Not happy with result of 370cc mod profile silicone implants! Surgery was 6 months ago. Any suggestions? (photos)

Question

What can I do to achieve upper pole fullness that I was looking for? My doctor suggested going 100cc bigger, but not sure that is the answer. Why are my breast still sagging with no upper pole fullness after 370cc mod profile silicone implant just 6 months ago? Please help!

Aldo Guerra, MD · Answer

Hello and thanks for you post. It's possible the combination of breast lift and a bigger implant can improve your upper pole fullness. if the current implants are above the muscle you may consider switching to below the muscle. You have "low" breasts and there are limitations on how much fullness will be achieved. The 100 cc more would be the minimum in my mind, perhaps talk to your PS about possibly adding more volume than 100 cc. Best, Dr. ALDO.

William Andrade, MD · Answer

Hello, you mentioned two issues: lack of upper pole fullness and sagging.  Perhaps you could consider a larger implant or fat transfer to increase your fullness, and a breast lift to improve your nipple position.  This might be worth discussing with your PS.

Richard Wellington Swift, MD · Answer

Thank you for posting a photograph with your question.Your breasts appear to have ptosis or sagging. A formal, in person, examination is required to make the final call, but a breast lift would help significantly. I recommend that you follow up with your Board Certified Plastic Surgeon who can help you reach your goals. Best Wishes, Dr. Richard W. Swift

Anh Lee, MD, FACS · Answer

You need to consider having a breast lift and to talk to your doctor about fat grafting.  Fat grafting can help you achieve that upper pole fullness which you lack without having to go to a larger implant.

Benjamin Norris, MbCHb, FRACS(Plast) · Answer

Without seeing your before images, it is a little hard to accurately comment, but looking at your images it seems that a breast lift would have been the best option. Upper fullness can be achieved with possibly a higher profile or larger imaplnt, but lifting your nipples can only be done successfully in most cases with a breast lift. Discuss this option with a fully qualified Plastic Surgeon in your area for the best advice.

Gordon Lewis, MD · Answer

I understand your concern with your breast implants.  I agree with your assessment that going 100 cc larger would not give you substantial difference in your breast shape.  Your photographs do not clearly show the size and shape of your chest wall, but ultimately I think the you have a relatively low breast "footprint".  Unfortunately the base of the breast is something that cannot be changed in a breast augmentation.  You do have a degree of sag over top of your implants, but not so much that I would at this point recommend a mastopexy.  A mastopexy could easily lift Your breast tissue on top of the implants, but would have a difficult time lifting her implants up high enough to give you substantial upper pole fullness.  A mastopexy would not likely be strong enough also to hold the implants in a high enough position that you would like.I would be curious to see your before pictures as well.

Not happy with result of 370cc mod profile silicone implants! Surgery was 6 months ago. Any suggestions? (photos)

Answers (6)

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