I have allergen 470 tsx in both breasts and am wanting to go XL. Dr Revis, what would you reccommend?

I am thinking no less than 1000 cc, and also having the internal bra.

If I could say one name in which I love her job it's Emelie Ekstrom. I like the way the nipple points slightly upwards. Is this possible with me?

I am travelling from London so will be looking at making it a two-week trip.

Thanks for your help!

Answers from doctors (5)


Jed Horowitz, M.D., F.A.C.S.

Published on Dec 14, 2015

It is always difficult to answer questions without photos or measurements.
You should be able to increase your implant size; however, larger breasts always have more complications.

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Answered by Jed Horowitz, M.D., F.A.C.S.

It is always difficult to answer questions without photos or measurements.
You should be able to increase your implant size; however, larger breasts always have more complications.

Published on Jul 11, 2012


Don R. Revis, Jr., M.D, F.A.C.S

Published on Dec 04, 2015

Absolutely! Since we have already had a personal email exchange, I will not repeat everything here, but I look forward to meeting you!

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/6127_1500919992.jpg
Answered by Don R. Revis, Jr., M.D, F.A.C.S

Absolutely! Since we have already had a personal email exchange, I will not repeat everything here, but I look forward to meeting you!

Published on Jul 11, 2012


Robert A. Shumway, MD, FACS

Published on Dec 04, 2015

Make sure that you spend enough time in the USA for recovery.

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Answered by Robert A. Shumway, MD, FACS

Make sure that you spend enough time in the USA for recovery.

Published on Jul 11, 2012


More About Doctor Tom Pousti, M.D.

Published on Dec 04, 2015

Thank you for the question.

Clear communication with your plastic surgeon in regards to your size and breast implant position goals are critical pre-operatively. If in doubt regarding one surgeon's recommendations, additional recommendations may be helpful to give you peace of mind. Make sure you are consulting with well-experienced board-certified plastic surgeons.

In regards to communication, I find the use of goal pictures to be very helpful. I have found that the use of words such as “natural” or “C-cup” or "fake looking" or "top heavy" means different things to different people and therefore prove unhelpful.

 Also, as you know, cup size varies depending on who makes the bra; therefore, discussing desired cup size may also be inaccurate.

I use intraoperative sizers and place the patient in the upright position to evaluate breast size. Use of these sizers also allow me to select the breast implant profile (low, moderate, moderate plus, high-profile) that would most likely achieve the patient's goals. The patient's goal pictures are hanging on the wall, and allow for direct comparison.

I have found that this system is very helpful in improving the chances of achieving the patient's goals as consistently as possible. 

I hope this helps.

Answered by Tom Pousti, M.D. (View Profile)

Thank you for the question.

Clear communication with your plastic surgeon in regards to your size and breast implant position goals are critical pre-operatively. If in doubt regarding one surgeon's recommendations, additional recommendations may be helpful to give you peace of mind. Make sure you are consulting with well-experienced board-certified plastic surgeons.

In regards to communication, I find the use of goal pictures to be very helpful. I have found that the use of words such as “natural” or “C-cup” or "fake looking" or "top heavy" means different things to different people and therefore prove unhelpful.

 Also, as you know, cup size varies depending on who makes the bra; therefore, discussing desired cup size may also be inaccurate.

I use intraoperative sizers and place the patient in the upright position to evaluate breast size. Use of these sizers also allow me to select the breast implant profile (low, moderate, moderate plus, high-profile) that would most likely achieve the patient's goals. The patient's goal pictures are hanging on the wall, and allow for direct comparison.

I have found that this system is very helpful in improving the chances of achieving the patient's goals as consistently as possible. 

I hope this helps.

Published on Jul 11, 2012


More About Doctor Alan N. Larsen M.D

Published on Dec 04, 2015

Currently, the largest gel implant is 800cc, and the maximum fill on a saline implant is 960cc. Without seeing your picture, you may need a slight lift to get your nipples higher, but will most likely still point outward with an implant that large.

Answered by Alan N. Larsen M.D (View Profile)

Currently, the largest gel implant is 800cc, and the maximum fill on a saline implant is 960cc. Without seeing your picture, you may need a slight lift to get your nipples higher, but will most likely still point outward with an implant that large.

Published on Jul 11, 2012


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