Breast augmentation from 36C to 600CC don't want a lift. (photos)

A large 600cc implant will only temporarily raise your breasts. The heaviness of these implants will increase the sagging and skin laxity even further. A full lift is most likely required

Thank you for question, and congratulations to you on your weight loss.  I agree with you that 600cc implants will be much too large for your frame.  Keep in mind that with larger implants, you are going to experience more sagging of your breasts.  I understand your concerns regarding a breast lift, but it will help you achieve the best result. It is up to you whether it is the best option for you and if it is worth some scarring.  Many plastic surgeons offer 3D imaging and sizers to help you determine how implants of various sizes will look on your frame.  Please discuss your concerns with your plastic surgeon before your surgery on Friday to make sure you achieve optimal results. Best of luck to you.  

I understand your desire not to have scars, but unfortunately, you will need a lift to have acceptable results. Large implants will only give you trouble because of their weight and unstable nature. 600cc will put you in the F cup category. So you see, this is not your best option. There is relatively new technology in breast lift methods that don't require implants or the vertical scar. Take a look at the attached video. This woman underwent The Horndeski Method breast lift without implants and without the vertical scar. You are welcome to view my gallery for her before video and other examples. I hope this helps. Best wishes and kind regards, 

Thanks for your question. Breast implants will only address the issue of your volume loss. In addition,  large implants will over time cause the breasts to sag further due to the increased size.  Based on your photos it appears you have some ptosis (drooping) of the breast and you would benefit from a lift in conjunction with an implant. However, there are a few types of mastopexy/breast lift but you do not need the full anchor scar.. I would recommend a Benelli mastopexy, one in which the scar is confined to the circumference of the areola. Not only will the breast be moderately lifted but also your areolae will be made smaller.I recommend an in person consult with a board certified plastic surgeon to address a cosmetic treatment plan that best suits your needs in order to achieve the best outcome.

Thank you for your question. As others have said I would caution you about your need for a breast lift. Even a large implant will not lift the position of your nipple, so you may be unhappy the appearance after surgery. Also, large implants will cause more sagging. Especially in breast that already have some degree of ptosis.

I appreciate your question.

From your photos, it appears that you would also benefit from a breast lift.  A breast lift would reposition your nipples and reshape your breasts, giving them a more youthful appearance.

The size of implant best for you is dictated by your chest wall measurements.  Once we determine that we can choose the profile based on what you want or need to achieve.  If you are seeking a natural look, then the diameter of the implant should be equal to or, more ideally, smaller than the width of your breast. The breast width is a measurement of how wide your breast is at the base, which should be measured at the level of the nipple. Choosing an implant that is smaller in diameter than your breast width will avoid the "side breast" fullness that is often associated with a more artificial appearance.  Other than that, you should choose the implant based on volume, not on the dimensions of the implant. You should choose a board certified plastic surgeon that you trust to help guide you in this decision.  



Silicone will give you a fullness at the top (upper pole fullness).



Silicone implants come pre-filled with a silicone gel and are the softest implant available. They feel more natural, which makes them a good option for women with less natural breast tissue; but they require a larger incision. It may be more difficult to realize if this type of implant has ruptured, so it is important to monitor them with annual follow-up visits. Additionally, because this implant contains a more liquid silicone (less cross-linked), if this implant should rupture, it will leak only into the scar capsule formed around the implant but may cause some discomfort or implant distortion.



Anatomic gummy bear implants might be a good choice to give you volume.



These highly-sought-after, anatomic implants offer a look that more closely resembles the natural silhouette of a breast, and, therefore, are a very attractive option for individuals seeking a natural-looking, aesthetic primary breast augmentation. Additionally, these implants are an especially excellent option for patients undergoing restorative or corrective breast surgery because they provide more stability, shape, and reduced incidence of capsular contracture. Compared to other types of silicone gel implants, the silicone in the cohesive gel implant is more cross-linked; therefore, should the implant shell “rupture,” it maintains its shape and silicone does not leak.



During your breast augmentation consultation, you should feel the different types of implants available, and try on various implant sizers in front of a mirror to help you to get an idea of how you will look following the surgery. You should also bring pictures of the look you would like to achieve, as well as a favorite top to wear when trying on implant sizers.



The best way to assess and give true advice would be an in-person exam.



