Breast Implants: Q&A
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Downsized Breast Implants with a Lift, but Still Sagging
Just had my 800cc implants reduced to 425cc due to back problem. had a round block lift done in case of sagging. 2 days p/o and sagging! Surgeon says my skin will make them higher with time. Used to seeing high implants when new these are saggy from day 1. Not very comforting. Should I get redo?
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9 Doctor Answers |
Asked by
ashleigh4
in Australia
+1
Downsized Breast Implants with a Lift, but Still Sagging
I have not been impressed with the amount of lifting a round block can achieve, in my opinion. It is true that decompressing your breast by removing an 800 cc implant will result in some skin contraction but how much is unknown. Give it 6-9 months and consider a revision at that time.
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Minor lift for significant downsize
I would wait it out at this point. It is my opinion the is unusual to have a periareolar lift when you have had a significant downsize. Usually, the lift in that situation requires a periareolar and vertical lift ("lollipop" lift).
Dr. ES
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Persistent Breast Sagging after "Downsizing" with small implants and the wrong Breat Lift Operation
Sorry to hear of your predicament. Your experience however is quite common and could have been prevented.
Every breast implant acts as a breast skin expander. It stretches the skin of the breast, creating more of it, thereby increasing and tilting the ratio of breast skin to breast fill resulting in sagging. The bigger the implant the faster the process. For this reason rather than picking the biggest breast implant one could shove in the breast (and you picked the biggest), it is...
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Circumareola lift and implant reduction
It sounds like the circumareola lift may not have been sufficient enough. You may need a more formal lift using either a vertical lift or traditional Wise pattern.
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Breast Lift and Implant Reduction
A circumareolar lift is likely not a powerful enough lift to tighten the loose skin that you have after downsizing your implants.
At this point there is not much to do but to wait and see how things shape up. Later on, like 6 months after the initial surgery a more powerful lift can be done to tighten the skin.
Good luck.
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Vertical breast lift with lollipop scars is most effective.
Hi.
1) The round block (circular scar around nipples) breast lift was probably not powerful enough for you, since you got much smaller breast implants.
2) You should get much better correction of sagging with vertical lift. Women accept these scars if they love their new perky shape.
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Your outcome was unfortunately compromised at the planning stage...
Hi there-
One of the things I find myself saying to my own patients quite often is that it is a mistake to think that all breast lifting techniques are appropriate for all patients.
Similarly, not all breast lifting techniques can achieve similar changes/improvements in a woman's breast shape and position.
Unfortunately, this idea that all breast lifts techniques will equivalently improve and lift the breasts is pervasive among patients, and hasn't been appropriately...
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Round block lift wasn't enough
Halving the implant size from huge to pretty big will leave you with more loose skin than what can be handled by a periareolar lift alone. That's one of the big problems with big implants - namely that if and when you downsize, there is too much skin to handle without a full lift.
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Down-sizing with a lift
Although we do not have the benefit of a photo I thinkk down-sizing from 800cc to half that volume may require more lift than be provided with a round block or peri-areolar lift. I would allow proper time to heal prior to any additional surgery but continue to follow up closely with your plastic surgeon.
I wish you well.
Dr Edwards
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