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Larger Breast Implant to Create Upper Pole Fullness and Cleavage?

The doctor said that my tissue and skin are the culprits, not able to hold the implants up. I am 128 lbs. 5'4 and before surgery between B and C cup.

Read my review "Is Upper Pole Fullness Impossible for Me?"

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12 Doctor Answers | Asked by scarlett o hara in Houston, TX

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Upper pole Fullness with Breasts Implants?

Thank you for the question. It sounds like you made benefit from additional support in the lower poles of the breasts to allow for implants to remain in good position and achieve the upper pole fullness that you are looking for. This procedure involves permanent sutures along the lower poles of the breasts ( inferior capsulorraphy) that serve to support the breast implant positioning and help prevent recurrent downward movement of the implants. It would... more

You have to careful in this situation

The most important thing to realize is that everybody's shape, size, and skin elasticity is different. You should see more than one surgeon for an opinion on your case because achieving a great result can be difficult. You can tell by the variety of answers for this question that there may not be one perfect answer. The answer that I give people in emails is that I do any of those procedures necessary to give the best result possible. high profile implant may do the trick, but if the... more

Elusive upper pole fullness!!

The upper pole is the area of the chest between the collar bone and the nipple. We've been thoroughly brainwashed by the lingerie companies that it should be full and heaving, even when we're not wearing push up bras. The difficulty with keeping the upper pole full with a larger volume implant is the fact that gravity and time will eventually cause the implant to settle to a lower and often more lateral (external) position. While a larger volume and a higher profile round implant may... more

Lavinia Chong, MD

22 reviews

Orange County Plastic Surgeon

www.chongmd.com

Upper pole fullness is difficult to get

Sometimes it can be achieved with a breast augmentation alone, but not necessarily just by putting in larger implants. You may be a candidate for a lift which would also help create some fullness in the upper pole. Also, placing implants above the muscle can help increase upper pole fullness. A larger implant may not be the answer for you and it really depends on what your breasts look like and what your skin feels like. Good luck.

Stick to your breast augmentation goals

You want "perky" You want fullness in the upper pole You don't want to be bigger A high profile implant may give you a lot of what you want. A high profile implant will appear perkier. Because of its steeper angle of takeoff from the chest wall, it will give you more definition at the upper pole. Secondly, the implant can be placed higher on the chest wall by modifying the capsule of the breast at the lower pole. Without seeing the scars, I cannot comment on them. In general,... more

Larger implants are rarely the proper solution

If your comment is in response to your unhappiness with the results of an augmentation surgery, you may have benefitted from some form of breast lift in addition to an augmentation. It is also vitally important to assess the quality of your tissues when chosing an implant size. You may have also been someone who would have benefitted from a textured implant although I rarely use them personally. I wish you well. Dr Edwards

There are alternatives

Upper pole fullness usually can be restored by a revision surgery in which the pocket is modified and a re excision of skin is performed. Larger implants have the disadvantage of adding weight to the already stretched out breast envelope. I would only consider larger implants if you wanted to be a larger cup size. Consult with a Plastic Surgeon who has extensive experience in breast surgery.

Not necessarily "larger"

Dear Scarlett, In 2009, we have the capability of measuring your body size and tissues before deciding on the type and size of implant necessary for your individual needs. This technique of biodimensional planning has enabled us, as plastic surgeons, to finely tailor the implant needs of the patient to their body type. You may be able to keep the same volume implant, but change its diameter to improve your cleavage and upper pole fullness. You would compromise some projection with... more

Heaver implants do cause more stress on the skin.

It is possible to have larger implants to create more upper pole fullness and cleavage. However, you also need to realize that the heavier the implant, the more stress there is on the skin and tissues which can cause them to stretch. If you post pictures, we may be able to give you more specific advice. Good luck.

Larger implants can improve upper fullness

Breast implants in augmentation do provide upper fullness which is lost after multiple pregnancies. Often patients are not necessarily interested in an increased cup size, though universally the upper scoop in the breast with loss of projection is a key complaint. Breast lift or mastopexy is very effective in correction of the nipple location relative to the fold under the breast, however upper fill and firmness are best provided by addition of an implant to the breast, in either a... more

Upper pole fullness

It is hard to give you specifics without examining you and taking a full history. But, upper pole fullness can be achieved with some implants. If your tissue is of poor quality and/or the implants are very large, then the implant may drop more than you would like.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Larger implants usually used for upper pole fullness and cleavage

Hello, In general, larger implants produce more cleavage and upper pole fullness, but the tissues have to be able to support them otherwise they just sag over time. Also, the width of the breast bone tends to decrease cleavage somewhat particularly in "under the muscle" implant procedures.