17 year old implants - do I need a lift with implant exchange? (photos)

You only need a breast revision is you want one. Your result is just fine the way it is. You could get larger implants or a slight lift but I don't see the value of doing anything with the breasts at all. They look good

Thanks for your inquiry and excellent pictures, I do not believe you need a lift and wish you the best of luck with surgery.

The technique I recommend is a mini lift. Using a circumareola incision, your breast tissue is reshaped, elevated higher on the chest wall and more medial to increase your cleavage. At the same time, the implants can be exchanged.

Best Wishes,

Gary Horndeski, M.D.

Good afternoon,
Saline vs silicone is really up to your preference- you have had saline for a long time, they are less expensive than silicone, and so there really is no reason to change the type of implants you have unless you have done your research and have decided you prefer to go with silicone this time around. In terms of the lift, your breasts have held up well but I would at least consider the donut mastopexy option to tighten your skin and lift your nipple position- it leaves very little scarring but provides a nice uplift!

Dear sweetk3,
determining whether you need simply a breast augmentation versus a breast lift can be somewhat complicated. It depends on a number of factors including skin laxity and current nipple position. Generally speaking, if the nipples are lower than the inframammary line the patient will most likely need a breast lift. If the nipples are at or above the inframammary line we can generally get by with just a breast augmentation depending on the size of the implant the patient wants. I often still using implant when I perform a breast lift because it provides more upper breast fullness after the lift. To be sure a consultation with a board-certified plastic surgeon will help determine what the patient actually needs.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Just based on your photos, you do not need a lift. If you are happy with the size, keep 350. This will be good size for life. You would like the feel of gel better than saline.

Based upon the posted photos I would offer exchange to larger implants in the500 cc ranges without lifting. But virtual or in person evaluation is required to determine exact plans.