Breast implant exchange with high profile or do I need a lift? (Photo)

Question

I am 42 with saline implants that are 19 years old, I have had no issues with them but I would like for them to be a little fuller up top

Gianfranco Frojo, MD · Answer

It is challenging to make any official recommendations with a limited small photo view. In general, when a patient has saline implants and wishes to have revisionary surgery....I recommend percutaneous saline implant deflation (in office, local anesthesia only) followed by placement of new silicone implants with a potential lift (depending on the soft tissue recoil after deflation of the implants). There is usually also some internal pocket work that is required. I would see a board-certified plastic surgeon with extensive experience in revisionary/secondary breast surgery.

George Marosan, MD · Answer

Thank you for your question and photo. Based on this single view photo, you would benefit from placement of cohesive silicone gel implants. Based on your measurements, it can be determined what profile and width you should get. I use the Vectra 3D to simulate the results with different types of implants. The cohesive gel implants will not collapse superiorly or create wrinkling like the saline implants do. See a board-certified plastic surgeon for an in-person consultation/evaluation. Good luck.

Gary M. Horndeski, MD · Answer

Your breasts are relatively low on the chest wall and the inferior portion of your breast is almost at the level of your elbow flexion crease. Adding larger implants will result in further descent. An alternative to consider is explantation and lift using Bellesoma. The implants are removed, your breast tissue is reshaped 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 can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Muge Sevindik, MD · Answer

Even if you have no problems, I recommend replacing the saline implants that were placed 19 years ago. New-generation silicone implants will provide a much safer and longer-lasting result. This way, we can both achieve upper pole fullness and your implants will be replaced and renewed. While doing this, we will also need to perform a breast lift at the same time. This will make your upper pole fullness more permanent.

Jacob Carlson, MD · Answer

To achieve more fullness on top, there a few different options to consider. If you were to exchange the saline implants for silicone implants, I would recommend considering an implant with more cohesivity (e.g. Motiva Round implants, Natrelle INSPIRE Cohesive implants, Mentor BOOST implants). These more cohesive implant create more upper pole fullness because they are firmer and maintain their dome shape better, regardless of whether you are standing or lying down, than the less cohesive implants.
Another factor to consider is the profile of the implant. You may or may not still have the information card about your current implant, but changing the implant to a lower profile can also potentially create more upper pole fullness. Lower profile implants have a wider diameter, so they fill out the width and top of the chest more but don't create as much projection outward.
I can't tell from the photo you submitted, but based on a physical examination including views from the side and measurements, your surgeon can also provide recommendations for changes in volume, position of the implant, and whether or not a simultaneous lift would be recommended.

Darryl J. Blinski, MD · Answer

Based on only 1 posted long focal length photo best yo virtual consult with. My early recommendation is for sure exchange to much better implants and warranties! As for a lift and up sizing to give upper pole fullness again need to virtual consult. I might also entertain fat grafting . So fees could range from $6,000-$18,000 depending upon which combination you decide on .

Breast implant exchange with high profile or do I need a lift? (Photo)

Answers (6)

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