Please see a board-certified plastic surgeon that specializes in aesthetic and restorative breast surgery.



Best of luck!



Dr. Schwartz



Board Certified Plastic Surgeon



#RealSelf100Surgeon



#RealSelfCORESurgeon

Thank you for your question and photos. It looks like a lift will be required in addition to placement of breast implants. I do not think you will achieve a satisfactory result with either augmentation or a lift alone. It is best to have an in-person consultation with a board certified plastic surgeon who specializes in cosmetic breast surgery. Ask to see a lot of before and after photos of their work. Hope this helps and good luck!

From your photos, it appears you have moderate sized breasts which are somewhat ptotic, or droopy. Adding volume will certainly help correct this, however will not do so completly. A lift with or without implants would be the best option. I advise agaist putting overly large implants in, and would not place them over the muscle. You will require a lift at some point in time, and this will increase your risks of complications greatly.

If you need a lift, you will still need a lift after a breast augmentation no matter how big an implant you put in( almost always). The nipple position will not raise up enough just by putting in an implant and then you will have really large breasts with a nipple that is still lower than you would be happy with. The good news is, you still have time to discuss this with your surgeon and have the lift done with an appropriate size implant to make you in proportion and ultimately happy with your appearance. The scars will fade in time but if you have implants that are too big, they will always be too big until you have a second operation, and sometimes the tissue stretch is difficult to deal with. I would talk to your surgeon and review the options again. 

Thank you for your question

Your breasts do seem as they are
sagging. This is could be due to the weight reduction you pointed out.

Current research highlights the following as risk factors
for sagging:Greater ageHistory of significant
weight loss (>50 pounds)Higher BMILarge bra cup sizePregnancy Smoking

If only weight reduction applies to you, then it is highly
possible that your breasts had more fat than breast tissue which is why after
weight-loss, they started sagging.

Based on your photos, you seem to have grade 1-2 ptosis (sagging) and this means that your
nipple is near the fold under your breasts (inframammary fold), and your breast
tissue is hanging mildly below the breast fold.

Although a breast augmentation will help you achieve the
size goal, it will not be effective.  In fact, you will not only have to go with a
larger than usual implant, but it will also appear too low on your chest
(bottoming out). The weight of the implant will worsen the amount of sagging.
You may also have a double bubble deformity where the breast tissue overlying
the implant droops below in front of the implant. It may also cause a snoopy
deformity (named after the cartoon character snoopy) that happens when the implant is held sitting in a high position by tight pectoral muscles,
while the natural breast tissue falls off the implant and hangs below at the
bottom curvature of your breast. We have to think of the long-term results, not
the short-term results.

As such, you need a
breast lift for best aesthetic results.

If you are afraid
of scars brought on by a breast lift, you can get an initial breast
augmentation, and if you become unhappy with your results, then you can opt for
a breast lift in the future.

One last thing I
need you to know is that you should not focus on the implant size right now as
this has to be tailored to
your breast boundaries and characteristics in what we surgeons call
tissue-based planning. In this planning, we record your breast base width, the
distance from the nipple to inframammary fold on stretch, and the amount of
skin stretch in the breast skin near the nipple. These measurements among
others allows us to choose an implant size that adequately fills your breasts
providing a natural, and aesthetic look. Overly filling the breasts beyond
their limitations can result in not only unnatural looking breasts, but also a
multitude of problems such as, bottoming out (i.e., an empty upper pole, high
positioned nipple), double bubble deformity, implant malposition, implant
visibility, breast sagging, and breast tissue wasting, excessive thinning of
breast skin, nipple hypersensitivity, or loss of nipple sensation, etc.

I urge you to seek a board-certified plastic surgeon to
have a consultation for an augmentation mastopexy. A breast lift can raise your
breasts and breast augmentation can refill your breasts. An in-person
consultation and exam will allow the surgeon to address your concerns, while
meeting your expectations.

Hope this helps.

A bigger implant may fill out the breast skin but it will be at the cost of greater skin stretch and complications over time.  Also a larger implant will not "lift" the breast.  Therefore your breast will still look the same but just bigger.If you still desire to have breast augmentation without the lift, the recommendation is always to place implants behind the muscle simply for the lower risk of capsular contracture.  In your case, given the loose skin and breast tissue, a dual plane release would likely suit you best, in my opinion.Good luck.  Hope that helps a bit.