Q: Dr. Eppley, I am interested in very large breast implants. I had 2500cc then had a breast lift and now no implants. I would like to start my breast augmentation journey again. What is the largest that you will overfill? I know all the down falls of overfills but still want them.
A: If I understand your breast surgery history, where once you had overfilled saline implants to 2500cc per side, you now have no implants at all. I assume that you got to 2500cc through a staged series of fills using a base size of 800cc implants. (which are the largest base size saline implants made in the USA) To begin the journey, I would start with 800cc saline implants filled to 1200cc to 1400cc and then increase them 500cc at time every 3 months to get to the final volume. Given that the largest postoperative adjustable saline breast implants are 650cc (with a remote port under the skin which could be done as an office procedure for fill), non-remote port implants would have to be used which would require more of a minor surgical procedure for additional fills which could be done under local anesthesia.
Dr. Barry Eppley