So, I had 360 submuscular saline implants put in almost 20 years ago. Prior to that I had almost no breast tissue, A cup, but very nicely shaped, perky A’s. Now when I look at these they seem saggy. I never loved the shape of them without a bra. With a bra they are nice but I now feel they are bigger than they need to be. I’m a small lady, 5’3”, 120 pounds. Please see my pic and wish pics, please advise me what I should do.
Answer: Explant and The Bellesoma Lift The best option for you is explantation 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 and the ability to breast feed are maintained, if not injured during your previous surgery. At the same time or later, fat transfers can be performed if additional volume is desired. Best Wishes,Gary Horndeski, M.D.
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Answer: Explant and The Bellesoma Lift The best option for you is explantation 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 and the ability to breast feed are maintained, if not injured during your previous surgery. At the same time or later, fat transfers can be performed if additional volume is desired. Best Wishes,Gary Horndeski, M.D.
Helpful 1 person found this helpful
Answer: Is it time and what are my best options? (Photo)s After 20 years, deflation and sagging of the saline implants have occurred. You will want the skin envelope tightened if your opt for a smaller implant. Recommend that you consider gummy bear or silicone implants that feel much more like breast tissue. Consult with a board certified PS who has performed hundreds of breast augmentations and lifts with favorable patient feedback and numerous before and after photos in his/her website galleries so that measurements can be taken and all of your questions can be answered to ensure that you can reach your ultimate goal.Kenneth Hughes, MD, ABPS Board Certified Plastic SurgeonLos Angeles, CA
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Answer: Is it time and what are my best options? (Photo)s After 20 years, deflation and sagging of the saline implants have occurred. You will want the skin envelope tightened if your opt for a smaller implant. Recommend that you consider gummy bear or silicone implants that feel much more like breast tissue. Consult with a board certified PS who has performed hundreds of breast augmentations and lifts with favorable patient feedback and numerous before and after photos in his/her website galleries so that measurements can be taken and all of your questions can be answered to ensure that you can reach your ultimate goal.Kenneth Hughes, MD, ABPS Board Certified Plastic SurgeonLos Angeles, CA
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April 9, 2019
Answer: Breast revision Thank you for the question. I think your implants have held up well over time. you could consider concerting to a lift with slightly smaller implants. I would perform the lollipop lift and stick with saline.
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April 9, 2019
Answer: Breast revision Thank you for the question. I think your implants have held up well over time. you could consider concerting to a lift with slightly smaller implants. I would perform the lollipop lift and stick with saline.
Helpful 1 person found this helpful
April 9, 2019
Answer: Revision Time Good morning!Sounds like it's revision time- I would recommend a donut mastopexy to lift your nipple position and tighten your skin, the Internal Bra to tighten and lift and support your implant pockets, and new implants with better projection!
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April 9, 2019
Answer: Revision Time Good morning!Sounds like it's revision time- I would recommend a donut mastopexy to lift your nipple position and tighten your skin, the Internal Bra to tighten and lift and support your implant pockets, and new implants with better projection!
Helpful 1 person found this helpful
May 1, 2020
Answer: Revision surgery Dear LLRD35, based on your photos, it looks like you will need a revision surgery in order to get good results. You will probably need a breast lift and implant exchange. My preferred lift is a lollipop lift when a periareolar won't do (ie greater than 2cm lift required). The lollipop technique was created by a Canadian plastic surgeon named Elizabeth Hall-Findley and treats the breast as a three dimensional structure instead of two dimensions (anchor - lift). Most importantly it does not require the horizontal component scars that the anchor-lift requires and breasts appear much more natural, lifted, and less boxy. Lastly, the lift lasts longer because the lollipop doesn't rely on the skin to hold the breast up, its actually breast tissue thats being brought together to support the breast and hence improves longevity. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations. 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
May 1, 2020
Answer: Revision surgery Dear LLRD35, based on your photos, it looks like you will need a revision surgery in order to get good results. You will probably need a breast lift and implant exchange. My preferred lift is a lollipop lift when a periareolar won't do (ie greater than 2cm lift required). The lollipop technique was created by a Canadian plastic surgeon named Elizabeth Hall-Findley and treats the breast as a three dimensional structure instead of two dimensions (anchor - lift). Most importantly it does not require the horizontal component scars that the anchor-lift requires and breasts appear much more natural, lifted, and less boxy. Lastly, the lift lasts longer because the lollipop doesn't rely on the skin to hold the breast up, its actually breast tissue thats being brought together to support the breast and hence improves longevity. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations. 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