Would a higher profile implant give me better cleavage without a bra and fill out excess loose skin? (photos)

Question

Im female 5ft 3” 45 years of age small petite build frame

Semih Yildiz, MD, FEPOBRAS · Answer

A higher profile implant can add more forward projection for a given base width, but it does not reliably create cleavage without a bra and it does not truly tighten loose skin. Cleavage depends on your natural breast footprint, the distance between the breasts, chest wall shape, implant width, pocket placement, and how much soft-tissue support you have.

In the photos, there appears to be skin and breast tissue laxity with a lower nipple position, so a profile change alone would likely be limited. An implant can fill mild looseness, but using a larger or higher profile implant mainly to take up excess skin can make the breast heavier, increase bottoming out or recurrent sagging, and still not give stable medial fullness. You may need a lift, or a lift with an implant, depending on your exam and measurements. A board-certified plastic surgeon can assess whether implant dimensions, pocket control, and mastopexy would better match your goals.

Bora Ok, MD · Answer

Hi from Istanbul! A higher-profile breast implant can assist, but it won't fully address the concern because it's rooted in the inherent structure of your skin. For the desired cleavage and to address the excess skin, a combination of a lift and fat injections alongside the fuller implants would be more effective. Best of luck, I hope this helps.

Ted Eisenberg, DO, FACOS, FAACS · Answer

I recommend an in person consultation with a plastic surgeon to discuss your goals and be measured. After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size breast implants. They also get to see what they would look like when the breasts have fully dropped and fluffed and in clothes. You get to see actual results and the surgeon' s experience and not a virtual idea of what can be achieved. Women tell me that this process is very helpful in determining what is right for them. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Randal Haworth, MD, FACS · Answer

Higher profile implants have a narrower base and project more forward, which can provide more fullness and cleavage, especially in women with a smaller frame.

Make sure to consult with a board certified plastic surgeon well versed in breast implant revisions.

I hope this helps,
Best of luck !

Connie Hiers, MD, FACS · Answer

Going with a larger implant will add more weight to your breast tissue and skin which previously thinned and stretched out and may do so again. Increasing the profile is not always a good answer. Your tissue has relaxed and stretched. You could consider minimally invasive skin tightening with Renuvion, or another lift. However, you will still stretch with time.

Mats Hagstrom, MD (license on probation) · Answer

Make a quality assessment regarding the outcome of any plastic surgery procedure we always need to see a complete set of proper before and after pictures. If you don’t have before, and after pictures and ask your surgeon to forward the pictures they took.
Implant augmentation does not move where your breast on your chest wall.
 High profile implants, give more projection and reduce the diameter at the cost of more projection. 
If you’re unhappy with the results of your procedure, then follow up with your provider or schedule in person second opinion consultations. For a second opinion, consultations come prepared to bring with you to complete settle before and after pictures and a copy of your operative report. These are available from your previous provider if you request them.
Best
Mats Hagstrom MD

Diego Ampudia, MD - Account Suspended · Answer

Hello, in order to reach the skin tension you desire, the implant size would have to be doubled from what it is now. The best option is to have the excess skin surgically removed.

Would a higher profile implant give me better cleavage without a bra and fill out excess loose skin? (photos)

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