Sagging Breasts Because of Moderate Profile Implants?

I had 421cc silicone breast implants about 5 months ago. The reason for the surgery was because 4 years ago, I was 145 lbs and now I am 110 lbs. After the weight loss, my breasts dropped from a D to a B and was sagging.

I asked my surgeon to put in high profile implants so that they could appear firm, high and round. Now I am very dissatisfied to find that the surgeon did not put the high profile implants like we had agreed and instead he put moderate one.

After I was released, I was not given any documentation of the type or projection of implants that were used. It was only recently when I told them I was very depressed due to my sagging implants that they informed me that they did not put in high profile implants. Is this the main reason why my breasts are sagging? I did not mind a fake look, I told my surgeon this. I just wanted high implants. What can I do now? Please help!!!

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sagging 400-449cc weight loss

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8 Doctor Answers | Asked by Amorosa in san jose ca

Doctor Answers (8)
Community Comments (0)

Implants Don't Lift the Breast

Sagging of the breast can't be corrected with implants, no matter the profile. If the nipple is below the height of the breast crease, it can be lifted only with a breast lift. If breast tissue is sitting too low on the chest (below the breast crease), adding implants will simply make the sagging breasts into larger sagging breasts! High profile implants do provide a rounder shape to the breasts, and more upper pole fullness, but don't elevate any of the tissues.... more

Your implants aren't sagging - your own tissues are

No implant will lift sagging breast tissues after massive weight loss. Even HP ones! You need a breast lift to reshape the breasts, get more tone in the tissues and to elevate the nipples to a youthful location. Implants will then add volume to the newly shaped breast (can be all done at once). The HP's will give you more projection and upper pole fullness than the moderates but by themselves won't lift your tissues if they are droopy.

Your implant profile is not what is making your breasts sag

It sounds like you need a breast lift. An implant, no matter the size or profile, will not "lift" your breast. You'll need to talk to your surgeon about your expectations and ASK him why he used the implants he used. But don't expect any implant to lift your breasts---let your surgeon know your end goal, then let him tell you how he recommends you get there. Good luck!

Carmen Kavali, MD

11 reviews

Atlanta Plastic Surgeon

Breast implants

Certainly if you are unhappy you should review this with yoru doctor. The sagging of lack of fulness, tightness, whatever, may be related to the quality of your skin after the weight loss. Perhaps you need a breast lift?

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Shape of breast implants not the cause of sagging.

Hi. Your breasts sag after breast implants. This usually means that you needed a breast lift together with your breast augmentation in the first place. The exact shape of the implants would not make the difference. You might look worse with high profiles.

Them?

Amorosa, Have you received the identification documents on your implant type? Every patient is supposed to receive this information for their records. I am a little concerned about the "them" and "they". Sometimes "they", meaning the surgeon's staff don't correctly communicate information, vis a vis, the old game "Telephone" (if you're old enough to remember that). I suggest a follow up appointment with the surgeon. Then you can get the... more

You may need a breast lift

I agree with Dr. Yuan that you need to have a frank and open discussion with your doctor. If the wrong implants were placed, then correction is indicated. That said, breast implants, high profile or other, can only achieve a small amount of breast lift. If your nipple was below the fold beneath your breast (the inframammary fold), then no implant can achieve a lifted look. A dermal mastopexy or breast lift is required to place the nipple in a higher location. 5 months is long enough to... more

Talk frankly with your surgeon

I feel that most of what is really crucial in plastic surgery happens before you go into the operating room. And the most important thing is communication. If you and your surgeon agreed on a specific procedure with specific implants then someone has some explaining to do. However, often procedures are not worked out in fine detail and much is left to interpretation or to judgment. Ask your surgeon why the implants you thought was going to be used, or that you agreed was going to be used,... more