I am 5'6, 170lbs and 35yo. I'm about to have a lift and augmentation done and was told 300cc's was the largest I could go, is this accurate or was the surgeon I chose not giving me an option? I am normally a DD and through childbirth and gravity have fallen to a small C. I would like my DD's back, is 300 cc large enough to give me what I want?
Is There a Limit to the Volume if Doing a Lift and Augmentation?
Doctor Answers (17)
Is there a limit to the Volume if doing a lift and augmentation?
Obviously without examing you its somewhat difficult to answer this question. In my opinion the fact that the surgeon is limiting your size with a single stage operation is a very good thing. The key to a breast lift and augmentation is the lift! Sacrificing the lift for bigger implants simply leads to larger sagging breasts. If you have any question think about a two stage procedure. After the lift you have more freedom to decide which implant size your prefer. Hope this helps.
You can go larger
Based on your height and weight, there's no reason why you couldn't have a larger implant. I would ask the surgeon why he does not feel comfortable putting a larger than the 300 mL implant. To go from a small C to a double D, I would think you're going to need more than 300 mL.
Breast Implant Volume and Breast Lift: More volume equals more stretch on the breast
A mastopexy augmentation, or breast lift combined with a breast implant is a complicated procedure but when applied to the right patient it is actually more staraightforward than a simple breast lift. When considering breast implant volume consider the stress and stretch that weight puts on your breast which by definition has already failed because it sounds like you need a lift. If you have lost volume and sagged after having children then this is likey right operation for you, and when you think about maybe a 200cc volume equals a cup size you will be great with about a 300cc implant. There is really no volume limit though when I look at my volumes for this operation, it ranges from 300 to 400 cc. The best breast implant size is the breast implant that fits on your chest.
I hope this helps.
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Breast implant size for breast lift surgery in los angeles
It seems that a 300 cc implant might be a bit small for you if you want to get closure to DD bra size. I have to also advise you that the larger the implant, and the heavier the implant, there is higher chance of early breast sagging after breast lift surgery. therefore, your plastic surgeon might have a good point. I suggest that you first try on different size breast implants in a bra in order to see if a 400 cc implant might look good on you.
Is There a Limit to the Volume if Doing a Lift and Aug?Answer:
When you go much larger than about 350cc with a lift, you usually have to release the muscle to accommodate a larger implant and when you do that, the muscle can no longer support the implant, and it falls. And then you are back in the office complaining that your breasts are not full enough up top. So when using an implant larger than 350cc I place Strattice to help hold the bigger implant up. So for 350cc or less, complete sub-muscular. Bigger, and I use the Strattice.
Combining a breast lift with an augmentation is an extremely difficult operation,
because each procedure puts pressure on the skin envelope, and trying to do too much in one procedure can have serious negative consequences. In the augment, the implant is placed above or below the muscle, and the more volume in the implant the more pressure there is on the overlying skin. In a breast lift, extra skin is removed and the remaining skin molded to lift the breast and improve the shape. This also puts pressure on the skin, and in particular, the blood supply to the nipple area which has been moved up. If there is too much pressure, the blood supply can be compromised with loss of skin or a portion of the nipple and areolar area. So you can see why your surgeon wants to be cautious about limiting the size of the implant if you are having a breast lift done at the same time. It sounds like you should take his or her advice...
Concerns on appropriate implant size for mastopexy augmentation
Without any photos and in particular, a comprehensive examination, your question can't be accurately answered. However, the limit for implant size would be based on mulitple factors including your skin envelope and chest wal parameters. It may be that your body could accomodate more than a 300cc implant.
I would leave the final decision on the appropriate implant size up to your plastic surgeon. This would be based on your goal and the intraoperative findings.
Breast implant limits
In most cases during a breast augmentation combined with a lift, the surgeon is trying to place the implant behind the muscle in order to provide as much support for it long term. In most cases, an implant larger than 300cc will not stay under the muscle long term due to the pressure of the muscle pushing on the implant and potentially forcing it down and out. Besides it being extremely difficult to predict the eventual size of your cup after this combined procedure, one also needs to understand that that there are many times when wishes cannot be met unless the surgeon disregards the limitations of the patient's body. When one disregards those limitations, then long term issues and problems can arise.
Implant size limitation in combination Breast Augmentation AND Breast Lift
A Lot of women simplistically view a Breast Augmentation the same way as the filling of a party balloon with helium; You can put in as much you want and it will float. Well - that is patently false. The VAST majority of breast sag NOT because they have an implant in them but because gravity pulls EVERYTHING down including breasts. As the size of the breast goes up, gravitational pull increases as well and gravity always wins that contest.
When a Breast Lift is done, we remove excess skin, reducing the envelope of the breast to reposition its contents higher on the chest wall. But - how long does the youthful perky position last depends on the skin quality, the patients health, sun tanning, smoking, nutrition, wearing bra support AND the size and weight of the breast. Adding MORE weight (such an an implant) to a sagging breast will NOT float the breast. Since breast implants are heavier than air and are NOT filled with Helium but with either Saline or Silicone, they cause GREATER sagging and challenge rather than help the breast Lift when it is done at the same time.
No one can tell you if 300cc implants (? gel or saline? MP or HP ? Natrelle or Mentor) PLUS your breast volume = DD cup size. Anyone who professes to having such prescient abilities is not being truthful. Discuss it with your surgeon. If you need a second opinion go ahead and get one. But remember gravity always wins so - help it as little as possible by choosing smaller rather than bigger.
Peter A Aldea, MD
WHICH implant should you have when performing a combined lift and augmentation? Simply put, if you want to prolong the temporary period of perkiness, I would pick the smallest implant you are willing to consider instead of the largest implant that could be shoved into that sagging breast.
Is There a Limit to the Volume if Doing a Lift and Augmentation?
The combination of breast lift and augmentation is REALLY hard.
One reason is that the weight of the implant tends to drag down the lift.
Another is that the larger the implant, the more damage is done to the breast in order to create the implant pocket. This can cause healing problems such as loss of the nipple and areola.
An experienced surgeon will help you choose an implant that you will be happy with, but that will not cause problems down the line.