Breast Augmentation: Q&A

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Is It Safe to Go for a Big Implant While Having a Lift? (photo)

I'm 5'5 112 pounds. I'm currently a small B cup. Goal: DD. I'm 29 no kids yet.. Hope to do so in the next couple years. Larger size implant can cause faster drooping. But i'm thinking i'll probably have to have them redone after children anyway which will probably be in a few years. If this is the case, which most likely it will be with having kids in the next few years (3-4 years) at most...Does it make sense to just go with the large size implant that I want to get to DD?

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14 Doctor Answers | Asked by july103 in Houston, TX

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Augmentation and lift

Combining augmentation and lift is an area of controversy among plastic surgeons. Any lifting operation diminishes blood supply to the tissues. Added tissue dissection for implant placement further diminishes blood supply. Some surgeons feel that the risks of losing blood supply to the nipple and areola are too great and will not combine those procedures. Among the surgeons who will combine those procedures on many patients, I doubt you will find one willing to place the... more

Huge / big implants and a lift- wise?

There are several problems with your plan. First, you have a tight lower pole of the breast. There are maneuvers to increase the size of the lower pole of the breast, but they can diminish the sensation and blood supply of the nipple. A too large implant may simply not fit underneath your native breast, and appear 'overstuffed'. Second, lifts make the skin envelope tighter. Simultaneous implants make the skin implant way tighter. This is a recipe for... more

Big Implants

You are exactly correct that larger implants cause more sagging. The sagging can occur quite quickly.If you do not want sagging breasts, it makes sense to get a smaller implant. Patients prefer large perky breasts over extremely large saggy breasts.

Breast Lift Augmentation/Lifting; One or Two Stages?

Whether the breast lift and augmentation should be done the same time is not a question agreed-upon by all plastic surgeons. There are good plastic surgeons who will insist on doing the procedures separately and there are good plastic surgeons who can produce excellent outcomes in a single stage.  The combination breast augmentation / mastopexy surgery differs from breast augmentation surgery alone in that it carries increased risk compared to either breast augmentation or... more

Lift and Implant Simultaneously

While an exam would be necessary before a decision is made, it looks like you either need a periareolar lift (incision around the areola only) or no lift at all. As others have noted, you do have a tight lower pole. Your inframammary crease (the fold at the bottom of the breasts) probably needs to be lowered. As for the implant size, I would caution you not to go too big. Due to your anatomy, a very large implant will give you an unnatural look and will likely lead to... more

Laurence Weider, MD

49 reviews

Dallas Plastic Surgeon

Is it safe to have a very large augmentation with a breat lift?

In your case, it would not be safe. Putting an implant in that is a large as you want may lead to compromise of the nipple areolar complex. It would be best to put the implants in first and let the skin stretch. The lift could then be done in 6-9 months.

Kenneth L. Stein, MD

5 reviews

Chicago Plastic Surgeon

It is safe but it does increase the chance of revision.

Hello, Thank you for the question and photos. You will likely only need a purse-string mastopexy if you are planning on getting fairly large implants. It will be important for your plastic surgeon to use a permanent suture in your purse-string mastopexy to prevent scar widening. There is an increased chance of needing to revise the areola size down the road once everything has healed and this can be done under local anesthesia. All the best, Dr Remus Repta more

Breast lift size questions

From your photos it appears that you are an excellent candidate for a lift with implants, but I really need to caution you about going too large. Your breasts sagged because the skin is thin and stretchy. Add a lift with implants that are too large and you are asking for problems, such as recurrent sagging and thinning out of the skin so it becomes paper thin over time. I would recommend implant size around 350, which will make you only a large C. Forget about DD. you are... more

Lift with Big implant

It is difficult to fully access without an in office exam but I would say in general it is not advisable to go with a really big implant to get you to a DD because you will just end up with really large saggy breasts. You might just want to consider more of a mid to full D look with a modified lift and then after you are done with having children you could consider a full lift (with maybe larger implants). Either way over time you need to realize that large implants will... more

Mastopexy Augmentation can be done safely with conservative implant sizing

The mastopexy augmention procedure is done frequently in my practice - but its a tricky situation - we make the breast bigger and 'smaller' at the same time. I recommend using a small implant for the operation - the implant imparts some upper pole volume to the breast and the mastopexy does the rest. Be careful with implant sizing !

Large implants are okay. A breast lift can also help reduce the areolar size.

First of all, it is just fine to go with a large implant size. Plastic surgeons are usually quite conservative by nature, but I've learned from experience that larger implants (500 cc and up) can often make patients happier and help to avoid a second operation. But there is a limit and the photo you sent of the woman with the very large breasts may be unrealistic, just because there is a limit to how much your skin will stretch (you could get there in two operations though)... more

Hello

It is very hard to give you an accurate advice without an exam. We would definitely not advice to go with a lift if you're going with a pretty big implant .

Large Implant While Having a Lift?

As a general rule, having a breast lift and placing a large implant at the same time are not compatible. Think about it. When placing a larger implant you are expanding the tissues and stretching out the skin. When doing a lift you are tightening and elevating the tissues and shrinking the skin envelope. It is very difficult to do both of these things simultaneously and get consistently good outcomes. When trying to do it with a large implant, it becomes nearly impossible. In addition, the... more

Big implant and lift

The size of the implant that can be used is limited by your anatomy. Larger is not always better. You need the size that fits you.Plus a very large implant will not allow proper lifting of the breast.