I have 335cc on the left 355 cc on the right side of my body. There is also a big gap between my boobs because of my breast bone anatomy… I used to be a 32A with good breast tissue. The dr did the surgery under the muscle now I have 32D. But I feel like my boobs don’t fill the 32D bras completely even tho I’m a 32D.. I would like to be at least 32DD… should I get an implant exchange and a fat graft to close the gap and make them look more juicy? If so, how many ccs? I am 5’2 and 104 lbs….
Answer: Revision surgery Dear dreamygal00, 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, MD Certified, American Board of Plastic Surgery Member, American Society of Plastic Surgery Member, American Society of Aesthetic Plastic Surgery
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Answer: Revision surgery Dear dreamygal00, 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, MD Certified, American Board of Plastic Surgery Member, American Society of Plastic Surgery Member, American Society of Aesthetic Plastic Surgery
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June 9, 2025
Answer: Size I do not recommend going much bigger, but the fat transfer, assuming you have any donor fat, could be helpful in the cleavage area.
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June 9, 2025
Answer: Size I do not recommend going much bigger, but the fat transfer, assuming you have any donor fat, could be helpful in the cleavage area.
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June 9, 2025
Answer: Nothing needed At size 32, each 100 cc of implant corresponds to 1 cup size change. To go from a D to a DD would require 100 cc's more for each implant. Your nipples are slightly pointing outward and your breasts are low on the chest wall. You may be beginning to bottom out slightly. Larger implants can make the situation worse. At this time, I believe you have a great result and adding larger implants will make your situation worse not better. Best Wishes, Gary Horndeski, M.D.
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June 9, 2025
Answer: Nothing needed At size 32, each 100 cc of implant corresponds to 1 cup size change. To go from a D to a DD would require 100 cc's more for each implant. Your nipples are slightly pointing outward and your breasts are low on the chest wall. You may be beginning to bottom out slightly. Larger implants can make the situation worse. At this time, I believe you have a great result and adding larger implants will make your situation worse not better. Best Wishes, Gary Horndeski, M.D.
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June 7, 2025
Answer: Implant exchange vs fat grating Hello and thank you for your question. If your goal is to achieve more cleavage, I would recommend fat grafting. This is a better technique for augmenting specific areas of the breast, most commonly the medial and upper portions. If the distance between your native breasts was on the wider side, larger implants will not correct us. Any attempt to move the implants closer together may lead to symmastia, which is very difficult to correct. Good luck. I hope this helps.
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June 7, 2025
Answer: Implant exchange vs fat grating Hello and thank you for your question. If your goal is to achieve more cleavage, I would recommend fat grafting. This is a better technique for augmenting specific areas of the breast, most commonly the medial and upper portions. If the distance between your native breasts was on the wider side, larger implants will not correct us. Any attempt to move the implants closer together may lead to symmastia, which is very difficult to correct. Good luck. I hope this helps.
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June 6, 2025
Answer: Breast revision Thank you for your question. You are lucky that you have attractive breast as they are. If you want more cleavage, then I would perform a internal bra/capsulorrhaphy procedure. I wrote the very first paper on how to do this in 1999. I have been in practice for over 30 years and revisionary breast surgery is a large part of my practice. I do not think that fat grafting will be of any benefit. Best wishes to you.
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June 6, 2025
Answer: Breast revision Thank you for your question. You are lucky that you have attractive breast as they are. If you want more cleavage, then I would perform a internal bra/capsulorrhaphy procedure. I wrote the very first paper on how to do this in 1999. I have been in practice for over 30 years and revisionary breast surgery is a large part of my practice. I do not think that fat grafting will be of any benefit. Best wishes to you.
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