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

UPDATED FROM metula
7 months post

6 months updated pics

metula
WORTH IT$6,500
Just wanted to post some updated pics. I'm now 6 months post op. Boobies have settled and they are 20-25% smaller than my 2 months post op :-(

metula's provider

Gregory J. Stagnone, MD (retired)

Gregory J. Stagnone, MD (retired)

Board Certified Plastic Surgeon

metula rating for Dr. Stagnone:

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Replies (5)

October 28, 2014
You look great!
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October 29, 2014
I hear you, we all get boob greed but you look great! I love your Natori bra :)
October 29, 2014
Thank you!! Best of luck!
October 29, 2014
Lol.. Yes, I guess we do get booby greed. It's an addiction..never big enough. That's why I have my real self community to keep me in check! Thanks.
October 29, 2014
Thank you!!!
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October 30, 2014
Im at 3 1/2 months post revision now, do you think they will get a bit smaller still?
October 30, 2014
I think they will get a bit smaller but only noticeable to you. You know how we notice every millimeter or cc difference our own body? I felt that I didn't get to my "real" size until 5 months but I also have been running and lifting a lot so I could have lost some body fat that contributed to my breast looking smaller. I saw your post op pics and think u you fabulous! You like look bigger than me :-(
November 4, 2014
What is your bra size now is it bigger than the 32D you started with? Your chest looks much larger than mine from my recent BA with a 234 implant, and I am still in a 32DD. I was hoping to get down to a 32D, but my chest would have had to be much smaller I guess and it doesn't isn't big now. Also just wanted to add I completely understand what you said when you said you didn't get much of a change in size from a 300CC implant to a 450CC implant, maybe not even a whole bra cup, as I went from right over a 500 CC implant to a 234 CC implant (less than half the size), and I didn't even go down two cup sizes. I went down maybe a cup size and a half. I find it very interesting how some CC's give one person so much more than someone else. By the way you look very fit, and in shape, your stomach looks great. I run to, and recently downsized from the 500 CC implants to the 234 CC implants, because I was almost a 32G or a 32DDD that was spilling out of the cup and the extra weight made running harder for me. So now being a 32DD is a good size for me. Don't go any bigger, it's not worth it.
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November 4, 2014
I just got measured at 32DDD (previously 32DD). I can still wear my old bra but the cups are over filled :) i didn't get bigger but I think it's due to the fact that my new silicone implants are much softer that my boobs are squooshier (as oppose to when I had saline, the bag was firm).
November 4, 2014
Hi CannW - I was still wearing my old 32D bras after my revision, but didn't like the way my boobs looks in them - they were not perky or full looking. So I decided to go get properly fitted at Nordies. As soon as I stepped into the fitting room with the lady, she took a look at me in my 32D bra and said, you need to go up a cup or even two. She took my measurements and it came out to 32DD. To my surprise, when I wore the right size, my boobs looked bigger and perkier. I am so sad that I can't fit into my old 32D bras because I spent a fortune on them. On the flip side, I'm happy that I did get one cup increase with my BA. It's probably all in my head, but I honestly thought my boobs were not any bigger with 450 than 300. My husband says they are way bigger. Maybe we get used to seeing big boobs and nothing seems big enough unless you have 1000cc :-) Oh, btw hubby recently bought me some new bras from VS in 32DD and they are too small. I need to go exchange them for 32DDD. I think VS purposely makes their bras smaller so that you have to wear a bigger size. I've seen some girls who are 32DDD post pic on RS and I am no where near as big as they are. Just like you mention, it's funny how same cc will give people very different looks. Overall, I'm happy. I'd rather be a little smaller and not have complications than get exactly the size I want and all the problems related to bigger implants or interfere with running. Running is my prozac. I would go crazy without it.
December 7, 2014
I am scheduled for revision 12/19. Thanks for your post ~ super helpful. Did you end up with HP?
December 7, 2014
Hi! Yep, I ended up with Mentor 450 cc high profile. Are u gettimg hp too?
December 8, 2014
Yes that is what he is thinking. 400 range. 339 right now and just want more fullness especially lower pole and medial/cleavage area. I currently wear VS 32D and sometimes 32DD. I hope my revision healing goes as well as yours did. I was pretty uncomfortable the first time around. Thanks again. You look amazing!
December 8, 2014
I remember my first time was very painful. The second time around really is not that bad. I didn't eve feel any pain at all. It can be deceiving because since u don't feel pain, you don't realize how much trauma your body has gone through and you need to take it easy. I remember feeling so good 3 days afterwards I was doing how chores- reaching overhead to put the dishes up, carry baskets of laundry. I got carried away and mildly strained my pec muscle. It started to swell and I was worried I had a sera toma. Thankfully it was nothing, but it was a close call. So regardless of how good you feel, you need to take it easy and not do much for the first 7-10 days. Just follow your docs pre and post care instructions to minimize any post surgery complications. Best of luck!
December 8, 2014
Thanks! I will!
April 30, 2015
You look great! Can I ask where you buy your bras? I am now a 34DD and am having trouble finding great support.
April 2, 2017
I'm sorry for the very late response. I haven't been as active in real self. I hope you found a place but if you haven't, I get my bras at Nordstrom. They have great selection and quality. It's a bit pricey but gotta protect your investment. Hope that helps.
UPDATED FROM metula
2 months post

