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

asked 1 year ago by Pembrokepinesneedsurhelp in Florida
Latest answer by Tom J. Pousti, MD
Question viewed 2,671 times
Tags: saline implants, 400-449cc, 500-549cc, fuller, high

I have had these current breast implants 425cc Saline for about 14 years. I feel they are too low for my taste. There is nothing wrong with the currents ones I just don’t like them. This decision is hard on me due to family and friends saying I do not need the surgery. I have had a consultation before and the physician said that if I go up to a 500cc to 550cc saline that he can get them higher and full again....what are your thoughts

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

+2

Periareolar breast lift in Beverly Hills

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... more
S. Sean Younai, MD

Beverly Hills Plastic Surgeon

www.beautifulself.com

+4

The bigger they are, the harder they fall (breast implants, that is)...

I often explain to my patients that I can remove extra skin in the breast, which will change the skin QUANTITY.  But I can't do anything about their skin QUALITY.  If skin has lost some of its elasticity, then using a larger implant will be a very short-term "fix".  Looking at your photos, I believe you need a breast lift.  I would not use a larger implant (unless you really really wanted it, even after hearing the risks).  Upper pole fullness is... more
Carmen Kavali, MD

Atlanta Plastic Surgeon
+3

The 425s have it

Dear Pembroke, I don't know how old you are, but those implants look pretty darn good and quite natural.  We have a saying in Plastic Surgery, "perfect is the enemy of good".  You look better than "good" as it is, so don't look for perfection.  You might not like what you find.  Good Luck! see video
Kenneth R. Francis, MD

Manhattan Plastic Surgeon
+2

Implant exchange vs. lift

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.
Joseph G. Bauer, MD

Alpharetta Plastic Surgeon
+2

Higher fuller breasts will require a lift

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.
Otto Joseph Placik, MD

Chicago Plastic Surgeon
+2

You may find short term happiness

What you are asking your surgeon to achieve is one of the commonest requests in redo breast surgery.  Increasing implant volume will make you happy while the new bigger implants are tight relative to your skin envelope.  This will last perhaps a year or two at best.  After that you will have bigger implants in the same position as your existing implants but with a greater problem with more stretched skin.  The only solution I've found that works to do what... more
Nicholas Carr, MD

Vancouver Plastic Surgeon
+2

Breast implant Revision

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.
Hayley Brown MD

Henderson Plastic Surgeon
+2

Don't look for trouble with larger implants

You have lots of info in all the other answers so i will just throw in a brief opinion rather  than list options. it appears that you have a pleasing looking result right now, though perhaps not exactly the look you would prefer. before spending time , effort and more money, evaluate the risk you assume with more surgery vs the potential for long term benefit.....in my opinion it is probably not  a good idea. you are not a piece of clay that a surgeon can mold into any shape you... more
Bruce K. Barach, MD

Schenectady Plastic Surgeon
+2

Breast Lift vs Larger Implants

It appears from your photo that you have a significant degree of breast ptosis or sagging.  I do not think that will be corrected to your satisfaction with changing to a larger implant alone.  You probably need a breast lift with or without a slightly larger implant.
John Whitt, MD

Louisville Plastic Surgeon
+2

Higher and fuller breast.

If you like your breast size but do not like the sagging the best answer is to do a Breast lift. There would be some scars but they usually are very acceptable. Changing the implants to a larger size but it will not guarantee that the breast will be higher and fuller , they may be , they may not be.
Walter D. Gracia, MD

Arlington Plastic Surgeon
+1

Breast implant revision

Much of the final “look” achieved after breast augmentation revision surgery depends on several factors: 1. The initial shape, size (volume of breast tissue), symmetry of the patient's breasts. In general, the better the preoperative breast appearance the more likely the breast augmentation “look” will be optimal. 2. The experience/skill level of the surgeon is important in determining the final outcome. For example, the accurate and gentle... more
Tom J. Pousti, MD

San Diego Plastic Surgeon

www.poustiplasticsurgery.com

+1

Options???

