What New Breast Implant Size Should I Get To Replace My Old Ones?

Q: Dr. Eppley, I had a breast augmentation done seven years ago. Just last week I had a deflation and went back to my plastic surgeon. I am having both redone due to wanting to go fuller. I was an A cup before first surgery and now a C cup using a 350cc MP saline implant. I want a full D and he suggested a 550cc HP saline implants. I am m looking for a much fuller breast with less sagging. I want to make sure that when I go through this again that I get what I want. Does this size implant sound like enough?

A:  When changing breast implant size to go bigger, you want to make sure that you are getting at least a 30% to 40% increase over your prior implant size. Anything less will likely not be that visible. That means going from a 350cc implant, you need to go at least 150cc  bigger if not more. Thus the 550cc implant size sounds good to me. I have no doubt you will be visibly bigger and rounder. Whether your sagging will be improved to your liking, however, may be a different matter. Getting bigger does not always mean your breasts will be more uplifted, as defined by the nipple getting higher and more centered on the breast mound. Make sure you discuss this with your plastic surgeon beforehand to be certain you may not simultaneously benefit by some form of a nipple (areolar) lift with your breast implant exchange.

Dr. Barry Eppley

Indianapolis, Indiana