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

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!