Can Internal Sutures Create a Fake Look From A Natural One? (photo)

I got 650cc Mentor Mod+ shells overfilled to 800cc, under the muscle, in February 2012. I started with a perky small B cup. I wanted an obviously fake look but ended up with an extremely natural look. Zero upper pole, flat cleavage, and a bad "hang". Is it possible to get internal sutures to create a fake look with rounded upper pole from the natural results I have now? I like my size so I'd rather not go through an implant exchange if my issue can be fixed another way. Thank you!

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Mentor overfilled 650-699cc under muscle internal moderate profile sutures

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10 Doctor Answers | Asked by Roseishish

Doctor Answers (10)
Community Comments (0)

For a an upper pole fullness look

Hi! Thank you for your question. I am Dr. Speron, a proud member of both the American Society of Plastic Surgeons (ASPS) and the American Society of Aesthetic Plastic Surgeons (ASAPS). I am also certified with the American Board of Plastic Surgery. It is very difficult in some women to achieve the look that they desire due to the tendency of their tissue to relax or stretch under the weight of an implant. The amount of breast tissue you have prior to augmentation... more

Creating sufficient internal support is difficult (in your implant fill range)

Roseishish: Do remember that a saline implant which is overfilled, will always project more, be more narrow (than a midrange implant) feel harder and inevitably dislocate because of its weight. Internal suture capsulorrhaphy would undoubtedly fail, rapidly because of the volume you have selected. I would consider the addition of Strattice (porcine acellular cadaveric dermal matrix), which is sutured internally, creating a "hammock" effect, upon which the implant rests. The... more

Lavinia Chong, MD

22 reviews

Orange County Plastic Surgeon

www.chongmd.com

Over the muscle tends to give a more "fake" look

We usually place implants under the muscle because most people want a natural look and this position usually looks more natural. You may want to consider changing your implants to over the muscle. This may give you the look you want. Internal sutures will not help much and may cause problems.

Wanted fake... got natural

I'm sorry to hear you did not achieve your result that you expected. Was your surgeon aware of this? Regardless, if you had maintained the fake upper pole fullness, your nipples would have likely been pointing to your toes, leaving you with a different kind of dissatisfaction. The photo you included shows an extreme result that I could not achieve if she had any natural breast tissue of her own as it would droop over the implant. If you were in my office, I would... more

Curtis Wong, MD

7 reviews

Redding Plastic Surgeon

Achieving “Fake” look after Breast Augmentation?

Thank you for the question. I think this is a question that may benefit many patients who are trying to achieve a “full, round, fake” looking result after breast augmentation surgery. Much of what a patient's breasts will look like after breast augmentation surgery will depend heavily on how much breast tissue they started with. For example, in your case, it is clear that you started with a lot of native breast tissue initially. Therefore, despite using relatively large... more

Implants overfilled to 800 cc

The photo of the goal person shows someone wearing a bra underneath the breasts lbasically supporting them in a very fake way. The size of the implants and the quality of your tissue prevent this from occurring.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Disappointment with natural breast shape

Your overfilled 650cc implants will behave like a high profile implant and become rather firm and round, however the skin envelope you were blessed with is likely to relax and settle with increasing loss of upper pole projection no matter how full you go. Sorry, but what you are asking for just will not happen.

Internal Sutures

Hello, Your desire for that particular appearance (of the model you posted) will most likely never happen, regardless of what procedure is performed on your breasts. This is because you've chosen a model who is proportionately very small compared to her implants. You are near the upper limits in size, and would still not have her proportions if you changed your implants to the largest available and overfilled them to roughly 1000 cc, which is about 20% larger than your current size... more

A High Full Look Requires A Breast Lift Even With Large Implants

The reason you ended up with the result you now have is the preoperative shape of your breasts, which clearly had some degree of sagging. Only an external breast lift with scars, done either originally or now, will get you closer to the look that you desire. You have too much breast skin for the underlying breast volume, regardless of the size of the implant, to achieve that look without some form of external skin tightening.

Internal suture techniques cannot create upper pole fullness

The greatest determinant of the final breast shape is the preoperative breast shape. Not every breast can be made to look like any other. In general, a fake look is best achieved with an overfilled saline implant, often placed over the muscle. This is not however a common request from patients. Breast implants will drop over time and if there is extra breast skin prior to the surgery then the implant will certainly drop and create a "hanging" look. If the... more