Do I need another lift or will a bigger implant and mesh help? (Photos)

Dear Diligent212547,

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

I agree your implants are absurdly narrow and probably too small for any woman going for breast augmentation; I strongly recommend anatomical shaped ones, because the round ones DO NOT fill up the upper pole of the breasts, something the anatomical shaped ones were made for.

Secondly, being true you can opt for just renewing and upgrading the implants, I believe you'd get great reward by revisioning the whole breast lift pattern, there is margin to improve things.

You would benefit from explantation and lift using The Bellesoma Method. The implants are removed, your breast tissue is reshaped creating upper pole fullness, elevated higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained if not injured during your previous surgery. Later, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.