Your current result that you have is quite beautiful, but it is a natural look due to the slight ptosis that you currently have. If you  would like them higher and fuller a larger breast implant would help.  If, say 10 or fifteen years down the road from now you felt like they were starting to droop farther a breast lift would be in order but you would have to accept the scaring that goes along with this.  Sometimes it comes sooner than later as far as the... more
Kimberly A. Henry, MD

Greenbrae Plastic Surgeon
+1

Bigger and Higher Breast Implants

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
Earl Stephenson Jr., MD, DDS

Atlanta Plastic Surgeon
+1

Implant exchange

A larger implant with a larger base diameter may give the appearance of a slight fuller breast up top, but a lift if necessary will be best.  Implants with a bra always look fuller and higher than implants that have settled.
Steven Wallach, MD

Manhattan Plastic Surgeon
+1

Leave them alone

You have very nice breasts and if you go bigger ,they will sag even more because of the weight of the implants. If you want to exchange your implants and get little bigger, I would suggest getting 450 silicone high profile implants , but do not get lift. You never will be happy with lift since your breast are too low.
Kamran Khoobehi, MD

New Orleans Plastic Surgeon
+1

Breast Implant Redo - Will Larger Implants Look Higher and Fuller

Thanks for the photos. I would do at least a 550 to 600 cc HP redo with or without a donut lift. Seek at least 3 opinions from boarded surgeons in your area. Regards from MIAMI 
Darryl J. Blinski, MD

Miami Plastic Surgeon
+1

Important to understand the difference between short term and long term goals

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... more
Armando Soto, MD

Orlando Plastic Surgeon
+1

Another case of BIGGER (breast implants) NOT being Better...

Your question is asked often and is commonly misunderstood. Human skin is NOT static. If pulled upon it stretches. If pulled upon rapidly it stretches AND cracks, creating stretch marks. But skin unlike concrete does NOT maintain its surface area. This is commonly seen with breast implants. Even when perfectly chosen breast implants are placed in a breast they will be acted upon by gravity and life habits; The result is stretched and thinner skin. This means that from an initial breast... more
Peter A. Aldea, MD

Memphis Plastic Surgeon
+1

Obtaining higher, fuller breasts

Although your picture is very difficult to evaluate, you appear to have significant ptosis (droop). What you need, therefore, is a Mastopexy (lift), not larger implants. If you get larger implants without correcting the droop, you will not obtain “higher and fuller” breasts, only larger ones.  
Robert T. Buchanan, MD

Highlands Plastic Surgeon
+1

Revision augmentation

You have to consider if the implants are above or below the muscle.  You may need to consider a lift or mastopexy.  The bigger the implant the wider and taller it will get.  Bigger implants will give you more roundness at the top of your breasts.  If they are over the muscle, though, they may sag more as you get older.
David A. Lickstein, MD

Miami Plastic Surgeon
+1

Larger implants may mean bigger problems in the long run

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.
Richard Baxter, MD

Seattle Plastic Surgeon
+1

Higher and fuller implants

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.
Darrick E. Antell, MD

Manhattan Plastic Surgeon
+1

May consider a lift instead of larger implants

It is possible that larger implants would make your larger and fuller, but on your photo there appears to be a degree of glandular ptosis or sagging.  Time, weight and gravity are not on your side.  Larger implants will only accelerate the aging process of your breasts.   With the current condition of your breasts you may be better served with a breast lift instead.  This would elevate the entire breast and give you the upper pole fullness that you desire.     more
Jeffrey Zwiren, MD

Atlanta Plastic Surgeon
+1

As breasts age sometimes they need a lift....

I do not believe that simply adding 100cc or even 150cc of volume with new implants will do much to lift your breasts for any length of time.  The problem that you are having is that over the last 14 years the breasts have stretched somewhat and started to sag.   The looser skin on the bottom of the breasts needs to be tightened with a lift in order to reposition the breasts higher on your chest wall.  Weight gain and weight loss as well as pregnancies as well as simply aging... more
Evan Sorokin, MD

Cherry Hill Plastic Surgeon

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