Do I need a lift or can I get by with just replacing these 475cc under the muscle implants with 600cc ones? (Photo)

Your breasts are too low on the chest wall and the nipples are pointing downward. At this time, I recommend 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.

Dear Ailegm,
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

Breast implants provide volume but little lift. Larger implants will not pull the lower part of your breast substantially higher. To achieve a more youthful nipple position and shape to your breasts would require a lift.

For capsular contracture, you need to remove the current implants, remove the capsules, place new clean implants and in your scenario likely perform a mastopexy. You need to see an expert in breast surgery. The solution is definitely not placing larger implants.

One option is to do the capsulectomy and place slightly larger implant in a lower position on your chest wall. This may look nice and natural. However, the implants will be lower on your chest wall. The other option is a capsulectomy and implant exchange for the same or smaller size with a lift, keeping the implants in the same position on your chest wall. This is a matter of personal preference.

Hello !

Determining whether a breast lift is necessary in addition to replacing your implants depends on several factors, including the current position of your breasts, the amount of sagging or drooping present, and your personal goals for the outcome of the procedure.

Simply increasing the size of your implants may not necessarily correct any sagging or drooping that may be present. In some cases, a breast lift may be necessary to reposition the breasts and create a more youthful and lifted appearance.

Capsular contracture is a potential complication that may occur after breast augmentation, where the scar tissue around the implant hardens and can cause discomfort or change the shape of the breast. In some cases, capsular contracture may require surgical intervention to remove the affected implant and scar tissue.

It's important to have a consultation with a board-certified plastic surgeon who has experience in breast surgery to discuss your individual case and goals. They can assess the current state of your breasts, recommend the best course of action, and discuss the potential risks and benefits of the procedure.

Keep in mind that increasing the size of your implants may also affect the amount of sagging or drooping present, so a breast lift may be necessary to achieve the desired outcome. It's important to have realistic expectations for the results of the procedure and to prioritize your safety and overall health during the process.

I hope this helps,
best of luck !

A board-certified plastic surgeon is qualified to address your issues. Board-certified plastic surgeons have spent years of training and have the top level of experience and skill. Seek out a board-certified plastic surgeon for your cosmetic needs.

No, you need a lift. The 600 cc implants may be too large and heavy for your tissue and stretch and thin your more so you will just sag even more with time. Keep you size and get a lift.