Breast Augmentation: Q&A

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What Size/Shape Implants Would Be Needed to Fill These Up? (photo)

Hi I am 26 years old 5'3, 110lbs with 30F uk bra size. I have always had large breasts with what I am assuming is grade 2/3 ptosis? I am wondering whether large over the muscle implants would restore breast tissue volume after breastfeeding firmness is gone. I have seen some ladies restore volume without a lift and the look was natural, not ideal shape but real and rejuvenated. I can accept even a minimal improvement in sagging as I have never been perky. Thanks

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16 Doctor Answers | Asked by Doloresriodel

Doctor Answers (16)
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Large Subglandular Implants Instead of Lift

Large Subglandular Implants may be appropriate depending upon expectations after surgery. Realize that performing a breast augmentation by any method may require a lift later, based upon your anatomy.

Alignment and shape of breast tissue

More important than an implant is lift. Most women do not like lifts because the leave ugly vertical scars or boat anchor shaped incisions. However, there is a new technique called Breast Augmentation with Mini Utimate Breast Lift. Using only a circumareola incision it is possible to place the implant, raise your breast tissue higher on the chest wall, move the breast more medial to increase cleavage and reshape your breast to increase upper pole fullness. It is... more

Size/Shape Implants Would Be Needed

To choose the right volume for you, your best option is to try on implants and with your surgeon use that info as a guide to choosing the size and contour. If you get implants and no lift, it is highly likely that you will have an unsatisfying result, followed by a lift. It is not easy to tell from photos alone, but there seems to be a considerable amount of breast tissue, and it may be that a lift alone will achieve your goal--particularly if the size in your bra seems... more

Breat lift ?

With a bigger implant, as 500 c or even more, you will accentuate the gravity and ptotic breast you already have. so, much better combining a breat lift with a change of implants. eventually placed under the muscle . in order to better sustain the breast over time. bigger implants will increase the saggling skin, so really not a great idea,i am afraid for your surgery. sometimes patient idea is not feasible.

Implants without lift for ptotic breasts

Thanks for your great question and excellent pictures. You also very candidly expressed your desires and concerns. I could not be convinced to do your surgery without a lift. Though a subglandular implant could improve your look in a bra and clothes in terms of fullness and size, I think you would look worse naked. Please choose wisely, I see AT LEAST one patient a week in my practice who chose larger implants or subglandular position to "avoid" a lift performed by... more

Breast and implants

Implants will add volume but will not lift the breasts. A formal breast lift procedure probably using a vertical incision only could work for you. It would be best to go for an exam. Good luck.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Breast options

Its difficult to make any formal recommendations without an exam, but I would likely recommend a breast augmentation and lift based on your photos. It appears you have some sagging and loose skin that needs to be addressed. If you are looking to increase your volume, an implant augmentation will help. Please visit with a board certified PS in your area to learn more about your options. Dr. Basu Houston, TX

Size of Implants

To achieve the best the breast shape possible you will need a breast lift and implants. It is very difficult to tell you what size implants with a physical exam. Visit with a BC PS to get recommendations on size of implants. Dr. ES

Need a lift

You will need a lift with implants. If you do not do this initially , you will certainly need it after the implants.

Lift is needed for breast augmentation

To get a shape which is pleasing and not have large breasts hanging down on your stomach (rock in a sock) you need a lift. If you want large implants then I would suggest a breast lift and reduction first and then 4 months later placing breast implants. This staged procedure often best and lowers overall complication rate. Good Luck!

You really need a lift

Unfortunately you will only be able to achieve improvement with a lift. If you just put implants in wither the implants and breasts will sag together giving a ball-in-sock appearance or the breast will droop off of the implant(Snoopy nose deformity)

Implants to fill lost breast volume

Implants will not give you the result you desire with the degree of droop that you have. You will end up with a tennis ball in a sock look that you will not like. I would recommend leaving your breast alone or doing a lift procedure.

Sometimes a lift is unavoidable.

Hello, and thank you for your question. I understand that you are trying to avoid a breast lift, but sometimes it is unavoidable. You have a very large breast envelope (the skin and soft tissue of the breast) and trying to fill this to a reasonable shape would be prohibitive in size. You have 3+ ptosis and putting even a large implant would give you more of either a 'rock in a sock' look, or conversely, have the breast tissue hanging off the implant depending... more

Fill Up Breast with Breast Implants?

Thank you for the question and pictures. I do not think that you are a candidate for breast augmentation surgery only and would not offer you this operation if I were seeing you in consultation. Although I understand your goals of slight improvement of “sagginess”, the results of breast augmentation surgery in your case would not be aesthetically pleasing and the operation would carry significant risks of breast implant related problems ( such as breast implant... more

Lift or breast implants.

Thanks for your question. Your breasts look pretty saggy and while not doing a lift is an option, it is not an option that typically creates good long-term results. You should expect a shorter period of satisfaction without a lift. Discuss your concerns with a plastic surgeon, identify your goals and the pros and cons, and then decide. Best wishes, Dr. Aldo.

Aldo Guerra, MD

55 reviews

Scottsdale Plastic Surgeon

What Size/Shape Implants Would Be Needed to Fill These Up?

Thanks for posting the photos. With the criteria you place the only response would be a larger implant size, like 500 cc UHP +++. But I really think a lift might be in order also.