I would like fuller bigger breasts do I need bigger implants or lift and implants?

I don’t see anything specifically wrong with the breasts. Saline implants don’t need to be switched unless there is a problem despite the rumor that they need to be replaced every ten years. They do not. Your excellent result is testament to the durability of saline implants as well as having fewer problems than silicone.

You don't "NEED" anything with your breasts. That being said, your saline implants that have served you well are now 20 years old and at some point, you will likely have a deflation. Since you are having surgery anyway, this is a perfect time to "fine-tune" your breasts. Over the last 20 years, your implants have placed weight on your soft tissues, whihc have, in turn, stretched a bit. You could easily have a simple pocket tightening procedure called "popcorning" which uses thermal energy to shrink your capsuls/pockets. Using a slightly higher profile/slightly larger implant will give you the look you are trying to achieve without being an overly invasive or difficult procedure. Additionally, I would also recommend circumareolar mastopexies for proper nipple areola complex repositiopning and improved symmetry, but that would be optional and based on what it looks like with your new implants in place. Good luck!!

Hi sensible,I agree with the docs below that an in person exam is the best way to go at this time . Did you discuss your question with your PS who is going to do the MM? I cannot tell if your skin is loose or not. If so, a lift may help tighten loose skin around a larger implant. Otherwise, your shape looks nice and a larger implant may be all the you need. I also agree with the doc who said that over time, your breasts will sag more with the increased weight of a larger implant.Sorry , not to give you a definitive answer, but it would be best to get an in person exam.Best Wishes,Dr. Christine Rodgers

Dear Sensible956969,
determining whether you need simply a breast augmentation versus a breast lift can be somewhat complicated. It depends on a number of factors including skin laxity and current nipple position. Generally speaking, if the nipples are lower than the inframammary line the patient will most likely need a breast lift. If the nipples are at or above the inframammary line we can generally get by with just a breast augmentation depending on the size of the implant the patient wants. I often still using implant when I perform a breast lift because it provides more upper breast fullness after the lift. To be sure a consultation with a board-certified plastic surgeon will help determine what the patient actually needs.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Thank you for the question and photos but an examination is really needed as from the phot the breasts appear asymmetrical.   So go on some complimentary consultations with experts and compare recommendations after a full examination and discussion of desired results Dr Corbin

The result you have looks excellent and has nice size and fullness. There are risks to any surgery and in your case, I would personally advise just proceeding with the tummy tuck as a flatter tummy will make the breasts look bigger.

Greetings:This should be discussed with your plastic surgeon at the time of your mommy makeover consultation(s). If your tummy is tightened and smaller, it is always possible that your breasts will appear proportionately larger.   With breast surgery, sometimes the enemy of something good is seeking something that might be better.Best Regards.

I agree with you that your breasts look great.  If you want to be larger, changing to high profile would be the right move since the current width of your implant looks right.  As you correctly stated you may need a lift down the road but don't need one now, larger implants will over time lead to more sagging.