Can I still get a 400+ implant? Is a lift needed? (Photo)

I obviously have some issues going on.....breasts too close, rippling and double bubble. I am going to have to have a 3rd surgery to reduce the width of my implant and fix my issues. I really like the fullness of my breasts right now with my 480 cc mod implants. Do you think a lift is needed? Will this cause me to lose some volume? Can I still get a 400-450 cc implant and what profile do you recommend considering my issues? My PS says a lift and smaller implant, but I don't want to loose the fullness.

Doctor Answers 5

Breast lift with 400+cc's?

The source of your problems right now is an implant that is too wide for your native breast footprint.  In your preoperative photo (very helpful!) you can appreciate that the breast itself is narrow, with 3-4 cm of separation.  Your first augmentation was done with an implant that suited your breast well.  Unfortunately, you were left with more distance between your breasts than you wanted.  At the revision augmentation an implant much too wide for your breast was used in an effort to get you cleavage, giving you symmastia and a double bubble.  A correction would involve closing off the pocket medially to reestablish natural breast contour and placing a narrower implant.  I believe you could maintain most or all of your current implant volume, you would just need a higher profile implant.  A lift would be helpful to reduce your areolar diameter and tighten the lower pole of the breast, and I feel that the resultant improvement in breast shape would justify the additional cost and scars.

Denver Plastic Surgeon
5.0 out of 5 stars 130 reviews

Can I still get a 400+ implant? Is a lift needed?

Though I classify you as a minor "implant cripple", your result is not bad. I recommend using fat grafting to correct the double bubble effect and the rippling issues. As for the closeness cleavage I might leave well enough alone in your case.. Good Luck. 

Darryl J. Blinski, MD
Miami Plastic Surgeon
4.6 out of 5 stars 173 reviews

Breast lift will be important

Thank you for your pictures. If you downsize your implant You will have excess skin. The breast lift will help tighten the skin improve shape and give you fullness. I think this is a good plan. Good luck.

Implant redo

hi angie,
thx for the question and the pics. I agree with the other responses. Fat grafting will help correct the minor rippling as you are thin. if you want more separation, i would suggest a narrower implant. Perhaps a high profile. this will give you projection, mild lifting, and more separation. 
If you press the implants together, does the cleavage disappear? 

I don't recommend a lift. You have mild sagging that still looks normal. Perhaps a mini lift or short vertical in the future. 
Best to you. 

Bennett Yang, MD
Rockville Plastic Surgeon
4.8 out of 5 stars 21 reviews

A breast lift is essential

Thank you for your question and photos.

You have several issues going on. However, if you wish to keep your volume you can forgo the 400 - 450cc  implants once your tissue is aligned properly with your implants. I have found that larger implants are not necessary when your breast tissue is properly aligned with the implants. Smaller implants will require less maintenance and will often have less complications than larger ones. 

Tissue realignment is essential. A breast lift is required.
Hope this helps.
Best wishes,

Gary Horndeski M.D.

Gary M. Horndeski, MD
Texas Plastic Surgeon
4.6 out of 5 stars 223 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.