Above muscle to below muscle breast augmentation; does breast tissue compress w/above muscle implant leaving less volume?

Typically, each 150 cc' s of implant volume adds a cup. If you have 300 cc's and are a DD, you may be a C with implants removed. If you have a lot of sagging skin, you might even be a B once the lift is done. Do you still want implants? You might consider removal and a lift. Small implants could always be added later if you want more volume. Otherwise consider going down to 150-200 cc's to add a volume to your own tissue.

Dear KMAMK,
I almost always place implants submuscular. It lowers the rate of capsular contracture significantly. In addition, it looks much more natural because the muscle provides covering over the implant so its not as round on the top. I've also noticed the implants drop less over time when they are protected under the muscle
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Back in 2011 when you had a breast augmentation, you really needed a mastopexy as well and you still do. Unfortunately, you have not provided photographs. However, 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. Later, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.