Can I Get Large Implants to Avoid Lift? (photo)

This is what I do to maximize lift with a breast implant alone:- use silicone cohesive gel implants. The more cohesive the better. I am not sure if these are available yet in the US, but the Allergan Inspira Truform 2 implants are ideal- use high profile implants. The more projection you have, the more lift you will get- have the implants placed in the submammary pocket (under the breast itself). You should have a pinch thickness at the top of your breast of at least 2 cmPlease see an experienced board certified plastic surgeon to find out whether you are a suitable candidate. Best of luck.

There are different classes of droopy breasts. Class I can be addressed with implants. Usually with other classes you will need a lift, no matter how large of an implant you are considering. The shape of an aesthetic breast relies on amount of skin, position of the nipple/ areola and volume. Depending on the amount of the droop, large implants can not address the position of the nipple/areola complex. Be weary of surgeons out there, many of whom are not plastic surgeons and do not have specific training or experience with breast lifts, who will attempt to place an overly large breast implant into your breast rather than perform a breast lift.  Not only can this give you larger breasts than you wished for, but it can cause long-term negative consequences on the breast tissue and breast-supporting ligaments.  It is in these situations that long-term complications such as implant mal position (the implant sliding down too far) are more likely to happen.

Large implants make the breasts large but do not lift the breast. It is very likely that if your skin and tissues are thinned and deflated, that you will not be able to support such a large implant without some type of additional procedure such as a lift or acellular hammock.  Large implants can cause thinning and problems down the road. Consider carefully before proceeding and discuss these issues in detail with your plastic surgeon. Best of luck.

Hello Kriswill,

If you are paranoid about your nipples ending up in some strange postition, then don't get big implants without a lift!  It is difficult to give you a truly fair assessment with only photosgraphs to look at, but you will not be happy with large implants overfilling the upper poles of your breast while the nipple and lower breast tissue remain low and sagging. It's a misunderstanding that big implants can some how rotate breast tissue into a higher position on the mound.  In fact, with ever larger implants, the nipples will more likely remain below the meridian that divides the top from bottom of the breast.

Please read my blog on breast lifts.

Best of luck!

Using a large implant to treat sagging breasts does not usually work.  One way to check for yourself is to see where the bottom of your breast attaches to the chest wall.  if the breast or if the nipple hang below this point then most likely you will need a lift.  This is mainly because the implant usually cannot be placed below the fold of the breast.  So, if you simply put an implant and do not do a lift then the drooping tissue will likely be hanging lower than where the implant is on the chest.