Had my breasts enlarged 8 years ago with 460cc high profile implants. Should I get a breast lift with or without implants?

Based on photos, you have a moderate amount of capsular contracture more on the right than the left. This causes a sqaure shape of the breasts and pushes the implant upwards.

Once this scar tissue is removed, the breast implant will sit much lower. So you have 3 options

1. Simply go with a smaller implant, which I feel would result in too low of a breast.

2. Remove the scar and go with a smaller implant, possibly with an internal lift and mesh support. The issue will then be how much loose skin is left.

3. Implant exchange and lift, which I think is the gold standard to deal with excess skin and downsizing you current implants.

MUCH of the plan depends on your exam and a check of your tissues. Your acceptance of additional scars also plays a big part, along with your expectations as tot eh result.

This is a case reserved for an experienced plastic surgeon who can offer you a wide variety of options.

I think your implants are too large. You do need a lift and downsize the implants to around 350 cc's. It also looks like you may have some degree of capsular contracture which may need to be addressed as well

After having those very large implants for your small frame for 8 years, you now have more skin and probably less natural breast tissue due to erosion. You can have the implants removed and a lift, but your size would be less than your original breasts. You could possibly have much smaller implants placed at the same time as the removal and lift. The safest route to go would be have the removal and lift in one procedure and wait 3-6 months to see if you like the size and allow soft tissue healing, then make the decision to add or not add implants. That would probably my recommendation. Good luck.

Dear Terrific799503,
my preferred lift is a lollipop lift when a periareolar won't do (ie greater than 2cm lift required). The lollipop technique was created by a Canadian plastic surgeon named Elizabeth Hall-Findley and treats the breast as a three dimensional structure instead of two dimensions (anchor - lift). Most importantly it does not require the horizontal component scars that the anchor-lift requires and breasts appear much more natural, lifted, and less boxy. Lastly, the lift lasts longer because the lollipop doesn't rely on the skin to hold the breast up, its actually breast tissue thats being brought together to support the breast and hence improves longevity. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Your implants are too large for your frame and tissue. I would suggest going down to a size, maybe around 300 cc's, that fits you better and a lift. Your own breast tissue is sagging and needs to be lifted.

Hi and welcome to our forum!From your photos, it appears that your breast skin and soft tissue have migrated downward and your implants are quite large and perhaps with a capsular contracture (if the implants feel firm). You demonstrate moderate stretch marks about the breasts. Stretch marks indicate the presence of permanently damaged overstretched skin usually occurring during pregnancy or significant weight fluctuation where when pregnant or heavy, the skin's dermal elastic fibers rupture, resulting in the loss of elasticity and the development of streaks on the skin surface. The skin will stretch over a greater surface area and will predispose to further sagging.You may wish to consider a full mastopexy with probable capsulectomy and placement of a smaller implant in a submuscular position. Another option would be to remove the implants and perform only a lift if a significantly smaller size is desired.Visit a board certified plastic surgeon for evaluation and discussion.Best wishes...