I Have Big Breasts but Want to Lipo Them and Get Implants?

    The central question is how to maintain the volume of a breast and tighten the skin envelope without any degree of major scarring.  Liposuction to remove tissue and then an implant to fill the skin envelope will not get you the tightened look you want.

Although I understand the rationale behind your question, I do not think it would be wise to proceed with liposuctioning of the breasts as well as breast augmentation surgery. It is very likely that you will find that the liposuction procedure will be minimally effective, yet associated with significant risks such as irregularities  and unsatisfactory skin redraping…

 You may benefit most from in-person consultation with board-certified plastic surgeons. During this consultation process communicate your goals as clearly as possible. In my practice, I prefer the use of goal pictures help  with this communication process.

Best wishes.

Aside from the fact that removing natural tissue to obtain implants because you like what you perceive to be "the shape of implants" is wrong on several levels, your breast tissue is youthful (you are in your 20's), meaning it is predominantly fibrous, glandular, and dense with minimal fat. Liposuction would only create dents, ripples, and scarring in the superficial fatty layer, while changing the size very little.

As for the "shape of implants," do you mean the high round "Baywatch" coconut look? (This is what happens with a poorly-done augmentation that develops capsular contracture, especially if above the muscle) A well-performed breast augmentation with submuscular cohesive silicone gel implants will create soft, natural-feeling, and (especially if large) naturally-teardrop-shaped breasts.

If you like your D/E shape now, why not enjoy the look you like until it changes enough to request whatever is necessary? Though that may indeed be a full breast lift, or perhaps a limited-incision modified lift, doing what you suggest now (instead of when you need it) will not prevent future skin-tightening surgery. If you are just asking about possible future options to avoid the lift scars when your breasts change as you get older, then I would counsel you to first wait and see what (and when) the future brings.

Who knows; you may have had several children, weight gain and hopefully loss, and perhaps your breasts won't change as much as you think they will. But this plan is not a good one, now or in the future, IMHO! Best wishes! Dr. Tholen