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What Will Happen to my Already Too-High Scars if I Go Bigger?

asked 1 year ago by Orange County714 in Orange County, CA
Latest answer by Richard Linderman, MD
Question viewed 633 times
Tags: silicone implant, 500-549cc, scar

I had a terrible anchor lift and augmentation that left me with scars about 2" up my breasts (not to mention other problems). I have 397cc silicone implants, but would like to go with 500cc's, but one doctor told me I can't go bigger because of where the scars are. I'm really hoping I can. Is it possible?? Thanks!

8 answers to What Will Happen to my Already Too-High Scars if I Go Bigger?

+2

Too high scars?

Dear Orange County, Your scars aren't too high, your implants are too low!  Do you really want to increase your implant's size by 25% (397 to 500), or would you like to see more fullness in your upper part of your breasts, above the nipples?  I recommend you see a surgeon who specializes in revision breast surgery and who is certified by the American Board of Plastic Surgery.  The surgeon will have a thorough discussion with you about your situation... more
Gerald Minniti, MD, FACS

Beverly Hills Plastic Surgeon
+2

Your implants are bottoming out

The problem with lift and augmentation is the unpredictable results and high rate of the complications after the augmentation. You implant pockets are too low and that is why you have lost the breast volume over the upper pole of the breast. I would suggest to revise your lift and the pocket without going bigger.
Kamran Khoobehi, MD

New Orleans Plastic Surgeon
+1

Scars and Bigger Implants

Dear Orange County, Going bigger is a poor idea. Making your present breast better is the answer. Your implants are too low and the inframammary fold needs to be reconstructed with a well done capsulorraphy. This Will enable your implants to go up, the nipple to come down to the proper point on the breast mound and give you more superior fullness. Going with a larger implant is more likely to make matters worse.
Richard Linderman, MD

Indianapolis Plastic Surgeon
+1

Revision of lift

You do not want to go bigger.  You bottomed out, and you  may want to go smaller with resuspension of the breast folds.
Steven Wallach, MD

Manhattan Plastic Surgeon
+1

Fixing A Bottoming Out Breast Augmentation

Large implants have one consistent effect in that they cause excessive stretching of the breast skin and increase the weight on the breasts leading to a higher incidence of bottoming out. What you have is bottoming out associated with the lift and this could be do to a number of reasons.  The fact that the scars are wide as well indicates some degree of tension or insufficient support of the breast tissue. Fixing this would involve several steps in one procedure. Increasing the... more
Vincent P. Marin, MD

San Diego Plastic Surgeon
+1

Implant bottoming-out after pexy-aug

Going bigger would be a mistake - you are already demonstrating poor support for implants- both are bottoming out. This process carries the horizontal scar up onto your breast and also makes your nipples appear to be too high relative to the top of your breast. Your nipples have not move at all, but the implants have slid beneath them. To fix this issue - you need smaller implants and a revision of your breast lift, plus an inferior capsular repair using sutures or Strattice, which is an... more
Scott Sattler, MD

Bellevue Plastic Surgeon
+1

A Bigger implant is NEVER the Solution to ALREADY Sagging Breasts

Regarding: "What Will Happen to my Already Too-High Scars if I Go Bigger? I had a terrible anchor lift and augmentation that left me with scars about 2" up my breasts (not to mention other problems). I have 397cc silicone implants, but would like to go with 500cc's, but one doctor told me I can't go bigger because of where the scars are. I'm really hoping I can. Is it possible?? Thanks!" I know this is the last thing you want to hear. But - "going... more
Peter A. Aldea, MD

Memphis Plastic Surgeon
+1

Scars too high

It does appear that your scars have migrated up onto your breast but there is a solution. In your picture your arms are up which tends to lift the nipples up a bit on the breast but they are a little high as well. I would recommend finding a plastic surgeon who feels comfortable tightening up the lower pocket to elevate the implants and try to get your scars back into the crease where they are less visible. This can be accomplished with suturing alone or sometimes with the help of an... more
Michael C. Edwards, MD

Las Vegas Plastic Surgeon

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