Is it possible to have breast implant revision (lift & replacement) and have bigger implants put in?

Thank you for the question. Removal of the existing implants and their capsules is indicated. This can be followed with placement of new implants under the muscle. An in-person consultation is required to determine whether you are a good candidate for a lift at the same time, as well as to determine the new implant size. I hope this helped. I wish you the best of luck. Vasileios Vasilakis, MD. Fellowship-trained plastic surgeon.

Dear Tameka Thanks for your question. It is always better to examine a patient and give advise but I will do my best to answer your question with the given information in your question:The most important outcome for cosmetic breast surgery are nice shape breasts with fullness in upper pole and cleavage area. This is much more important than the size. As you had implants before, you may know that there would be a need for future surgery due to different reasons such as rupture, capsule issues, aging, infection etc. I would not recommend going even as big as 600 cc as your skin is now 11 years older and does not have the same strength so going big means that you would need further surgery much sooner (4-5 years). Having an uplift means your surgeon can remove excess skin and then fill it with an appropriate size implant so you would look much better even with a smaller size implant. Although I am not offering it, technically if you have enough loose skin to accommodate a larger than 600 cc implant then it is possible to do it.

Hello,
Thank you for your enquiry. 600cc are very large implants. There are no photos to assess, so I can only give very general advice. While it is possible to lift breasts and insert a larger implant, this would stretch your breast even more and cause more droopiness long term. I would think about this carefully and discuss the options with your surgeon.

600 cc implants are quite large and the largest available are 800 cc. If you have capsular contracture then you will most likely get capsular contracture again with new implants. 800 cc implants will not fit underneath the muscle. You will need smaller implants and most likely need a lift. Unfortunately, you have not provided photographs or told us your bra size.

Best Wishes,

Gary Horndeski, M.D.

Dear Tameka21,
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

I would not suggest going larger since you will increase your chances of another capsule. Large heavy implants will thin and stretch your tissue and cause you to sag more quickly. The 600 cc implants you have now are plenty in size and volume. You would do much better going smaller.