Implants after a breast lift

Question

Hello, my question is what is the smallest implant I can get to add some fullness to the top of my already breast lifted breasts. They healed wonderfully, size c, I just want a little more natural looking fullness. But nothing big or obvious, if that makes sense.

Ronald J. Edelson, MD · Answer

It all depends on how much fullness you want. I think 250 would be reasonable. Below 200 you light as well not even bother

Donovan Rosas, MD · Answer

There are a variety of implant options both in volume and projection and fill.

I typically discourage implants less than 200 cc (equivalent to 4 shot glasses) as volumes less than this are so subtle as to undermine the purpose of augmentation.

That being said, on a very small frame there may be call for exceedingly small volumes.

As always, discuss your concerns with a board certified plastic surgeon (ABPS).

Chet Mays, MD · Answer

Thank you for your inquiry!  At you consultation appointment, you should have the opportunity to try on different implant sizes.  We always recommend taking a couple different shirts to see how you will look in your clothes.  We would love to sit down with you to discuss your options and answer any questions.  Schedule a consultation with a Board-Certified Plastic Surgeon to discuss your goals.

Luis A. Mejia, MD · Answer

Dear Apha, thanks for sharing your questions, unfortunaly without an in-person consultation is impossible to pick or recommend style, shape or sizes as this will also depend too much on how much tissue you have and how much fullness we are talking about, but good pictures and in-person consult provide the chance to get the measurement of key breast parameters, this is maybe the difficult step in this process. Make sure you go on consultation with a board-certified plastic surgeon. Hope this helps and best of lucks. Dr. Luis Mejia.

Gianfranco Frojo, MD · Answer

I would go see a board-certified plastic surgeon (with plastic surgery residency and aesthetic fellowship training) for a 3D preoperative consultation. This way the size of implant placed can be simulated prior to the surgery to provide the patient a proper visual of the potential outcome. This helps eliminate any doubt with respect to implant sizing.

Sultan Yalcin, MD · Answer

Hello,First of all, I'm very pleased to hear that your lifting surgery went well.Yes, there are many options available for breast implants.However, it is necessary for us to know the measurements of your chest diameter and also to evaluate your photographs. It might be possible to provide volume to the upper area with a small-sized implant.

Daniel Barrett, MD · Answer

Dear apha,
breast implant type and sizing selection is a complicated process and requires a detailed consultation that includes a discussion of your goals, a detailed examination, and a lengthy discussion. But the decision will always start and end with the patient. When it comes to sizing, we have all of our patients find 3 photos of their desired breast size. We ask for naked breast photos because clothing can obscure the true size (push up bras). Next, we consult with patients and go over the photos and take detailed breast measurements during a physical exam. Next, we using a sizing algorithm to determine a range of implants that will work based on the exam and the measurements.Lastly, during the operation, we use silicone sizers in the operating room to see how the size actually looks in the breast. We sit the patient up in the operating room, while asleep of course, and compare the sizer result with their desired look photos. If it is too small, we start the process over with a slightly larger implant. We don't stop until we get the perfect match.Of all of my breast augmentation patients, every one of them has been happy with their size due to this detailed and meticulous process. You don't want to invest time and money into a result that is either too big or too small.You should discuss your concerns with a board-certified plastic surgeon and make sure that your surgeon understands your goals.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Leila Kasrai, MD, FRCSC · Answer

This really depends on how much breast tissue you currently have and how much fullness you’d like. Implants can come in sizes even below 100cc, however you may find that you’ll need something larger to achieve your desired improvement.

Ted Eisenberg, DO, FACOS, FAACS · Answer

I recommend an in person consultation with a plastic surgeon to discuss your goals and be measured. After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size implants. They also get to see what they would look like when the breasts have fully dropped and fluffed and in clothes. You get to see actual results and the surgeon's experience and not a virtual idea of what can be achieved. Women tell me that this process is very helpful in determining what is right for them. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Gerald Minniti, MD, FACS · Answer

The simple answer is the diameter of the proposed implant should span the distance between your inframammary fold and some predetermined point at the top of your upper breast pole. If the primary purpose of the device is upper pole fullness and not volume enhancement, then it does not need to be very high profile; in fact, it could be a medium or lower profile. Notice that the volume of the implant is merely a consequence of choosing the correct diameter and profile for your anatomy.

Implants after a breast lift

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