient has a preference for max fill compared to minimum fill, I usually fill them to the middle of the range.

Robert E. Zaworski, MD (retired) · Answer

Saline implants come in a size range.  It is not recommended to overfill a saline implant.  The result would be too firm.

Michael Hueneke, MD (retired) · Answer

It is recommended that implants are filled to near the upper limit of their capacity. Going beyond this will make the implant firmer. 50cc is not a substantial change in size

Will overfilling 450cc saline implants to 500 cc or 550 cc make a difference? Cc's Yay or Nay. . .

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