Changing to 375cc from 275cc to prevent waterfall ptosis, should I do it? (Photos)

Question

I had an uplift (275cc) implants around 12 months ago and I was very satisfied off the bat. Unfortunately my left implant never dropped and the skin below it just sagged. Sadly the same is now happening to the right side but the implant has dropped nicely on that side. My Dr has booked me in to remove the excess skin and re uplift the breasts which i'm happy about but he has expressed changing to a 375cc from 275cc will help prevent it reoccurring. I have high profile under muscle. Should I do it?

Camille Cash, MD · Answer

It does appear that you will benefit from having a revision to your lift to remove the additional skin.  If you are happy with the implant size you do not need to change it. A larger implant may take up more skin, but it is also heavier and could lead to faster sagging in the future.  If you are unsure about how to proceed it's best to discuss it with your surgeon who is most familiar with the details of your surgery and how you've been progressing through recovery.

Carlos Marciales, MD · Answer

Thanks for asking, you need a secondary breast lift, its not the size of the implants the problem, its your tissue, it must be perform an adjustment of the vertical scar and horizontal.

Daniel Barrett, MD · Answer

Dear rmd0302,
breast revision surgery is the most difficult plastic surgery procedure performed. Botched breast surgery alters normal tissue planes and laxity, the ability of breasts to heal properly, and leaves scar tissue that dramatically affects the level of difficulty of the corrective surgery.Many patients come in to correct poor outcomes from their initial surgeries. The most common problems are due to implant malposition, bottoming out of the implant, poor scarring, and incorrect implant size.While the type of revision required will depend on the result of the previous surgery and the desired result of the patient, some revisions involve extensive pocket repair that may or may not need specialized external bras.If you are considering breast surgery revision, you should speak with a board certified plastic surgeon and have yourself properly assessed. Only after a thorough examination you will get more information and recommendations. Also, you have to make sure that your surgeon understands your breast augmentation goals.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Ira H. Rex lll, MD · Answer

From your photograph, it seems that you may do well with repositioned implants and removal of more excess skin and perhaps breast tissue.  Unfortunately, the rate of recurrence of sagging is significant with this operation.  I would have to do an examination to be able to give you any more information regarding implant size change.

Damien Grinsell, MBBS, FRACS (Plast) · Answer

Hi
It's complicated so if in doubt I would trust your surgeon. Essentially the waterfall deformity is caused by the breast tissue falling off the top of the implant and is not dependent on implant size. I recommend patients that need a lift and an implant to go the smallest implant that they are happy to choose as the more weight in the breast the more the breast will fall over time (this does depend on which type of implant is chosen).
Regards
Damien

Changing to 375cc from 275cc to prevent waterfall ptosis, should I do it? (Photos)

Answers (8)

Answer: Should you change the implant?

Answer: Should you change the implant?

Answer: #exchangeimplant

Answer: #exchangeimplant

Recommended reading

Everything you need to know about Breast Augmentation

Our mission is to create a world where every investment in modern beauty is Worth It.

Changing to 375cc from 275cc to prevent waterfall ptosis, should I do it? (Photos)

Answers (8)

Answer: Should you change the implant?

Answer: Should you change the implant?

Answer: #exchangeimplant

Answer: #exchangeimplant

Browse related questions

Recommended reading

Everything you need to know about Breast Augmentation

Our mission is to create a world where every investment in modern beauty is Worth It.