Breast Implant Revision: Q&A

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Heavy Impants, Want Perkiness, Too Broke for Breast Lift, Should I Do Under Muscle? (photo)

I have PIP impants that are leaking, replacing next month. I have them 6 years, never happy with result. Was 34b got 290cc silicon above muslce implants, now 32F, I think they just look heavy, I wanted perky boobs, all the fullness is at the bottom and nothing at the top, I would like perky boobs, I'm afriad if I go down a size they will be still saggy, would under the muscle help? I don't have the money for a breast lift.

11 Doctor Answers | Asked by lucyf
+1

Perkiness without a breast lift

With your goal of perky breasts, this would be achieved only with a breast lift. If you do not have proper expectations for the surgery, then you may be disappointed. You may want to have additional in person consultations with experienced and expert board certified plastic surgeons to explore your options.
+1

Treatment of Droop when Using Smaller Breast Implant

You already have droop as evidenced by where your nipples are in relation to your inframammary crease (revealed by the bra strap mark). By going smaller, you will generally have more droop. The only way to assure that this does not happen is to do a lift at the same time as the breast implant exchange. I would normally tell you to save your money until you had enough for both. In your case, with the problems with the PIP Implants, I would suggest putting the implants over the muscle and... more
+1

Breast lift or just implants

Perhaps a good alternative for you would be to have these implants removed and then wait 3-6 months to see where you stand. From that point you may decide to do just implants, do just a lift, both or neither. If you decide to have these implants removed and replaced with smaller or even the same size implants you would need a lift in order to achieve the perkiness that you desire.

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Heavy Impants, Want Perkiness, Too Broke for Breast Lift, Should I Do Under Muscle?

Thanks for the posted photos. I recommend small cc size and some form of lifting. Save or seek more in person consults.
+1

Best Option for Perkier Breasts?

Thank you for the question and pictures. Given that your emphasis is on achieving “perky” breasts, it is clear that you will benefit from breast lifting. Any other operation will likely leave you disappointed. I would suggest that you avoid any surgery until you are financially stable and are willing to accept the scars associated with breast lifting surgery. Make sure you educate yourself about these scars and are willing to accept the... more
+1

Breast implants and lift

It looks like based upon your photos that you may need a lift to get the "perky" look. Implants alone will not do it.
+1

Breast implant removal and lift

Not having a mastopexy (breast lift) is not a wise choice. Based on your pictures, description of cup size and current implant size, you may benefit just from implant removal and a breast lift. This will likely place you in a C to D cup range. This should be of benefit financially as well. Please discuss this option with your surgeon.
+1

Looking for a Shortcut in Plastic Surgery is ALWAYS a mistake...

Hi there- Please don't cause yourself any more problems! You are in this situation (almost certainly) because before you had your current implants placed, you expressed reluctance to undergo a breast lift. Now, you are in a situation where it is clear you need your implants replaced, and you are very clear that you are unhappy with the current appearance of your breasts- and that you want them to appear more "perky"- something that could only be accomplished through... more
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Have the right operation!

Only a mastopexy will lift the breasts. If you exchange implants now, the mastopexy can be performed at a later date. 290 cc implants would not account for a B to F cup increase. I agree that submuscular insertion may produce a poor cosmetic outcome.
+1

Only a Breast Lift will Lift your Breasts

Only a Breast Lift will Lift your Breasts, Although I understand your financial woes, our job as plastic surgeons is to give you the best advise we can. Here are the facts: Putting in a smaller implant will make you droop more (greater breast ptosis). Putting your implant below the muscle (submuscular conversion procedure) may make them droop even more but even worse without a lift at the same time may well cause a double contour deformity. This is caused by the creation of a... more
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These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.

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