Breast Implants: Q&A

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Breast Enlargement After Having a Baby Which Would Be Better and More Natural Looking, Overs/Unders? (photo)

I recently had a baby 7 months ago, prior to my son my breasts where a large C cup, now they are an empty size c. I want a breast enlargement to fill out my breasts to what they were pre-baby. My breasts are still quite full at the bottom but flat and empty at the top. I have been for one consultation (got 2 more booked in) the first surgeon has suggested 210cc overs. What size/shape/profile do you think would be best to make me back to a big C cup looking natural with slight lift if possible.

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7 Doctor Answers | Asked by tlk1984

Doctor Answers (7)
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Breast implant choice after pregnancy

I would check to see where your inframammary crease falls in relation to the nipple level and if it is not too high relative to the nipple, then an augmentation alone should be able to achieve your goals. Many years of experience and proper technique both short term and long term indicate that breast implants should be below the pectoralis muscle which only covers the part of the implant from the nipple-areola up but pads and protects it and makes the result look natural both short term and... more

Breast Implants Over or Under

You are experiencing typical changes after child birth. Based on the pictures the sagging present would likely be alleviated with an augmentation alone. A dual plane dissection would likely help to overcome more of the sagging while filling out the upper pole. The volume you are selecting is relatively low and therefore you would likely need a low profile implant which distributes more of the volume along the base. This would allow for more uppr pole fullness. more

Breast lift and implants

Implant can be placed over or under the muscle. It certainly looks like you have enough tissue to go above the muscle. You possibly need a lift as well. An exam in person is helpful.

Steven Wallach, MD

13 reviews

Manhattan Plastic Surgeon

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Not Just a Question of Over or Under

Thanks for the photos. You current have described your situation correctly. You have ptosis (sagging). Placement of an implant under the muscle will more than likely produce a Snoopy deformity while placing it over the muscle will require such a large implant that it will put to much pressure on the skin over time and continue to stretch the skin= more sagging. Get your two other consults complete. Your particular case would be best treated with an augmentation... more

Implants Will Not Correct Sagging

I feel that patients almost always get a more natural result when implants are placed under the muscle. It appears from your photos that you have nipples which are located beneath the inframammary fold. If so, you are likely going to need a lift as well.

Subglandular placement of breast implants?

Thank you for your question. Unfortunately, it is not possible to give you precise advice without direct examination and a full communication of your goals. Based on the pictures alone, I am not convinced that breast augmentation surgery alone will provide you with a aesthetically pleasing results; breast lifting may be necessary to do so. Generally speaking, I would for these sub muscular (dual plane) positioning of breast implants; there... more

Over or under the muscle 7 months after having a baby?

You appear to have ample breast, so regarding size, you need to visit your plastic surgeon and place sizers inside your bra followed by a T-shirt. See what you like and go with it. Bras are not well standardized, so you may be a C in one brand and a D or different size in another. If you are trying to only fill out the top of your breast, then a 210 cc may be fine. That is a small implant, however. Regarding under or over the muscle, either would look fine. I have spent decades... more

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