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Breast Augmentation Revision Post-breastfeeding - Can I Go with Larger Implants Alone?

asked 9 months ago by pacificgirl7 in San Francisco, CA
Latest answer by Vivek Bansal, MD
Question viewed 591 times
Tags: breast feeding, bigger

I have small saline implants (180cc, over.) After 2 pregnancies + breastfeeding, they have dropped and I have rippling. I may want to breastfeed again in the far future (6-7 yrs), so I am resistant to a breast lift, but want to improve the appearance of my breasts. I know I may need a lift eventually, but in the meantime, will larger silicone implants help me? My doctor wants to go above the muscle and is thinking 260-300 cc. I want to make sure I'm being smart with this. Help!

14 answers to Breast Augmentation Revision Post-breastfeeding - Can I Go with Larger Implants Alone?

+2

Breast Implant Revision - Breast Augmentation Revision Post-breastfeeding - Can I Go with Larger Implants Alone?

You should absolutely be thinking long-range, so here's what I'd say: 1) Placing larger implants will be a good short-term solution as it will fill out your skin. But it's not good for the long term. It will stretch out the skin more and cause more sagging ultimately. Silicone implants are typically associated with less rippling than saline implants are, so if you switch that may be a good option. 2) Placing them under the muscle is not really an... more
Alan Engler, MD

New York Plastic Surgeon
+2

Revisonary Breast Augmentation Surgery

I do think you would benefit from larger breast implants (ideally silicone gel implants). I do not think that changing the breast implant pocket at this point is in your best interest. This changing the pocket to the sub-muscular position may be indicated when you have the breast lift performed. You do have breast asymmetry (left breast appears lower and/or larger than the right breast) and I agree that you may need a breast lift (mastopexy) in the future but in the... more
Tom J. Pousti, MD

San Diego Plastic Surgeon

www.poustiplasticsurgery.com

+2

Go larger with an implant alone

We feel breast lift is about nipple position, and you are still above the breast fold. A larger implant alone will fill out the breast and give you better upper fill, and we would stay with the same pocket that you have already. Silicone is a very good choice to reduce some of the ripple. Best of luck, peterejohnsonmd
Peter E. Johnson, MD

Chicago Plastic Surgeon
+2

So many questions...

I agree that larger implants will help to fill the areas that have been stretched out and changing to gel implants will help with the rippling. Placing the implants behind the muscle would help with the rippling also, but leaving the implants in the same pocket, as your physician has suggested will help more with the sagging than if the implants are behind the muscle. Either way, without a lift you are not going to have a round full breast, but you will have a natural looking... more
Daniel Sherick, MD

Ann Arbor Plastic Surgeon
+2

Breast Implants after breast feeding

The implants you have are currently too small for the shape of the breast you have developed over the years. A larger implant will be necessary and you may want to consider going larger than the 300 cc you are thinking about if you want the upper part of you breast to be more full. Silicone implants under the muscle will give you a better outcome in terms of rippling...a nd of course plan on having that breast lift once you are ready for the definitive improvement.
Morad Tavallali, MD

Vienna Plastic Surgeon
+2

As long as you are aware that you need lift , larger silicone implant would help

You need to have to have higher breast. If you want fuller breast and less rippling, you may benefit with silicone gel implant 325 high profile. I would place the implant under the old pocket to help with the rippling.
Kamran Khoobehi, MD

New Orleans Plastic Surgeon
+1

Breast Revision

A lift should be on hold until the breastfeeding is resolved. Larger implants will help, but they will still be a limitation for active people. Larger silicone may help the appearance, but talk with your Board Certified Plastic Surgeon, and they will help you with the decision.
Vivek Bansal, MD

Danville Plastic Surgeon
+1

Breast revision with the COLD-SUBFASCIAL plane to restore beautiful breasts

While you can probably get by without a lift, your nipples will be slightly on the low side. It looks like you could certainly do with a 300-350cc silicone LOW_PROFILE with good results. I would recommend that you avoid high profile implants to avoid the 'rock in a sock ' appearance. I would also strongly recommend that you avoid subglandular or over the muscle as there will be no support for your breasts. I would recommend changing to low profile 300-350mL... more
Rian Maercks, MD

Miami Plastic Surgeon

www.rianmaercksmd.com

+1

Larger implants post breast feeding

I agree larger implants will help fill in the superior pole of your breasts, but I think you will need to go larger than the 300 cc's you mention. However, the larger you go, especially if it is over 500 cc's, will lead to further thinning of the soft tissue (skin, fat and breast tissue) over the implants. This may make the rippling worse. Silicone gel implants and especially high profile implants may help limit or decrease the rippling. Placing the implants submuscularly with... more
Todd C. Case, MD

Tucson Plastic Surgeon
+1

Breast revision surgery

It is a tough call for you to decide what to do. Having implants and wanting them larger is one thing. But, you need a lift. To wait until after your next child 6-7 opr more years later is your call.
Steven Wallach, MD

Manhattan Plastic Surgeon
+1

Breast Augmentation Revision Post-breastfeeding - Can I Go with Larger Implants Alone?

Thanks for the posted photos. I think a donut lift with at least a 400 to 450 ccHP implant sub pectoral is my choice.
Darryl J. Blinski, MD

Miami Plastic Surgeon
+1

Larger implants to correct ptosis

Hi, Personally, I would not recommend implants at this time. Placing larger implants to correct saggy breasts is only a temporary solution and actually makes matters worse by stretching tissue even further. Correcting this will be much more difficult in the future. Since you are planning to breast feed in the future, I would recommend to hold off and consider a mastopexy with retro pectoral implants. Implants behind the muscle have more than just skin envelope holding them up so they... more
Gary M. Horndeski, MD

Houston Plastic Surgeon
+1

Larger implant with breast ptosis

Thank you for the photo. You might consider larger implants, submuscular gels . If your concern is with breast scars and not primarily breast feeding then a lift is not a good option. Tightening of your breast skin need not anatomically prohibit future breast feeding. The are plenty of good breast surgeons in San Fran. I encourage you to allow someone to evaluate you and discuss your options. Good luck
Craig Harrison, MD

Tyler Plastic Surgeon
+1

Breast augmentation and lift

Changing to a larger implant can improve ptosis to some degree, depending on what cup size you are willing to accept. also the projection of the implant plays a role. good luck
Bianca Knoll, MD

Frankfurt Plastic Surgeon

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