4'10, 240cc, Mentor, subglandular - larger implants after an anchor breast lift & augmentation? (Photos)

Thank you for your question and the photos. It's hard to tell the degree of fold asymmetry from the picture, but the higher fold can lead to a higher implant. You would only address if it was very pronounced. Most of the time, this was present preoperatively. With your small frame, you have to be careful about using a larger implant. As implants go up in size they get heavier and they get wider/taller. I don't particularly like the subglandular space, and larger implants would put you at higher risk of symmastia and lateral displacement. I'd discuss with your surgeon and get their thoughts.
Best of Luck!

In looking at the difference between your first and second photos, it looks as though the breast depicted on the left side of the photo has developed a capsular contracture. That is causing your implant to ride higher and the folds to appear asymmetrical. The definitive solution for that problem is implant exchange with capsulectomy. You can absolutely upsize your implants after mastopexies particularly once you are well healed. This could be combined with a capsulectomy on the affected side and kill two birds with one stone. There's always a long-term risk of redeveloping a capsule contracture once you've had one previously. The only way to avoid this risk entirely is to remove the implants. Make an appointment with a surgeon to be evaluated in person for a more definitive diagnosis.

Hello,
thank you for your auestion.
Yes, uneven inframammary folds can often be corrected through revision surgery, typically involving internal sutures (capsulorrhaphy), adjustment of the implant pocket, or reinforcement with surgical mesh if needed; this is not uncommon after a breast lift, particularly with an anchor technique. Regarding reaugmentation, it is entirely possible to increase implant size after a lift, provided your skin and soft tissues can accommodate the added volume safely—especially important in a petite patient like yourself (4'10", 48–50 kg, 28" underbust). Moving from a 240cc moderate plus profile implant to a slightly larger size (e.g., 300–325cc) could help achieve the fuller look you preferred during the initial postoperative swelling phase, but careful preoperative planning, including 3D imaging and assessment of your tissue characteristics, is essential to ensure both aesthetic improvement and long-term support.

Several issues here; one implant is set much higher than the other, making the nipple look downwards and creating a bulge at the top of the chest. I can't comment on the brest lift scars, pattern and design because it is not visible in the photos posted; probably needs at least a minor revision.

Your current implants do touch, if not slightly exceed, the maximum with possible within your chest and breasts, increasing the implant base would surely lead to a bad symmastia, side protrusion and other problems. Only option available is increasing projection, as way to add more volume, in spite of which I already see the breasts large enough, so I recommend giving it second thoughts; technically is feasible (increasing volumen by adding projection to the implants).

Based off your current photos (a baseline preop photo would definitely help here) - but usually you have uneven IMFs to start (at preop) - a surgeon can adjust IMFs to try to match if there's a discrepancy enough that's worth the other possible risks of trying to fix it. Because we don't have a preop baseline photo, it's hard to assess if this the result of technique or your anatomy. And yes you can up size implants and possibly even ask your surgeon to retighten the pocket of your implant and skin envelope at that time as well. (Maybe even address the uneven IMFs and see if it's worth the risks.)

Thanks for your question! I think you may have a capsular contracture distorting that one side. I would suggest an appointment with your PS. Regarding going bigger, you have fairly tight cleavage so maybe you could go with a higher profile implant, but I don't think too much wider is a smart choice. Good luck!

It is difficult to tell the exact cause of the IMF difference from one photo - however, yes, typically this asymmetry can be corrected as well as a larger size implant placed simultaneously. The exact recommended procedure could be determined following a consultation, which could also be done virtually.

concerns: volume, inframammarian fold asymmetry
if you want to correct these problems, may be a new surgery is needed. for bigger size implant over muscle can be cause sagging conclusion, upper pole fullness will be reduced. changing the implant pocket to under the muscle will reduce this complication. if you have an IMF asymmetry this will be balanced with revision surgery

usually after about six or 12 months, revision can be considered. There are many different approaches to this, each to address different problems. Inframammary fold positions can be altered, if that's the appropriate thing to do. Yes, larger implants usually can be placed.

Dear ricey_79,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery