Implant size under the muscle with lift - is 350cc the largest I can go for a good result? (Photo)

Question

I am 5”10 and weight 12stone 8lbs i had a breast enlargement 10 years ago i had 550 hp over the muscle implants since this time i have lost a lot of weight so my breasts are now extremely saggy so I need a reaugmentation with a full lift, my consultant has suggested removing the implant due to lots of rippling and displacement and removing the capsule and replacing with new implants under the muscle in a new pocket with a mastopexy My question is he will not go bigger than a 350cc hp implant as he said it’s under the muscle and cannot put bigger but can at a later date and I am worried this is to small or is this the only option for a good result

Mehmet Ozdemir, MD · Answer

Moving from a 550cc over-the-muscle implant to a 350cc under-the-muscle (UTM) placement is a significant change, but your surgeon’s caution likely stems from the complexity of performing a full mastopexy (lift) at the same time. When switching to a UTM pocket, the muscle provides better coverage to fix the rippling you’ve experienced, but it also creates more internal pressure; combining that pressure with a very large implant can compromise the blood supply to the skin and nipples during a lift, increasing the risk of "bottoming out" or poor wound healing. While 350cc might feel small compared to your previous size, a high-profile implant combined with the tightening of a lift often results in a much perkier, more "filled-out" look than saggy, larger implants. If your heart is set on maintaining more volume, you could discuss using Internal Bra techniques (like Galaflex mesh) or a two-stage approach doing the lift and pocket swap now, then potentially exchanging for a larger volume once your tissues have healed and stabilized.

Implant size under the muscle with lift - is 350cc the largest I can go for a good result? (Photo)

Answers (1)

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