I had saline implants placed submuscular 20 yrs ago. I never really thought my breasts were droopy but when I went to a PS consult recently he said I had waterfall deformity, slight animation deformity, and that one of my implants had broken partly away from the muscle creating a sorta “dual plane” scenario. He recommended a full anchor lift and wasn’t sure how big I could actually go as far as implant wise. Could I possibly just get a bigger implant size? I really don’t want a lift.
Answer: I wouldn't advise bigger implant size. Currently, the sagging is not severe and the waterfall deformity is not severe, so in my opinion, it is better not to lift, and if there is damage to the implant, it is better to change only the implant to a similar size. If the implant is made larger than the current size, the shape will deteriorate, so lifting would be required. This lifting surgery (mastopexy) inevitably leaves scars.
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Answer: I wouldn't advise bigger implant size. Currently, the sagging is not severe and the waterfall deformity is not severe, so in my opinion, it is better not to lift, and if there is damage to the implant, it is better to change only the implant to a similar size. If the implant is made larger than the current size, the shape will deteriorate, so lifting would be required. This lifting surgery (mastopexy) inevitably leaves scars.
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Answer: Implants Going bigger will just make your problems more noticeable with more sagging from extra weight and more drooping over the implant. Please listen to the advice of your surgeon.
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Answer: Implants Going bigger will just make your problems more noticeable with more sagging from extra weight and more drooping over the implant. Please listen to the advice of your surgeon.
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February 27, 2023
Answer: Explant with Bellesoma Method The technique I recommend is 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 or small implants can be placed if additional volume is desired. Best Wishes, Gary Horndeski, M.D.
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February 27, 2023
Answer: Explant with Bellesoma Method The technique I recommend is 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 or small implants can be placed if additional volume is desired. Best Wishes, Gary Horndeski, M.D.
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February 26, 2023
Answer: Going Bigger vs a Breast Lift It really comes down to expectations. You can go bigger and forgo the lift, but you will still have some pseudoptosis, which is when the nipple is in a good position but the lower pole breast tissue and skin hang down below the fold. You do have that now and a bigger implant wont necessarily address that. A donut lift will address that, partially or for a short period of time. A donut lift is not the best lift and if used when a better option is needed then you have distortion and stretching of the areola over time. I have nothing against a donut mastopexy, I do use it in my own practice, but it needs to be used with caution. A vertical lift can also be used in your case, but it will tend to increase your nipple to crease distance and you already have a longer distance to begin with. A full lift (anchor) will address the sagging or pseudoptosis the best but you have more scars to deal with. Hope that helps.
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February 26, 2023
Answer: Going Bigger vs a Breast Lift It really comes down to expectations. You can go bigger and forgo the lift, but you will still have some pseudoptosis, which is when the nipple is in a good position but the lower pole breast tissue and skin hang down below the fold. You do have that now and a bigger implant wont necessarily address that. A donut lift will address that, partially or for a short period of time. A donut lift is not the best lift and if used when a better option is needed then you have distortion and stretching of the areola over time. I have nothing against a donut mastopexy, I do use it in my own practice, but it needs to be used with caution. A vertical lift can also be used in your case, but it will tend to increase your nipple to crease distance and you already have a longer distance to begin with. A full lift (anchor) will address the sagging or pseudoptosis the best but you have more scars to deal with. Hope that helps.
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February 26, 2023
Answer: Breast lit or implants Dear achiz758, 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
Helpful 1 person found this helpful
February 26, 2023
Answer: Breast lit or implants Dear achiz758, 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
Helpful 1 person found this helpful