300cc Saline replaced with 450cc HP Silicone: Age 38, 5'5, 120lbs

I love real self and am so grateful for all that share the other member show have shared their experiences to help others. I've been checking this site for months researching info for my upcoming revision surgery and have found the reviews very useful. I want to pay it forward and hope that this will be beneficial and help others who are considering breast implant surgery. My stats: Age - 38 (actually I turn 38 in May but it's only 8 weeks way); Ht-5'5; Wt- 120lbs, BWD-12.5/13; Ribcage- 29, Bra size- 32D (I don 't fill it out, I wear D b/c the width of my breasts are too big for 32C). Current implant stats: implanted in 2002, 300 Saline (275 overfilled). Reasons for revision: 1- Correct shape of breast due to cc which caused slight lateral deformity (bottom of breast is not round but flat); 2- Minimize rippling due to saline implants; 3-Go bigger (I went very conservative on my first BA- I look like a Full B/Small C in closes). I want to be a small D.

When I finally decided that I wanted to get my revision done this year, I had consultations with four different PS, one of which was my original PS that did my first BA in 2002. It's not that I didn't like or didn't trust my original PS (he did a fantastic job with my BA), but I wanted to talk to several PS to see what options I had before making the final decision. I ultimately decided to choose my original PS, Dr. Stagnone to do my revision for these reasons: 1-I felt that he truly understood what I wanted to accomplish and wanted to help me get it. Some of the other doctors dictated what they wanted to do for me without regards to my goals. 2- I felt that he and I were in synch with my goals in term of the look I wanted. 3- I know the type of work he does and what to expect based on my first BA. My breast still look pretty good for 12 years. 4 - His choice for implant size and profile was in line with what I wanted based on all the research I did. 5-He had the most beautiful breasts in his portfolio of work. He had the most before/after pictures so I know that he's done a ton of BA's.

So Dr. S is going to use sizers in surgery to determine the best size for my body and my desired look. When I had my pre-op, his nurse said that he will take in 400, 425, 450, 475, 500. She said that most likely he'll start with in the middle with the 450's and go up or down base on how they look in my body. I'm very nervous about going too big and being out of proportionate. The nurse let me try on some add on sizers on top of my current 300 implants - 150 (will be 450) and 175 (will be 475). I felt that 450 was too small, I could barely see a different and even 475 will give me a slight increase in projection. I didn't try on add-ons to get me to 500 but the nurse let me see a sample 500 cc implant. Holding the sample 500 implant in hand looked so big, but the nurse said that it will look smaller once placed under the muscle and that silicone looks smaller than saline. Trying on the add ons and looking at the implant in person gave me a peace of mind that even if Dr. S goes with the max size of 500 cc, I won't look overdone. I trust my doctor and know that he will give me what will look best for my body. But that doesn't take away the fact that I'm still very nervous about the final results. I just hope that I will be big enough to fill out my clothes without having to wear push up bras but not too big where I can't do high impact sports like running. Does anyone have implants larger than 450's and have issues with being active?