Breast Implants for Women with Naturally Large Breasts?

Question

I have naturally large breasts (36C) but I am considering to get Breast Augmentation surgery. I like the look of Breast implants and especially appreciate how perky the breasts are ( I would aim for a large D or DD).Also, I have heard that if a woman has stretch marks on her breasts and gets a larger implant, the stretch marks will be less visible. I would like some feedback on my remarks.Also, how would the surgery be if I already have large breasts (for example, do you remove some tissue or just place the Breast Implant etc.)?

Otto Joseph Placik, MD · Answer

The problem with large implants is that they will age independent of the breasts which means that if placed under the muscle, the implants will remain high and the breasts will "fall off" of them creating the "Snoopy Deformity". If implants are placed over the muscle in a large breast, the appearance of stretch marks may temporarily improve by being stretched bu the breast and implant will sag together due to the combined weight and lack of support. in regards to your other question, we sometimes perform a lift/reduction and implants in large ptotic (sagging) breasts

Jerome Edelstein, MD · Answer

Perkiness may be achieved by choosing the right implant (something with more projection and a firmer texture) however please note that implants would also accelerate the rate at which your breasts sag, especially since your breasts are already large. In addition, if you have any sagging at the moment, breast implants alone may not be sufficient in achieving a perkier contour. A breast lift may be required. It is true that implants can soften the appearance of stretch marks to a  certain extent, however they will still be visible and are not considered an effective way to hide them. In fact, larger implants tend to cause stretch marks, depending on your skin quality.Breast augmentation for larger breasts would not involve removing any tissue. It is performed in the same manner, with special attention on implant placement.

Gary Lawton, MD, FACS · Answer

The stretch marks will not change realistically.  The breast shape may improve, and you will get more volume and can achieve more perkiness.  If you want larger breasts, then implants are a good choice.  Try sizers on to see if the increase in volume is for you.  Tissue is not removed.  The surgery is the same as if you had  smaller breasts.

Richard J. Bruneteau, MD · Answer

It’s always
difficult making decisions about breast size without performing a physical
examination or seeing pre-operative pictures. In addition, the patients
underlying anatomy and personal preference for size and shape must be
considered as well.

Breast augmentation
in women who already have large breasts, should be approached with caution for
a variety of reasons. When women have large breasts, it’s not unusual for them
to also have breast sag. This is usually their primary problem and frequently
requires a breast lift for correction. When the breasts are lifted into proper
position, they often times look bigger then they did when they were saggy.
Under these circumstances, breast augmentation may not be necessary to obtain a
good result.

In other cases,
placement of breast implants might actually accelerate breast sag by stretching
the overlying breast tissue.

Women who have large
breasts who are considering breast augmentation should proceed cautiously. In
the short term, this procedure might meet your aesthetic goals, but over the
course of time, the results might be less than optimal. It’s important to
consult a board certified plastic surgeon who will evaluate your unique
anatomic findings and aesthetic goals to make an appropriate decision.

Farbod Esmailian, MD · Answer

It really depends on what we are dealing with.  As far as stretch marks go, no they do not look better, and infact if you have larger implants placed to make you a D or DD then there is a likelihood the stretch marks will look worse over time and more prominent.
If you dont need a lift, the procedure involves placing saline or silicone implants to achieve the size you need, there is no removal of breast tissue.  Just remember, breasts dont remain perky forever specially with large implants.

Armando Soto, MD, FACS · Answer

Hi there-
In cases like yours, a pleasing long term result can be achieved through particular techniques combining the best of breast reduction and augmentation techniques, in order to give you the shape and size you want, without the fear of excessive sagging over time or breast disfigurement.
You need to find a surgeon with a great deal of experience in breast surgery.
For help finding one, please read this:

David Shafer, MD, FACS · Answer

Without a picture or examining you, it is hard to give specific advice. However, from your description, you may benefit most from an augmentation/mastopexy (implants and breast lift). This will rejuvenate your breast and add upper pole fullness. Good luck.

Steven Wallach, MD · Answer

Without an exam it is hard to say what you would need. But, if you have a fair amount of tissue, then you will have more soft tissue coverage than others with smalle breasts. As for the stretch marks they may get worse, better, or stay the same.

Darryl J. Blinski, MD · Answer

Great questions but without photos can not guess on your appearance. Please submit photos or see 3 boarded plastic surgeons in your area. You may need a lift also. Regards.

Peter A. Aldea, MD · Answer

Without a visual clue as to your appearance any real assessment of your appearance is impossible and all answers should be regarded as general in nature.
"I like the look of Breast implants" - A well-chosen implant and executed breast augmentation does NOT look "done". As a matter of fact, few can tell if such a person had a breast augmentation. You appear to like the artificial, round encapsulated breast look which most plastic surgeons prefer to avoid. Such results are not hard to produce - all one has to do is to do several things we should NOT be doing.
"I...appreciate how perky the breasts are ( I would aim for a large D or DD)". - A perky breast is a result of youth, continued breast support and perfect coordination between the location of the nipple complex, breast surface area and breast fill. Attempting to reach "perkiness" nirvana by ever increasing breast implant volumes always fails. Skin being stretchable, will always give under the weight and all such breasts will rapidly sag,
"I have heard that if a woman has stretch marks on her breasts and gets a larger implant, the stretch marks will be less visible" - Totally false. Stretch marks are more aptly called stretch cracks. They are full thickness, permanent cracks in the skin caused by rapid stretching which fill with scar tissue. As the skin is FURTHER stretched with ever larger implants the stretch marks do not become narrower - they become wider and more prominent. Larger implants will NOT improve stretch marks and may make them much worse.
Dr. P. Aldea

Breast Implants for Women with Naturally Large Breasts?

Answers (18)

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