Breast lift and implants with thin skin: how big should i go? (photo)

My doctor overly tightened my L breast (it was the smaller, but he thought it was larger, b/c my R breast's implant was deflated), & he put in too large of implants. My skin is very thin, & I would like to get a revision with Natrelle 410's, & I need a lift. Will a keyhole/lollipop lift be sufficient, or will I need an anchor? How small should I go to ensure that my thin skin can hold up the weight of an implant? Any other advice? BWD: 13,5"5, 114. Current implants: 480, 14.8, silicone, unders.

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7 Doctor Answers | Asked by CovetingSmallPerkyBreasts in Denver. Pre-Surgeries: Deflated Natural D. Current Size 32 C. BWD: 13. I NEVER WANTED LARGE BREASTS!

Doctor Answers (7)
Community Comments (1)

Form stable implant is one option

Hello, Thank you for the question and photos. The thin breast tissue is a problem that is sometimes difficult to deal with. Various options exist including using ADM, fat grafting, and for stable implants. The issue of form stable implants is that the pocket must be created specifically for the implant as it has a pre-determined tear drop shape. Options are to remove the previous implants as well as remove all of the capsule in the first stage. This will allow the... more

Thin skin in breasts

Your skin is really stretched out, so I would take a different approach altogether. First, I would remove both implants and leave them out for a few months. This will allow the skin to retract and shrink down. This will make both the planning and execution of your surgery much simpler. You could then have a lift with a smaller implant, either lollipop or anchor, depending on how well the skin shrinks. I know it is an extra step, but I have done it this way and... more

Breast implants with thin skin is a dangerous combination

Breast implants do best when there is sufficient soft tissue coverage. Ideally there is a balance between the implant and ones breast tissue. The larger the implant the more the soft tissue over the implant will be stretched and therefore thinned. Although you didn't indicate how many surgeries you have had, it appears that you have exceeded that balance between implant size and soft tissue coverage. This problem can become worse with time. The... more

Thin Skin With Breast Implants Revision

Hello, Thank you for sharing your photos. Thin skin is of a delicate matter with breast augmentation/revision. Considering your post, it seems that the best approach is to remove your current implants and replace them with smaller ones as well provide you with a lift (lollipop is an option). Unfortunately, without a full physical consultation a surgeon cannot provide you with a definitive plan that best fits the criteria of your case. That being said, please remember that... more

Short Scar Lift Should Work Well

Your skin is very thin as you explain.A verticle lift will work well, however, you may want to consider going smaller. This would give yoiiu a light c cup. see video

Best Option for Breast Reconstruction?

Thank you for the question and pictures. I agree with you that some form of surgical intervention is indicated given your situation. Whether you will benefit from breast lifting or another procedure will depend on your physical examination and goals. For example, another option that may be available to you would be the use of internal suture repair techniques (capsulorraphy) along with the use of allograft reconstruction/reinforcement of the very thin skin. You will be... more

Breast augment with thin skin

I agree that you may have exceeded the appropriate implant size in relation to the amount of skin coverage. Also, you do need a lift but, without a physical exam, size and surgical approach can't be accurately evaluated.

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Comments (1)

CovetingSmallPerkyBreasts 26 Oct 2012

Thanks, Dr. Hargrave. I have had only two surgeries, so far. I had saline 350 filled to 375, which was fine b/c it filled up my previously large breasts. The right breast deflated, so I had to get them re-done, but I did not want to go bigger, and he did--by 100 cc's! Needless to say, he went too large and now I just want small breasts! I want to go as small as possible, but I am limited by the diameter of 410's and my BWD of 13. I would like to go for 12 cm implants because that means I can go as low as around 280, but I think that docs tend to like to stay at 12.5, which would mean I would have to get 320's. I just really want someone to say, specifically, whether they would go as heavy as 320 or even 280 on me, given my awfully thinned skin. I also wonder whether a lollipop lift would be sufficient. The doc who examined me thought my skin was fairly elastic, but it sure does not appear that way when I take photos like these or lay on my back!!

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