49, B to D cup, 370cc & 385cc, Ideal implants, breast lift or breast implant revision? (Photos)

At this time, 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 can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Dear Beppers0327,
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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Using a larger implant will not change breast mound shape. Your abundant tissue overlying the implant is ptotic and hanging off the edge of the implant. Only a true breast lift will give you proper nipple position and reveal more lower pole fullness.

You need a lift since your breasts are sagging, but I do not recommend going larger. It is possible that these implants are still sitting a little high. measurements are needed to be certain.

An in person evaluation is best, but from your photos and description of your goals it appears a breast lift is needed. This will remove the excess tissue, giving you a perkier look and will raise the nipple position. You can elect to exchange the implants if you prefer at that time. See a board certified plastic surgeon near you to learn more.

It does not appear that larger implants are the answer. Lowering the breast implants you have now to decrease the upper pole fullness, round out the lower portion of your breasts is a better option, however, the best option is a breast lift. Your nipple/areolas are too low on your breasts and chest. Elevating them to the center of your implants would be your best option.
Best wishes,
Dr. Taranow

Great series posted photos. I might exchange to large implants ( I prefer Mentor) in the 500 cc ranges, with open capsulotomy of inferior quadrants of your beasts, L -shaped lift. Fee $12,000+ Best to virtual consult with...