9 weeks post op - boobies are definitely smaller after all swelling is gone :-(

metula
I just wasted to post an update. I will be 9 weeks post op tomorrow. I'm back to normal activities- running and weight training (no pec workout yet). There are still certain exercises that does feel right (any heavy weights over the head). The Swelling is almost completely gone and so has half the volume/size. I'm struggling with my final breast size because they are not as big as I hoped. I thought the size was perfect out of surgery and was hoping that some of it would stay after swelling went down. No one has even noticed that I got anything done. I look almost the same size in clothes and still wear the same size bra as pre-surgery. Sometimes I wished I would have just requested the 500 cc's but I'm not sure if they would have looked much bigger. Overall I'm still very happy with my results. I honestly don't think I could have gone much bigger without looking top heavy or effecting my active lifestyle. I can say that it's much more comfortable running at 9 weeks than 4 weeks bc I'm carrying all that extra volume on top. In the end, I think it was worth it for my surgery bc I got shape and size changes. If I didn't have cc, would i think it's worth it just for a little added fullness (1/2 cup)? I'm not sure.

Replies (5)

May 29, 2014
I went up 200. Cc in my revision. From 400 to 600 and don't see much difference...I think you need to increase by 250-300 cc to see a change :(
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June 19, 2014
I have a similar story. My cap con developed after a skin infection. I went from 225cc overs to 350 unders with the dermal matrix also this time and in clothes the size looks similar, and I am at day 19ish, so the swelling will continue to go down. I would have been scared to go with 350 the first time, but given this second chance, I went for it and it feels as if they could be bigger too. Not that I want bigger, but there's space for more!!!
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August 9, 2014
Look good!! We bought the same sport bra from target!!! Lol I have it on now and posted a pic... Funny! Congrats!
August 11, 2014
You look awesome!! I wish I would have gotten 500 cc's like yours. Are they heavy?
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August 11, 2014
Thanks! I don't notice them as much now.. Sore at incisions and numb but not really heavy..
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October 27, 2014
how are you feeling now about your size? Im wanting 475cc so trying to decide if worth having the revision from 350cc to 475cc I too hate how small they are in clothes :(
October 27, 2014
I thought going 50% more (150cc) would make me significantly bigger but it didn't. It's barely noticeable. I wish I could have gone with 500 or 550. I read on a website that you need to go at least 150-200 cc to see a difference. I don't think it's worth the money and risk of surgery if you're not going to see a big difference. I still have to wear padded bras :-( even after my second BA. Are you going from saline to silicone? I heard that silicone looks smaller than saline. It's because silicone is so much more squishy. Are you changing your implant profile? Maybe these factor could effect the final outcome since it's one a one to one exchange.
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March 3, 2015
They look big! And perfect, one of the best i have seen:)
March 3, 2015
Thank you!! LOL..Funny, I don't think they are big. It's been almost one year post op and they are about 80% the size they were after surgery. I wished I they were bigger, but I am very thankful for the results and no complications so far.
UPDATED FROM metula
19 days post

20 days post op and looking good. Love my PS! Make sure u make the right choice!

metula
I got my stitches removed last Friday and incisions look really good. It looks like pen line. Breast are getting soft and tenderness and soreness is slowly dissipating. I'm extremely happy with my results and so glad Dr.Stagnone did my surgery and not any of the other docs I consulted with. I don't think I would have gotten what I wanted from the other docs ( all were board certified and had high reviews). Just to put things in perspective. Doc1-said I could only go with 275 to 300 cc mod plus, I basically would be doing an even swap. My goal was to be bigger which I wasn't going to get with Doc1. Doc2- said that I could not go with high profile so he was going to give me mod plus. He explained why but I didn't really understand, something about giving me a wider diameter to balance out my nibbles). He would know the exact size until surgery but his guess was 360-420 with 390 being the best guess. Of all the docs, Doc2 had all the credentials, written articles and appeared on TV. My concer with him, was that my implants would be to wide where I would almost have a uni-boob look. He said that wouldn't happen. My other concern was that I would still look the same size. I didn't know if it was worth the risk of surgery if I was going to look the same afterwards. Doc3- said I had to go with 460 or 480 cc ultra high profile. He had determined my size based on the manufacuters size guidelines. He didn't even said anything about fixing my lateral deformity (where I had cc that was causing my breast to look flat). He made me sign a form saying that's what I asked him to implant. I just didn't feel comfortable with the consult. I felt pressured to decide on my size in my first visit. I was concerned about the uhp looking to round like balls. The last red flag was that his patient coordinator suggested I get insurance just in case I had post op complications (ie. hematoma) that required additionally surgery. This seemed very odd to me bc none of the other doctors including Dr. S didn't have to offer me insurance bc they would not charge me I had complications like that. Doc4(Dr. Stagnone)- said that given my small frame and that I wanted to go bigger, he said high profile would be best for me (which is consisent with all the research I did). He wouldn't know exactly the size until he opened me up and fit me with sizers, only then would he know what's best on me but he said it would be anywhere from 400 to 500. Dr. S listened to what I wanted to accomplish and gave me exactly what I wanted. I don't think my breast would be as beautiful and proportionate had I gone with anyone else!

