Age 39, reduction/implants/lift, wanted to go smaller & was given 420cc & 490cc (Photos)

If you were already a 38 DD then the last thing you needed was implants. 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. The mass can be removed at the same time.

Best Wishes,

Gary Horndeski, M.D.

Thank you for your question. You are an excellent candidate for a procedure I developed termed "Reductive Augmentation" in which we perform implant exchange to an ultra high-profile silicone implant, lateral and inferior capsulorrhaphy-internal bra, and revision mastopexy with removal of inferior pole breast tissue. I published in 2017 you can view it on my website under publications. Best wishes to you.

Dear Polite712738,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Please have the lump evaluated first. Your implants are too large and heavy for your frame and tissue, and you would do much better going down in size and probably lifting again. You may just need a lift and no implants. Your pockets could be tightened to help minimize too much lateral movement of a smaller implant.

I'm sorry to hear of the issues you are having since your surgery. Certainly follow up with your primary care doctor or ordering physician about the mass that was found on your MRI. You can elect to exchange the implants at any time. See a board certified plastic surgeon near you to learn more.