What Size And Type of Implants Do I Need For My Breast Implant Replacements?

Q: Dr. Eppley, I am sure as people read stories and see photos about breast augmentation results they start to freak out. Everyone on RealSelf is saying there is no projection with the Sientra high profile implant and how many are disappointed. I know a lot of things go into play for each individual. However, since I have the mentor round smooth saline now at 300cc, I’m wanting a FULLER, ROUNDER, BIGGER implant. We had decided on 655cc Sientra high profile silicone. Again I read because of being under the muscle you lose a lot off cc’s there. I don’t wanna be the same size I am now and I’m not looking to just increase one size. Are these actually the “right” implant for the “look” I’m after? I don’t want to be disappointed. I’m just under 3 weeks from surgery. This is the kinda look I’m after now. I’m 5ft, 111lbs and you have my measurement. I just want to be proud and satisfied.

Large Breast Implants Dr Barry Eppley IndianapolisA: Thank you for sharing this pictorial result from another patient’s outcome as it is very helpful to figure out what may be best for you. It is important to point out that you are never going to get that same result no matter breast implants you use because you simply do not have her body or breasts. That is not a realistic result for you on your breast implant exchange. It does, however, provide further insight into what you should do to help get as close that type of result as possible for your breast implant replacements.

First no silicone implant, regardless of manufacturer, can achieve that degree of roundness and upper pole fullness…unless one is 20 years old with tight skin and little to no natural breast tissue. This kind of approximate result can only come from overfilled saline implants. Saline implants create much rounder and fuller breasts because the fill material is under pressure. That is why they can look so round. Size also plays a factor and I would suspect that you would need a base size of a minimum of 650ccs filled to 800ccs (or more) to come close to that look. At the least if you use silicone implants they would have be ultra high profile (like from Allergan) and be close to 750cc to 800ccs in size.

Dr. Barry Eppley

Indianapolis, Indiana