Breast Implant Revision: Q&A

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Breast Revision from a Silicone 365cc Mod to a 550cc or 610cc High Profile to Help W/ Slight Droopiness? (photo)

I am a 36y/o w/ one 5y/o who has always had a case of slight ptosis. I had my first Sx May' 12 and chose to not have a lift bc of scaring and ultimately went w/ a silicone 365cc mod under the muscle w/ an inframmary incision. The dr did a great job except that they aren't nearly full enough altogether and especially on top. I've gained 5lbs and now weigh 140lbs and am 5'2 but do want to lose 10lbs, I lose in my breasts and face 1st so is a 550 or 610 high profile be appropriate? Sx is Dec5. Thx

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age 35-44 ptosis 5 ft 0 in to 5 ft 3 in silicone implant under muscle 130-149 lbs profile

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7 Doctor Answers | Asked by Sassy6 in Canada 1st Sx May 2012, Dec. /12.

Doctor Answers (7)
Community Comments (0)

Revision breast surgery

I would not recommend going with larger implants. They will make your breasts sag even worse. The option I would consider is undergoing a lift which can probably be accomplished with your current implants. If you are not willing to have the scars from a lift, you are better off leaving them alone than going with larger implants.

Very large breast implants will give you temporary fullness but they will quickly cause more sagginess

Larger breast implants will fill out the breast envelope and give you more fullness, but in your case, they may cause the breasts to sag more from the sheer weight of the implants soon after having surgery. In my opinion, if a patient needs a lift, they should get one and not try to avoid it with a larger implant since the larger implant will always cause the skin to sag more and not fix the problem of sagginess and droop.

Breast Revision

This particular question is quite common both on this web site and in the office. Larger breast implants are unlikely to give you the result you think you are getting. Larger implants still have to go in the breast and your breasts are low, so you will have the same basic shape you have now, just larger. And of course larger implants weigh more and you know the weight is not going to go up, it goes down with time. Any time the nipple and a significant part of the breast tissue is below the... more

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Lift?

I am not sure what you are asking, but based solely on the photos, it looks like you can benefit from a lift.

Steven Wallach, MD

13 reviews

Manhattan Plastic Surgeon

Best Breast Surgery for Me?

Thank you for the question and pictures. Although your goals and reasoning are understandable, I think that you are going down the wrong road. Eventually, when you have reached a long-term stable weight ( and hopefully can avoid further fluctuation) you will benefit from a definitive breast lift/ augmentation procedure. Otherwise, it is very likely that you will end up with large breasts that still sit too low for your liking. As you know, the trade-off associate with breast... more

Increasing Breast Implant Volume for Ptosis (Sagging)

If you are happy with the shape of your breasts, and just want them larger, then upsizing your breast implants should help. I don't think it will help with the ptosis, and it may lower the appearance of your nipples. If you are expecting correction of your ptosis, then you need a breast lift. If you are are expecting them to look the same, just larger, then breast augmentation alone is reasonable. Larger implants will increase the likelihood that you will need a breast lift in the future. more

Joseph Mele, MD

4 reviews

Walnut Creek Plastic Surgeon

www.DrMele.com

Increasing the size of your implants will help somewhat..

In your case, fullness of the top half of the breast and lifting of your breast would best be achieved with a full breast lift with implants. I understand that you don't want scarring of your breasts and breast augmentation can lift your breasts to a certain degree. Increasing your implant size will give you as much lift as you can with an implant alone. If after your next surgery you wanted additional improvement in the shape of your breasts, you would need a lift. more

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Breast Implant Revision: Q&A