Advice for breast augmentation redo after pregnancy?

I currently have 350 HP breast implants, but I had a baby and the now sag. My nipple is just above the crease and I have about 1-2 inches of breast underneath.The bottom portion is full but I have no upper fullness. I never did, even after the first augmentation. My plastic surgeon says using a larger implant (500-600 HP) will fill the breast back up and make them high and tight like I want. He says no to any type of lift (I'm Black, so maybe he's worried about scarring). Is this a sensible solution? What would you suggest for a patient like myself? A Breast lift or have Breast implants? I am a big girl 34-27-46, 5'6". Thanks.

Advice for breast augmentation redo after pregnancy?
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13 answers to “Advice for breast augmentation redo...”

A: First, decide what you want

Ricardo Rodriguez, MD

Ask yourself, "Am I happy with the size of my breasts when they are lifted up in a bra?" If you are, you don't need a larger implant, you just need to have the implants placed higher on your chest wall. BTW you can do this with a periareolar lift which will leave minimal scars. A repair of the... more

A: Breast augmentation versus lift after pregnancy

Nina S. Naidu, MD

Hi, As you can see from the many and varied responses to your question, there are several solutions to your problem.  The best solution really depends on what you are looking for.  If you like the size you are now when you wear a bra (which naturally lifts the breasts), then a breast lift... more

A: Adverse change in breast shape after pregnancy

Armando Soto, MD

Hi there- In my experience, changes that occur in the shape of a woman's breast as a result of pregnancy and/or breast feeding are not easily correctible through replacement of the implant alone, especially if you don't necessarily want to be significantly larger than your current size. Replacing your implant,... more

A: Do nothing

Parham Ganchi, MD

You have naturally shaped breasts that do NOT have drooping of the nipple (as you mention yourself). As such, doing a lift will only buy you scars without any significant improvement in the long run. Using larger implants will also get you no improvement in the long run. You may look fuller in the upper breast... more

A: Change the styple of implant

Christopher L. Hess, MD

Your picture exemplifies nicely shaped breasts.  The normal position for the nipple is on level with the breast crease.  Your nipple is slightly above which is excellent.  I see that you have lost some upper pole fullness.  If you didn't have that before the last surgery I'm not sure why... more

A: Revision breast augmentation and lift

Otto Joseph Placik, MD

Puitting a larger implant will make it bigger and tighter in the short term but set you up for sagging in the long term. It sounds as if you are recieiving conflicting advice and that makes it difficult to make a decision. From your picture, it appears that you have relatively litttle sagging according to our... more

A: Breast Lift vs. Breast Implant Enlargement

Raffy Karamanoukian, MD

The choice for breast lift or mastopexy is dependent on the degree of skin laxity and the position of the nipple. Larger implants will temporarily improve the position of the implant if done appropriately, but this will inevitably result in further droopiness of the breast and nipple.  I would suggest a... more

A: Breast lift is required for sagging breast after pregnancy

Brooke R. Seckel, MD

Since you did not achieve the fullness that you wanted after your first breast augmentation, a larger implant after the breast has sagged further following pregnancy will not achieve fulness and may make the descent of your nipple look worse. In addition, adding volume and weight to the sagging breast may... more

A: A breast lift is your best bet.

David B. Reath, MD

You are experiencing what many women do after pregancy.  Larger breasts commonly  become somewhat looser after pregnancy. The reason for this is usually that the increased size and weight of the breast during the pregnancy streches out the breast tissues.  The best approach is to treat the... more

A: Implants vs. lift

Steven Wallach, MD

 You look like you need a lift. I do it all the time on my darker skin complexion patients.  Obviously, if you have a history of keloid formation than that would be a bad idea.  Putting a bigger implant in will only make you sag more.

Comments

Christa Clark
2 posts
26 Jun 2009

I would advise a breast lift with an implant to acheive both the fullness you desire and to avoid a low, larger breast---which is what would happen if you only went with a larger implant and no lift.

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