Do I need a breast lift and different implants to fix the appearance of my breasts? (Photo)

Question

I got my Natrelle gel implants in 2016 when I was 18 years old. I’ve had 2 babies in the last 3 years and this is what my breasts look like now. I’m curious if I need a breast lift with new implants or if just one of those options would suffice to fix the appearance. I’m 26 years old now and embarrassed for my husband to see me topless.

Gianfranco Frojo, MD · Answer

I would recommend downsizing implants to a lower profile, placing Galaflex (internal bra), and performing a lift. Sometimes the original implants placed for an augmentation are often far too projecting. This requires downsizing to a less projecting (lower profile) implant in order to permit soft tissue to be "lifted" over the new implant mound. I would recommend seeing a board-certified plastic surgeon with plastic surgery residency and aesthetic fellowship experience.

Robert M. Wald, Jr., MD · Answer

Following the birth of your children, the breasts have fallen and the implants remain high. I would suggest removing your implants, performing capsulectomies, and doing bilateral mastopexies.(breast lifts) I would also replace your implants at this time. Please talk with your plastic surgeon about these options.

Daniel Barrett, MD · Answer

Dear Creative63713,
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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Jonathan Heistein, MD · Answer

I think that you could achieve a more youthful look if you have a breast lift to elevate your nipple and to remove some of the sagging skin.  You have the option to change your implants if you want them to be larger or smaller, or even if you just want to update them since they are 7-8 years old.  Talk to your surgeon and then you will have a better idea of what to expect with your body.  Best of luck!

Gary M. Horndeski, MD · Answer

Your breasts are at 2 different levels, your implants are high and your breast tissue is low. They need to be repositioned and realigned. This can be done through a circumareola approach to reposition the nipple-areola complex higher and lower the implants. The other alternative would be explantation with 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.

Best Wishes,

Gary Horndeski, M.D.

Ronald J. Edelson, MD · Answer

There are several options. Your implants can be repositioned or downsized. You can have a lift either with the same implants or new, preferably smaller implants

Connie Hiers, MD, FACS · Answer

Yes, you need to change your implants and get a lift.  Don't go much larger or you may just sag again.

Hyeong Jun Kim, MD · Answer

yes Based on your photos and explanation, you would need breast lift. The implants can be reused, but since they are old enough, if you are planning to have a lifting surgery I would recommend check with your current breasts and replace with new ones. Breast lift will help the tighten the skin around your breasts and overall improve your musle tone and you can also decide the implants size by replacing to new implants.It would be best to set up a consultation with one or more board certified platisc surgeons for more information.Best Wishes

Kenneth R. Francis, MD, FACS · Answer

Dear Creative,
It appears that you would be a candidate for a breast lift to reposition your breasts properly over the implants.  If there is a capsular contracture, it can be addressed at the same time.  An imaging study (MRI or ultrasound) would be required in my practice to confirm integrity of your current implants if you chose to keep them.  Good luck!

Hilton Becker, MD · Answer

It appears that your implants are under the muscle resulting in high riding implants and a waterfall effect of the breast tissue.
I would recommend replacing the implants above the muscle together with a mini lift

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