Advice for fuller boobs after explant? 5'5, 120lbs, 350cc in 2015 (Photos)

Question

Had a full Anchor lift and Implants 350 Cc in 2015, had explant due to misdiagnosed rupture (not mri confirmed ) Im wanting to either reimplant or wondering what options I have to get them perkier or fuller . Any suggestions . It’s been 6 mths since my explant. Im 5’5 weigh 120 lbs.

Ronald J. Edelson, MD · Answer

Either saline or silicone implants under the muscle would work fine. With saline there is no chance of misdiagnosing an implant leak. Fat transfer is not an option . You simply don’t have enough fat.

Daniel Barrett, MD · Answer

Dear starboobs48,
it is hard to tell for sure without an examination. Since you already had breast lift, it looks like you can place new implants in order to restore some volume. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Adam Bauermeister, MD · Answer

Hello, 
Typically patients have two options following explant to increase breast fullness. 1. Liposuction with fat transfer to the breasts (requires adequate fat to transfer, may require multiple sessions for significant breast size increase, provides limited upper breast fullness/shape), 2. breast augmentation with implants (one surgery, more control in breast size and shape, provides improved upper breast pole fullness). Either option can provide good results depending on your build and overall aesthetic goals. A more detailed review of your history and exam would be required to determine which options is best for you. I hope this helps. 
Best regards, Adam Bauermeister, MD

Sean T. Lille, MD · Answer

Hi Starboobs, 
In my opinion, re-augmentation with an implant is in order. Your nipple position is great but you need an implant to do the rest. 
Best Wishes!

Gary M. Horndeski, MD · Answer

The technique I recommend is The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness, elevated higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained if not injured during your previous surgery. Later, fat transfers or small implants can be placed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Carlos Marciales, MD · Answer

Hello, in your case it is required to fill the tissue with breast implants, I don't see that you have a lot of fat to suggest fat transfer, so the best option is implants.

Brian K. Reedy, MD · Answer

Thanks for your question! If you liked having implants, that is the best route for you to go to get them perkier and fuller. You may be a candidate for fat grafting as well, but that yields a minimal result. I would suggest an in-person consultation with a board-certified plastic surgeon. Good luck!

Jeffrey M. Darrow, MD · Answer

Thank you for your photographs. I’m sorry about your misdiagnosis causing an unnecessary surgery. However, if you were pleased with the shape, contour and size of your breasts prior to your implant removal, the most reliable, simple and predictable way to return to your previous shape, is to undergo a new breast augmentation with implants.  Your photos show your nipple/areolar complex is in excellent position, and therefore there is no reason to do an additional breast lift.  Fat grafting is an option, although I believe a poor one, as an implant will give you a predictable volume and shape for years to come and fat grafting will lose some volume after the procedure and can result in irregular breast contours where non-viable fat is resorbed and requires another procedure to obtain the fat used in grafting.   Best wishes.

Zoran Potparic, MD · Answer

You already know how you looked with 350 ml. implants. A question now is how bigger or smaller you want to be; or 350 is your size? Discuss this issue with your surgeon ahead of time. Good luck.

M. Jude LaBarbera, MD · Answer

After having an explant, especially following a previous breast lift and implant procedure, there are a few options to consider for achieving perkier or fuller breasts. 1- Reimplantation: If you were happy with the appearance of your breasts with implants, considering reimplantation is a viable option. 2- Fat Transfer: This is a more natural alternative to implants. Fat is harvested from another part of your body (like the abdomen or thighs) and then injected into the breasts to add volume. While this won't provide as dramatic an increase in size as implants. Each option has its benefits and limitations. It's important to consult with a board-certified plastic surgeon who can assess your current breast condition, discuss your aesthetic goals, and recommend the best option for you.