Breast Implant Redo - Will Larger Implants Look Higher and Fuller?

If you feel that your breasts are hanging to low after having them for a number of years you may want to consider a lift. It is possible that the implants themselves will not need to be removed or replaced for this procedure. Talk with your original surgeon and ask their opinion about your situation. Bring pictures of what you would like your breasts to look like and ask your friends and family for support.

When breast augmentation patients develop breast sag it’s
always tempting to use larger implants to increase upper breast fullness.Unfortunately, gravity is an unrelenting
force that causes continued downward movement of the breasts following revision
surgery.In the short term, this
maneuver may significantly improve breast aesthetics, but in the long run may
result in accelerated breast sag.For
these reasons, utilizing larger implants should be approached with caution.
This is especially true when implants are placed on top of the muscle.Under these circumstances a breast lift might
be a better option for correcting your breast sag. Unfortunately, this
procedure is associated with additional scarring. Correction
of your breast sag will require a series of tradeoffs.In someone who has a relatively good result
from her original procedure these tradeoffs probably don’t make sense.It may be better to leave well enough alone.It’s
important to thoroughly discuss these issues with your plastic surgeon.Your surgeon should be able to address your
concerns and hopefully alleviate your anxiety.

In my opinion, you have an excellent appearing natural result. The size increase you describe will likely produce greater fullness but it will not likely be long lasting and may be relatively minor. If you truly desire greater fullness up top, you would  need a breast lift to reduce the size of the implant pocket in the lower portions of your breast. This will require significantly more scars and for that reason, I would adivse you to reconsider.

In my professional opinion, increasing your breast implant size from 450cc to 500 cc would not make a significant difference in terms of lifting your breasts. Depending on if you are happy with your current breast size or if you would like to be a little bigger, you can consider changing your breasst implants to a 500-550 size and also have a peri-areolar mastopexy. while the mastopexy will help to raise your breast, it will make the breasts look a little smaller or flatter, which can be balanced by increasing your breast implant size!

Based on your picture you have a very nice mature look to your breasts. I would not recommend getting bigger implants that over time will stretch out your skin.

Dr. ES

An implant will not make your breast higher. Implants add volume only. Sagging naturally progresses, larger implants are heavier and may be prone to more sagging. So right after surgery with a larger implant, you will see more fullness, however, the increased weight and volume over time will aggravate your mild sagging. There is no such thing a permanent or long term superior and medial fullness.

Hi there-

While the option offered to you by your surgeon (placing larger implants) would probably achieve your goals in the short term, it is very important for you to understand that this will indeed be a short term solution...

It is important to understand that skin is a living organ, that reacts and responds to stress and gravity in proportion to the stress involved. In other words, ALL breasts will stretch and sag over time, and the larger the breasts (or the larger the implants), the faster this change in shape and sagging will occur.

Therefore, placing larger implants is only likely to give you what you want in the very short term...

If you would like breasts that are perky, round and shapely, and that REMAIN so, your best bet is probably to consider a breast lift with smaller implants, not larger ones.

If sagging is your concern then larger implants may look ok for a while but will contribute to worsening sagging over time. Your better options might be a lift Teither interal or externalY or actually going smaller and moving the implants higher.

You will be getting into territory of very large implants, but depending on your overall size and a host of other factors I believe it may be one option.  A breast lift is another option but it would require more scars and you should carefully discuss this with your surgeon during consultation.

Hi Pembrokepinesneedsurhelp, After 14 years, your natural breasts tissue has aged and changed. This would be the case for any woman, with implants or note. Women who are unhappy with sagging in their breasts often mistakenly think getting breast implants will magically lift and reposition their breast to a higher place on their chest. Unfortunately, this just isn’t how our anatomy works. Breast implants will add volume, but only a Mastopexy will lift the breast back into position. During a Mastopexy, the breast itself is lifted by removing the excess skin and restructuring the breast tissue underneath. There are several types of lifts. Your photo is an odd angle, but it looks like your nipples are lower than your breast crease, so adding more volume with bigger implants without removing excess skin will make them sag even more! And it will just get worse with gravity over time. And, yes, you will find a surgeon out there that will tell you to just use bigger implants, but this is NOT a good idea. It's a short term fix, if at all. Also, the notion that 50cc's is going to make anyone have a higher, fuller breast is not accurate at all. This is a very small amount that will not be noticeable. Make sure you a meeting with a board certified plastic surgeon and ask to see examples of a long history of consistent outcomes similar to what you want to achieve. Good luck!