440cc in each breast, do I need a breast lift or smaller implants? (Photos)

Question

I had a breast augmentation in October 2023. Before surgery, I was a small 36C bra. I wanted to stay a C cup, add volume, have more round and perky breast and fix the asymmetry. My left breast is larger than my right breast. The doctor put in 440cc in each breast. I am D on the right side and DD on the left. I feel like these breast are too large and drooping. Will a breast lift correct the problem to make them smaller and asymmetrical or do I need to change the implant to a smaller size as well

Gary M. Horndeski, MD · Answer

At this time, I recommend explantation and lift using The Bellesoma Method. The implants are removed, your breast tissue is reshaped creating upper pole fullness, elevated higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained if not injured during your previous surgery. Later, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Leila Kasrai, MD, FRCSC · Answer

If you are unhappy with the size of your breasts, then you can choose to decrease the size of your implants. A breast lift would be recommended to reshape your breasts to make them perkier.

Daniel Barrett, MD · Answer

Dear cbq199,
based on your photos, it looks like you would benefit from breast lift. My preferred lift is a lollipop lift when a periareolar won't do (ie greater than 2cm lift required). The lollipop technique was created by a Canadian plastic surgeon named Elizabeth Hall-Findley and treats the breast as a three dimensional structure instead of two dimensions (anchor - lift). Most importantly it does not require the horizontal component scars that the anchor-lift requires and breasts appear much more natural, lifted, and less boxy. Lastly, the lift lasts longer because the lollipop doesn't rely on the skin to hold the breast up, its actually breast tissue thats being brought together to support the breast and hence improves longevity. 
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Gerald Minniti, MD, FACS · Answer

Based on your story, it is hard to imagine a board certified plastic surgeon did this. You'll need to see one that is a revision breast specialist to get a great result.

Ronald J. Edelson, MD · Answer

I think you are best served by a full lift. I would also go a bit smaller. It seems your surgeon tried to fill your excess skin with larger implants

440cc in each breast, do I need a breast lift or smaller implants? (Photos)

Answers (8)