Breast Lift or No? Under the Muscle or Above? Gel or Saline? - North Carolina

I currently have 325 cc saline breast implants...

I currently have 325 cc saline breast implants subgland (above) since 2006. I have no problems and loved them up until i had my last child (5 months ago) and now they are saggy. I have had 4 different consultations, and ALL of the doctors have told me 4 different answers and recommendations!! not sure what to do. 1- Lift/submuscular/gel 2- lift-subgland/gel 3- no lift/subgland/saline and finally the 4th said - no lift/gel. Seriously this was not helpful at all in assisting me with my decision!! Please help. I am just wanting a little less sag, higher profile, a little bigger (prefer over the muscle because of recovery and i work out and do lots of pushups--thanks to the military) and want to fill comfortable sometimes not wearing a bra without my boobs looking flat and saggy.
Miami Plastic Surgeon

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Im having the same issue
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This must be frustrating for you! You might want to post your question and photo about your Breast Implant Revision in the RealSelf Doctor Q&A for additional feedback. Maybe you'll find a common theme with several more doctor responses. (Just remember, you can't respond to the doctor's responses...it's a one time Question and then Answer.) Let us know what else you find out in your research! Take care!

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            my breast used to sag too after i had my daughter; before i got pregnant they sat up nice and perky; i recently had an internal bra done; my breast sit up nice and perky again; i couldnt be happier; you should talk to your about getting and internal bra done! im goung to be honest with you having and internal bra done was very painful for me; but the results are worth it; i have pics if you would like to see them;
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I have never heard of an 'internal bra'. I would be interested in hearing and seeing more about that.
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            the internal bra is internal sutures: the sutures are around the implant; it holds the implant in place by keeping it from sagging; also from lateral displacement (so the implant doesnt slide under the arms sideways while lying on your back)  ;  the implant stays sitting up pretty high its sort like having a lift but without the scars: the implant drops very little; it took me awhile to heal from the internal bra; it took about 6 weeks to 2 months until the pain went completly away; my dkin just felt so tight! 
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Hi. I just had an implant revision 2 weeks ago. Same situation. I had above the muscle saline implants which developed capsular contractures and sagging/ripples after I finished breast feeding my second child. I replaced my implants with Memorygel silicone implants under the muscle and they are incredible! I don't think you would need a lift, but I guess that's up to you and your PS. BTW, went from 260cc saline to 450cc under the muscle which seems like a lot, but I think I'm probably only about a cup size bigger. Good luck!
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I just had a lift with implants on April 17. I recommend implants under the muscle. I feel it helps keep the implant in place. I went with saline, with saline if you get a leak you know it right away. With the gel implants, if you get a leak you don't know it until you have a mammogram. Hope this helps! If you have any questions just ask...Good luck
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Definitely get a lift and both gel and saline deliver the same results. It's what you prefer to pay! I'd see 1 more well known surgeon and express what the other docs stated
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