Is there a max size implant you can get with a lift?

Question

My doctor told me if I am getting a lift then I can’t get a very big implant. He wants to use a low profile. I’m afraid I’m going to pay all of this money and be very unhappy.

Ronald J. Edelson, MD · Answer

Generally I like to avoid very large implants with a breast lift. Implants that are too large make the operation risky and it is harder to get a good result.,if you do want large implants it may be best to have the lift done first and the large implants placed about three months later. By two staging the procedure you will avoid complications and ultimately get a better result

Semih Yildiz, MD, FEPOBRAS · Answer

There is not one universal maximum implant size with a breast lift, but there is a practical limit based on your skin quality, breast tissue, nipple position, blood supply, and how much lifting is needed. A very large implant can add tension to the lift incisions, increase the risk of wound-healing problems, bottoming out, recurrent sagging, widened scars, and an implant position that does not age well.

A low-profile implant may be your surgeon's way of matching the width of your breast while avoiding too much forward projection and tension. If your main goal is a larger, rounder look, ask your surgeon to show you the range they consider safe for your anatomy and why. If your desired size is far outside that range, it is reasonable to get another in-person opinion before surgery, but choosing the largest implant that can physically fit is not always the choice that gives the best long-term shape.

Emmanuel De La Cruz, MD · Answer

The choice of implant size in combination with a breast lift (mastopexy) is a decision that depends on several factors, including your individual anatomy, breast tissue characteristics, and the extent of the lift needed. While there isn't a strict maximum size for implants used in conjunction with a lift, it's important to consider various aspects to achieve aesthetically pleasing and proportionate results.

Here are some factors to consider:

Tissue Characteristics: The quality and quantity of your natural breast tissue influence the size and type of implant that can be used effectively. In some cases, significant breast ptosis (sagging) may necessitate a more extensive lift, which could affect the choice of implant size.

Breast Dimensions: Your breast dimensions, such as width and height, play a role in determining the optimal implant size. Choosing an implant that complements your natural breast anatomy can lead to more balanced and natural-looking results.

Surgeon's Recommendations: A board-certified plastic surgeon will assess your specific case during a consultation. They will consider your goals, breast characteristics, and recommend an implant size that aligns with your aesthetic objectives while achieving a harmonious result.

Patient Preferences: Your personal preferences regarding breast size and shape are crucial. Open communication with your surgeon about your desired outcome will help them guide you in selecting the most appropriate implant size.

It's important to note that very large implants may not always be suitable for patients undergoing a breast lift, as they can put additional stress on the breast tissues and compromise the longevity of the lift. Balancing your desired size with what is anatomically feasible and safe is key to achieving satisfying and enduring results.

Your surgeon will work with you to create a customized plan that addresses your specific goals while considering the unique aspects of your breasts and overall anatomy.

Ted Eisenberg, DO, FACOS, FAACS · Answer

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

Vishnu Rumalla, MD · Answer

Thanks for your inquiry, what limits the size of implant is mostly based your breast width and tissue envelop laxity. without an exam, it is hard to advise further, also I suggest you ask your surgeon about the possible role of absorbable mesh.

Ashley Thorburn, MD · Answer

The size of breast implants that can be used in combination with a breast lift procedure can vary depending on several factors, including your anatomy, the elasticity of your skin, and your surgeon’s recommendations. There isn’t a fixed maximum size for implants with a lift, but your surgeon will assess your individual case to determine what size and type of implant is suitable to achieve your desired results while ensuring a safe outcome. It’s important to have a consultation with a board-certified plastic surgeon to discuss your specific goals and receive recommendations.

Connie Hiers, MD, FACS · Answer

Yes, there is a maximum size that your own tissue will support. Beyond that, you will just sag over time. An internal bra with mesh can be added for better support, but still won't support a heavy implant over time.  You need to be realistic about what you can actually achieve to have pretty breasts.

Camille Cash, MD · Answer

There is a limit to which implant is recommended for any patient but this varies greatly based on breast measurements, quality of skin, as well as other factors.  One option is to have the lift and then return after you have healed for the implants.  You can also elect to visit with one or two other board certified plastic surgeons to hear opinions.

Mats Hagstrom, MD (license on probation) · Answer

Breast augmentation with implants combined with a mastopexy has risks for significant complications, including tissue necrosis of the nipple and areola leading to surgery failure with potential severe disfigurement. Being aggressive doing this, as a combined procedure increases the chance of complications. Some surgeons recommend doing these separate procedures to decrease the complication rate.
The limitation your surgeon is recommending is not because he’s trying to lower patient satisfaction.
You can always have multiple in person consultations with other providers if you want to hear what other plastic surgeons recommend.
Safety should of primary concern for both patient and provider.
Best,
Mats Hagstrom, MD

Is there a max size implant you can get with a lift?

Answers (9)

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