Can 500cc Breast Implants with Lift Give a Natural Shape?

Breast augmentation and mastopexy (breast lift) together can be an extremely complex operation with a high rate of revision and complications.  The larger you go with an implant when you're also doing a breast lift at the same time can add tension to the incisions and increase risk for skin necrosis, wound breakdown, and most importantly even threaten the circulation to the nipple.  Also with a large implant and lift there is a much higher chance of getting a superior malposition of the implant which is also known as a "high riding implant" because the implant isn't massaged as frequently (because it can risk the scars separating from the lift).  If you want to go that big, either do it in two steps and do the lift later, or do a more modest size implant with the lift and when everything heals, you can come back and do an "exchange of implants" which is a simple outpatient procedure.  Finally, there is one more option that we pioneered in our practice which is called "delayed fill" which is placing a saline implant partially filled at the time of the lift, and then adding the rest of the fluid into the implant several weeks later in the office.  I hope this helps!

Sincerely,

James F. Boynton, M.D., F.A.C.S.

This is not a question that can be answered easily. It really depends on what you bring forth to the surgery. It depends on your body and breast size and shape. 500 cc is a big implant but it may not be that big for you. In order to keep breasts looking natural you need to stay within your bodies size and diameter of your breasts and not go overly large for your body. It is hard to say if they will look natural or not without examining you.
I and many would not consider Angelina's breasts as natural looking.
Good luck.

500cc should be fine as long as you have a general idea of how this is going to look afterward. Look at pictures of women who have had 500cc implants and see if this is the look that you want. Further, you can place sample implants in your bra to get a general idea of how you're going to look afterward. A lift is also very commonly used with an implant after massive weight loss to help lift the areola. Only a small amount of lift is acheived with just an implant, so a lift is commonly used simultaneously. Most women who lose a lot of weight have significant drooping of the areolae and need a formal lift. Good luck!

Congratulation on the massive weight loss. As you experienced, there was significant volume loss from the breasts. This usually leaves a loose skin envelope, the skin tends to have a lot of stretch marks, it is thin with loss of elasticity. If this is the case, placing a 500cc implant will result in further stretching and sagging. Even if you have a lift at the same time, you van experience fairly early descent. Without the benefit of photos, I would suggest having a breast lift first, and have an augmentation about 6-12 months later. This way you will have potentially fewer reoperations, and more natural looking breasts. You need to discuss this with a plastic surgeon with experience in massive weight loss surgery. For examples, please visit my web site: www.bellevueplasticsurgeons.com.

In general, this is a larger than average breast implant which may carry a higher risk of tissue attenuation as well as loss of nipple sensation and other complications.