Replies (4)

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April 17, 2014
Wow, you look great!
April 17, 2014
Hi scrappy37! Thank you! How are you healing up?
May 5, 2014
Your breasts look absolutely PERFECT. I live in dallas as well and have been looking for a good PS. Out of all the surgeries I've seen, your results are the closest to what I have wanted. How did you manage to not get those initial frankenboobs??
May 6, 2014
Hi kgross!! Thank you! I think that I didn't have the frankenboobs because this was my second BA. Since the pockets were already there and muscles/skin stretched from first set of implants, the second set just fit right in place. There was minimal need for implants to drop and settle like the first time. I also think the key is not to go too much bigger on your revision so that the skin/muscles don't have to stretch too much. I was surprised myself how much my breasts almost normal the day after surgery. With each week, the swelling is going down and they just look like a smaller more perky version of Day 1 post surgery. Are you getting a revision? Do you know how big you will go?
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May 12, 2014
Pure perfection! Perfect!
May 28, 2014
Thank you SO much for your helpful review! Your journey sounds so similar to mine thus far! i have capsular issues (developed after 2 pregnancies) that cause a flatter part on my implants...funny I just thought that was normal after babies until I had my consult last week: now it drives me crazy! I SO want 500cc HP silicones instead of my 350cc salines but my doc said my chest and tissue will not allow and I will be looking for future problems with an implant that large: so as much as I want bigger: I am trying to have faith, his work is impeccable so I am trusting even though $8000 is a lot of money for a revision for only 75cc. I hope my results look as wonderful as yours! :-)
May 28, 2014
Hi there! What profile implants are your 350's now? Your PS wants to replace with 425cc HP silicone? I'm not sure you will see much of a difference with 75cc's. I went 50% bigger (150cc more) and I can barely see a difference (only if i wear a really tight shirt and suck in my tummy to make my waist look smaller). I was told that silicon implants look smaller once inside because they are more pliable/squishy. You are right though- $8K is a big chunk of change to drop but it depends on your goals and what will make you happy. If your first priority goal is to correct the cc and it's just icing on the cake to go bigger, then it may be worth the money. I think as long you don't set high expectations of the breast size and more how they will look post surgery, you will be fine. I still wonder if had I known that my final size is what I got, would I have gotten the surgery. Probably, but it's lots of money and risk for just a small increase. I also read somewhere that in order for size increase to be worth the cost/surgery, you have to go at least 100 cc's to see any difference. What did your PS say about your final size with 425? Did he say you would notice a difference? You can always get a second opinion. One of the PS told me that I could only handle 360-390 tops. He does like 2000 BA surgeries a year and had lots of acclaims, been on TV shows and lectures so I knew he was well qualified and reputable. I think it comes down to choosing not only choosing a qualified board certified surgeon but also someone that shares your same vision. Not all surgeons have the same vision as their patients, some are very conservative, some would do whatever you ask, etc.. Bottom line is if you are comfortable and trust your surgeon, then you will be ok. Best of luck and keep me posted. I just uploaded some recent pics so you can see the progress. Btw, did you say that the cc was caused by pregnancy or it's just a coincidence that it occurred after your pregnancies? I've never had any pregnancies but hubby and I are hoping for one soon. I guess there's always a second revision after babies :-)
May 29, 2014
What was your profile before revision?? Mine are moderates going to HP So projection (wch is my biggest issue will change hopefully!) I decided I am going to insist he has both the 425 and 450 available and we can figure it out on operation day. I know some surgeons are more conservative and I also understand the increase in size comes with increased potential for both short and long term complications so I just have to trust his expertise and not my imagination ;-) lol I found after my two pregnancies the breast kind of slipped off the implant in the front (very slightly), causing a sag down, or a "longer boob" for lack of better description. I read that nursing can cause slight cc wch is what I believe the tiny bit of scar tissue that is causing my implant to sit higher is from bcs my surgeon said once he releases that, that my implant will sit better behind my breast, causing the nipple to rise instead of descend downward. I had no issues breast feeding etc with the implants if that helps you :-)