Large Natural Breast and Wanting Implants

Your question is a common one.  While a breast lift can be done without reducing your size, the trade-off of incisional scars is sometimes hard for patients to get their head around.

Adding an implant to your natural 36DDD (=36F) size is not the right answer.  Why?:

1)  It would add a cup or two to your size...and you said you wanted to remain the same size

2)  Implants do not lift the breast....you'd just have a bigger version of what you have now.

3)  The extra weight of the implant could actually accelerate any skin stretch issues you are having.

 

Honestly, I'd recommend either to do a lift, or leave them alone....but not to put an implant in.

 

All the best,

In your situation, the best answer truly is a breast lift. That will restore your upper volume (the 'perkiness'). Adding an implant would only add to the weight and increase the droop. Unfortunately, sometimes you have to accept the scar to get the shape you want.

I agree with my colleagues that an implant alone is probably not going to give you the look that you want. A lift and a small implant often gives the best result for prolonged upper pole fullness and the perky look. You will have to weigh the pros and cons and make a personal decision here.

In my opinion, implants would not provide you with sufficent lift and could result  in the appearance of a larger more "saggy" breast. You have to weigh it out and figure out which is worse, a well maintained scar or saggy breasts after augmentation. 

If you are looking for more youthful breasts you should really consider a breast lift as opposed to breast implants.  A common misconception about implants is that they will give you lift, which isn't always true.  Adding implants to a woman with larger breasts, such as yourself, will only give them more size and weight which can contribute to further sagging.  After having a breast lift by a qualified plastic surgeon, scarring should be minimal, and in the end I think you will be more satisfied with the overall results.  Consult with different plastic surgeons and discuss all the different techniques used for breast lift surgery and see which you are a candidate for.