I had my breast augmentation 8 months ago. I feel like they have fallen and left no fullness at the top. I had Mentor 405cc moderate plus extra under the muscle. Will I need a lift or stitching to obtain the fullness? Can I get the upper fullness just by swapping the implant for a larger size?
Answer: Mentor 405cc moderate plus extra under the muscle. Will larger implants increase upper fullness? (photos) Most women cannot take 450 or 500 cc on the chest without going to a high profile implant. There is a good chance that a breast lift may be needed to lift the areola depending upon the final position of the implants.
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Answer: Mentor 405cc moderate plus extra under the muscle. Will larger implants increase upper fullness? (photos) Most women cannot take 450 or 500 cc on the chest without going to a high profile implant. There is a good chance that a breast lift may be needed to lift the areola depending upon the final position of the implants.
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Answer: Bottoming Out / The Original Internal Bra Good morning, You do have a little bottoming out, which means your implants mainly sit below your nipple level, which makes your nipple position look high and takes away from your cleavage and upper pole fullness. Simply going bigger will not correct this- you need the pockets fixed. I correct this with the Original Internal Bra, my strong permanent internal suturing technique, which corrects your bottoming out, moves your implants higher on your chest wall and closer together, and secures them there over the long term. I first developed this technique 20 years ago, and today it is the most common revision I perform, 5-6 times a week- it works and it lasts!
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Answer: Bottoming Out / The Original Internal Bra Good morning, You do have a little bottoming out, which means your implants mainly sit below your nipple level, which makes your nipple position look high and takes away from your cleavage and upper pole fullness. Simply going bigger will not correct this- you need the pockets fixed. I correct this with the Original Internal Bra, my strong permanent internal suturing technique, which corrects your bottoming out, moves your implants higher on your chest wall and closer together, and secures them there over the long term. I first developed this technique 20 years ago, and today it is the most common revision I perform, 5-6 times a week- it works and it lasts!
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May 19, 2021
Answer: Drop Out Implants that are too big, too high profile, or too firm (from overfill, very highly cohesive gel, or scar capsule tightness) have a greater impact on tissue stretch, leading to, as in your case, drop out. If you want more upper pole fullness, you should consider an alternative to the overfilled device from Mentor. An implant that is flatter, wider, and less overfilled (with a more cohesive gel than found in Mentor) will give you more reliable upper pole fullness and be less likely to drop out. I have no financial relationship with any implant company in the US ( I do with Motiva, a company that does not have implants here), but I think that the implant that serves most women best is made by Sientra. There devices are slightly underfilled, but with highly cohesive gel - actually there is a choice of two levels of cohesivity - and their shells are more elastic. Together, this adds up to a device that is softer than a comparable Natrelle Inspira implant, and one that is more reliable in shape than a traditional (non-overfilled) Mentor implant. I only recommend going bigger if you want to be bigger; don't do it to only achieve a shape change.
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May 19, 2021
Answer: Drop Out Implants that are too big, too high profile, or too firm (from overfill, very highly cohesive gel, or scar capsule tightness) have a greater impact on tissue stretch, leading to, as in your case, drop out. If you want more upper pole fullness, you should consider an alternative to the overfilled device from Mentor. An implant that is flatter, wider, and less overfilled (with a more cohesive gel than found in Mentor) will give you more reliable upper pole fullness and be less likely to drop out. I have no financial relationship with any implant company in the US ( I do with Motiva, a company that does not have implants here), but I think that the implant that serves most women best is made by Sientra. There devices are slightly underfilled, but with highly cohesive gel - actually there is a choice of two levels of cohesivity - and their shells are more elastic. Together, this adds up to a device that is softer than a comparable Natrelle Inspira implant, and one that is more reliable in shape than a traditional (non-overfilled) Mentor implant. I only recommend going bigger if you want to be bigger; don't do it to only achieve a shape change.
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May 20, 2021
Answer: Revision surgery Dear Intellectual338385, breast revision surgery is the most difficult plastic surgery procedure performed. Botched breast surgery alters normal tissue planes and laxity, the ability of breasts to heal properly, and leaves scar tissue that dramatically affects the level of difficulty of the corrective surgery.Many patients come in to correct poor outcomes from their initial surgeries. The most common problems are due to implant malposition, bottoming out of the implant, poor scarring, and incorrect implant size.While the type of revision required will depend on the result of the previous surgery and the desired result of the patient, some revisions involve extensive pocket repair that may or may not need specialized external bras.If you are considering breast surgery revision, you should speak with a board certified plastic surgeon and have yourself properly assessed. Only after a thorough examination you will get more information and recommendations. Also, you have to make sure that your surgeon understands your breast augmentation goals. Daniel Barrett, MD Certified, American Board of Plastic Surgery Member, American Society of Plastic Surgery Member, American Society of Aesthetic Plastic Surgery
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May 20, 2021
Answer: Revision surgery Dear Intellectual338385, breast revision surgery is the most difficult plastic surgery procedure performed. Botched breast surgery alters normal tissue planes and laxity, the ability of breasts to heal properly, and leaves scar tissue that dramatically affects the level of difficulty of the corrective surgery.Many patients come in to correct poor outcomes from their initial surgeries. The most common problems are due to implant malposition, bottoming out of the implant, poor scarring, and incorrect implant size.While the type of revision required will depend on the result of the previous surgery and the desired result of the patient, some revisions involve extensive pocket repair that may or may not need specialized external bras.If you are considering breast surgery revision, you should speak with a board certified plastic surgeon and have yourself properly assessed. Only after a thorough examination you will get more information and recommendations. Also, you have to make sure that your surgeon understands your breast augmentation goals. Daniel Barrett, MD Certified, American Board of Plastic Surgery Member, American Society of Plastic Surgery Member, American Society of Aesthetic Plastic Surgery
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May 19, 2021
Answer: Larger implants I believe that the short answer to your question as to whether larger implants are the answer is 'no'. You are already, by the photos, in a over-dissected situation, with stretching of the lower breast skin. Larger implants will temporarily give you superior fullness, it is true, but the price will be lose of this fullness over time with further stretching of the lower pole skin. Take your pre photos and seek the opinions of experienced surgeons before making a decision. Best of luck, Leland Deane MD FACS
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May 19, 2021
Answer: Larger implants I believe that the short answer to your question as to whether larger implants are the answer is 'no'. You are already, by the photos, in a over-dissected situation, with stretching of the lower breast skin. Larger implants will temporarily give you superior fullness, it is true, but the price will be lose of this fullness over time with further stretching of the lower pole skin. Take your pre photos and seek the opinions of experienced surgeons before making a decision. Best of luck, Leland Deane MD FACS
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