Breast Implant Revision: Q&A

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Can I Avoid a Donut Lift if I Get Bigger Implants? (photo)

Original saline, smooth 300cc on L breast,400 on R breast.Mild symmastia and capsular con. on R breast.2nd surgery 350cc textured on R.Symmastia was not repaired as promised.I want to switch to silicone.I consulted with a handful of docs,but the one doc that seemed the most logical suggested a donut lift on left breast,but I don't want to have a donut lift.My quest.-If I get a bigger implant like a 400cc- 500cc,would I be able to avoid a donut lift?I love how my left breast has a natural looking slope.

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symmastia bigger textured implants without lift

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14 Doctor Answers | Asked by mommysuperstar007

Doctor Answers (14)
Community Comments (1)

Can I Avoid a Donut Lift if I Get Bigger Implants?

Hi mommysuperstar007, thank you for posting your question and photos. I think there is room for improvement but I don't think that choosing a larger implant size will give you the results you want. From your photos, it looks like the R breast is larger, positioned higher on the chest wall and has a smaller areola. I do not see any symmastia in the photos. To make your breasts more symmetric, I would recommend a smaller implant on the R side, elevating the inframammary fold (the... more

Correction of Breast Asymmetry After Augmentation

Hello, Thank you for sharing your photos along with your photos. It seems that you may not benefit with a doughnut lift as well as deciding to go larger with your gel implants. Without pre-op pictures and physical examination, it is a little hard to provide you with a solid advise on how to go about the mild symmastia you exhibit. Nonetheless, a correction of where your implants are currently via an internal lift may provide you with good results and preserve the natural slope of... more

Breast asymmetry and implants.

From the photos provided, your nipples are already too high in relationship to the implants. A lift is only going to worsen this position. If anything, the implants appear too low. Larger implants are likely to cause more inferior malposition, reduce the "natural slope", and worsen any synmastia (it's not obvious in the photos, but may be "dynamic") that is present. Correction of the implant position, with or without ADM would be the first step. If there is an inherent asymmetry between... more

David Bogue, MD

6 reviews

Boca Raton Plastic Surgeon

www.drbogue.com

Can I Avoid a Donut Lift if I Get Bigger Implants?

THe issues you have are better understood by in person evaluations. In my opinion you have many surgical caused issues and some where anatomic. In order of what the photos demonstrate. Asymmetry, off sided inframammary fold, volume differences, etc.

Strategy to correct breast asymmetry after augmentation

Hello. I don't think that going to larger implants will help you. The right breast implant is riding higher than the left implant, either because of a capsular contracture or a natural difference between the breasts. It also appears that the nipple and areola sit higher on the right side If the implant on the right side is lowered to match the left, there will be too much space visually between the bottom edge of the areola and the fold under the breast relative to... more

Breast asymmetry after augmentation

From the photos it appears that you still have capsular contracture on the right side. You also have asymmetry with regard to your areolar position. You do have mild symmastia on the right side. Getting a bigger implant is unlikely to resolve your current issues and may make symmastia harder to correct. A donut lift on the left breast also will not improve your appearance. It will make the left implant appears lower when the left areola is elevated. It's hard to make specific recommendations... more

Do I need a lift?

I agree with the rest of the docs, it appears that you have a fold asymettry caused by your implants bottoming out. You need a more thorough examination and consultation, but there are many better options, including a Strattice Internal lift and /or a capsul plication. Good luck and see a few more doctors.

You do not nee lift

I do not see any need for any kind of lift. You have asymmetry and implant position has exaggerated it. Your right implant is bottoming out and nipple lift will make it worse, Do not go with bigger implant which will make the situation worse. You need to have pocket revision and I would like to see your before surgery pictures.

Kamran Khoobehi, MD

28 reviews

New Orleans Plastic Surgeon

Breast Asymmetry After #BreastAugmentation

From your photos, it appears that the biggest issue that you have is the asymmetry of your folds. It looks as if the right breast fold has been lowered already and any further attempt would likely give you a double bubble. The left breast needs to be elevated with internal suturing to help improve (but will not fully correct) your asymmetry. Also, you would need an adjustment on the implant volumes to ensure that you have a more symmetric result. After these things were complete, then... more

Large Implants Will Not Provide A Necessary Breast Lift

Good Morning and thank you for your photos. You demonstrate a number of asymmetries with your breasts all of which require a very different approach to address. To begin with, I would not advise placing a larger implant in an attempt to 'lift' the left breast. Here are my observations based on your photos: 1. Your right breast appears to be in a better position than your left breast. The left breast is positioned far too low (think of the breast as a simple circle... more

It depends on what you are trying to accomplish

Hello, Thank you for the question and the photos. You have several asymmetries each correctable by a different method. It appears from your photos that one breast is smaller and lower on your chest with an areola that may be bigger and set lower on the breast than the other breast. Of these four asymmetries the areola position requires a purse-string areolaplasty (donut lift). There is no other way to correct that and a large implant will not help address that... more

Can I Avoid a Donut Lift

Both the implants and the nipples/areolas are not symmetric. No implants of any size will make the nipples and areolas even. If that is your goal, a lift is necessary. I would further comment that with symmastia , the implant would cross the midline of the chest/sternum. That is not the case as far as I see in the photos. If you had symmastia before your recent surgery, you don't seem to have it now. Thanks for your question, best wishes.

Implants don't do breast lifts

If your nipples are at different heights naturally, implants, no matter what size, will not make them level and symmetrical. To do that you would need a donut lift in your case. So don't expect that changing the implants will level out the nipples.

Breast asymmetry

Dear mommysuperstar007, I agree your left breast looks great. From the photo you have provided, your right breast implant looks higher and possibly contracted. Your areola on the right side is also much higher than the left side. If you were my patient, my goal would be to try to make the right breast look like the left breast, which you are happy with. I can't determine what procedures you need without an examination, but it would probably involve shifting the... more