More upper pole fullness? (Photo)
Doctor Answers 8
Wants more upper pole fullness!
High profile implants of the same size as moderate plus or moderate profile implants will always have a smaller diameter (along with more projection). In pockets that are already healed and mature, the interior "bottom" of each pocket is not going to change when implants change profiles, so switching to high profile implants will lead to LESS upper pole fullness (shorter diameter is equivalent to less vertical height)!
This mandates larger implant volumes to even equal the same vertical height and diameter as the smaller low(er) profile implants you already have. You DO get a bit more projection and filling of "loose" skin, but that only translates to more upper pole fullness with a push-up bra (or unwanted--i.e. "hard"--capsular contracture). Plus perhaps breasts that are now too big, and with more weight stretching your breast lift.
I'm pretty sure you do NOT want hard, immobile "Baywatch coconuts," though you may like that "look." That involves a good push-up bra, not necessarily more surgery, and almost certainly NOT HP implants. Best wishes! Dr. Tholen
Lack of upper pole fullness
All the best,
How can I prevent my breasts from falling after an uplift?
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Unhappy with implants after lift
- Your implants look quite large enough for your shape.
- Upper pole fullness is not always possible, if the body will not hold the breasts high enough.
- I would consider fat transfers to the upper pole rather than a larger implant which will only make your breasts sag again.
Always consult a Board Certified Plastic Surgeon.
Hope you find this information helpful. Best wishes.
Upper pole fulness
Getting upper pole fullness is not as easy or simple as one might think. It doesn't just involve a specific profile, type, or size of implant. Because implants sit in a soft tissue pocket, that pocket is just as important as the implant used to achieved the desired results. Although a breast lift was performed with your augmentation, it looks like the implants have expanded the lower pole of your breasts, and dropped into these pockets, effectively blunting upper pole fullness. It is likely that a plan for revision surgery should include a revision lift, as well as capsular closure. Typically, a full anchor scar lift will be necessary to remove enough skin in the right vectors, and the capsular closure will support the implant better.
Once those procedures are performed, any implant including your current implant will have much more upper pole fullness. Many people think that high profile implants give you more upper pole fullness. Once again, because of the aforementioned reasons, this is not necessarily the case, and instead may lead to drop out and loss of upper pole fullness, something that happens to high profile implants, very large implants, and saline implants more than lower profile, silicone gel implants.
It looks like your surgeon did a nice job, even if you are not entirely happy. You should have a discussion with him about the possibility of a revision, and if necessary, go on a few second opinion consults.
Best of luck!
Upper Pole Fullness #BreastAugmentation
You should see a board certified plastic surgeon in your area to get a formal opinion through an in-person consultation.
Best of luck, Vincent Marin, MD
San Diego Plastic Surgeon
More upper fullness
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