3rd boob job - over the muscle? (Photo)

Question

I have had 2 boobs jobs my 1st one was from 32b - 32e 350cc implants under the muscle, second one 725cc in the same pocket, they have now gone very saggy and my nipple is far down. I am wondering if I get a bigger cc (850-900) over the muscle will it sort this out as I do like the faker look.

Shlomo Widder, MD · Answer

Dear Sarah   Thanks for submitting your before and after pictures and sorry for your troubles. From observing your pictures you appear to be  D cup size with level 2 ptosis, large areolas, wide cleavage and severe capsule contracture.  I see situation like yours often in my practice. I do not recommends to change the implants pocket location. Sub muscular placement of the implants is the best technique.   I would recommend the followings: 1. Bilateral complete capsulotomy (scar release) through sub areola incision that will allow for creation of nice cleavage under direct vision and digital feel. It will also allow for easier capsulotomy,  softening the breasts and creating nice slope.  2. Bilateral mini lift (donut) procedure that will create perky breasts with smaller and more attractive areolas.   Due to your troubles, consult with experienced board certified plastic surgeons who do lots of redo breasts augmentation in accredited surgery center for your safety. Most important, check the before and after pictures in the photo gallery, to make sure that they are numerous, consistent and attractive with nice cleavage, perky, symmetrical and natural looking.                 Best of luck,                                Dr Widder

Gary M. Horndeski, MD · Answer

Hi,I'm afraid switching to larger implants will only create more problems for you down the line that become increasingly harder to correct. At this point, your implants are probably no longer under the muscle anyway. Your second surgery required the muscle to be cut in order to fit the larger 725cc implants. Without support from the muscle, any implant will continue to make its way down your chest. Please seek the advice of a surgeon who has experience correcting this type of problem. I hope this helps.Best wishes and kindest regards,Gary Horndeski M.D.

James D. Frost, MD · Answer

I would not put implants of that size over the muscle.  Your first photo shows that you don't have enough native breast tissue to provide adequate coverage.  It is fun to answer questions this way but always remember that we can't see you in 3D or see how the breasts move.  You should rely much more on a personal consultation with a board certified plastic surgeon than what we recommend from these few photos.

Rigo J. Mendoza, MD · Answer

Thank you for your question.  I think that going over the muscle may help, especially if you don't want a lift.  I usually prefer silicone implant above the muscle.  As you have noticed, implants under the muscle do not keep the breasts from sagging.  I recommend you get several in person opinions.

Michael C. Edwards, MD, FACS · Answer

You are a candidate for breast revision but I encourage to not consider changing your implants to above the muscle which may sound as though it will improve your shape, but it will thin the upper coverage, give you rippling and make your next surgery even morecdiddicukt. You appear to need a breast lift with your next revision surgery. Schedule a consultation with a board-certified plastic surgeon to learn your best option.Dr. Edwards

Andrew Freel, MD · Answer

To raise your nipple up, you will need a lift not a larger implant.  Placing a larger implant over the muscle will only thin and stretch out the tissue more.  I recommend seeing a Board Certified Plastic Surgeon for an in person consultation who has a lot of experience.  Ask to see pictures of patients in your similar situation; I don't think that you will like the look of just going with a larger implant.

Darryl J. Blinski, MD · Answer

Maybe but only IN PERSON evaluations in these rep[eat implanters is the proper way to go!>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>

Ronald V. DeMars, MD (Retired) · Answer

From the photos it appears your breast tissue has drooped down off the implants. A pregnancy perhaps? Your best choice is a lift, not bigger implants.

3rd boob job - over the muscle? (Photo)

Answers (8)

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