19 year old implants (over the muscle) - should I have a lift now or in 10 - 15 years? (Photos)

Question

Hi there - I have 19 year old implants that are 340cc over the muscle anatomical textured. I have found out they were recalled in 2019. I have lost weight, had 2 kids and am lacking I breast tissue. I have obvious rippling and sagging. I went to see a reconstructive surgeon who advised me to just do an implant exchange and leave the lift until my next surgery when I'm in my late 50s. (I am 43). He said it isn't worth doing a lift yet and that I will also need to reduce to a 200cc implant if I do. He thinks it would be better for me to move to gummy bear higher profile ,make peace with the fact I will need to wear a bra for the 'lifted' look and deal with pocket change, lift etc on my final surgery in 10-15 years. Could I have some honest opinions please. I want to maintain a similar size, get rid of the recalled implants and get on with my life. I know my nipples are wonky. I suppose I have to be realistic! Any thoughts please. He also thinks I should do 365cc to fill the space

Gregory A. Buford, MD, FACS · Answer

From the photos that you sent, I would do the following:
1.  Bilateral implant exchange w/slight upsizing and use of a highly cohesive (Gummy Bear) smooth round implant
2.  Capsular revision (as necessary)
3.  Hold on the lift (your nipple position is off a bit but if it doesn't bother you much I would leave the lift until much later

The position of your breasts is a little lower than you may like but you actually have a longer torso and so your breasts are actually sitting in an appropriate position.  Until the nipples are sitting closer to the breast fold, you really would not need a lift.

Make sure that you consult with a Board Certified Plastic Surgeon experienced in revisional breast procedures.  I hope that helps and wish you the best in your surgical journey!

Mark Eberbach, MD · Answer

Well here is another tough one.

Your skin envelope is thin and textured probably ruptured implants with capsule work.

To obtain a youthful look not just “natural” look I would do this in two stages. Implant removal with lift followed several months later by re-augmentation under the muscle with a smaller implant.

Good luck.

Many surgeons would claim they could do this in one stage. That is true but with much higher risk and higher likelihood of needing another revision surgery because combo surgery has many more variables to adjust at one setting. I would decline to do a single stage.

19 year old implants (over the muscle) - should I have a lift now or in 10 - 15 years? (Photos)

Answers (2)

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