Which procedure would help me achieve higher sitting implants? (photo)

Question

Hi! I want to exchange my implants to something that fits my figure. I also feel my current breast implants sit too low anatomically and would like the crease or pocket to be higher. There is also too much space between my nipple and my crease. What procedure is this called? I don’t think its an actual breast lift because they dont look like it has ptosis/sagging. Just the breasts sit low on my body making my abdomen look short. I would like chest to be higher.

Randal Haworth, MD, FACS · Answer

It seems like you may be interested in a procedure called a breast implant repositioning surgery. This procedure involves replacing your current breast implants with new ones that better suit your desired figure and adjusting the position of the implant pocket to achieve a higher placement on the chest.

During a breast implant revision, the surgeon will evaluate your existing implants and discuss your goals with you. They will then make adjustments to the implant pocket, reposition the implants, and potentially use new implants that are better suited to your desired outcome. By raising the position of the implants, you can create the appearance of a higher breast and reduce the space between the nipple and the crease.

It's important to consult with a qualified plastic surgeon who specializes in breast surgeries to discuss your concerns and goals in detail.

I hope this helps,
best of luck !

Gianfranco Frojo, MD · Answer

I would recommend downsizing to a smaller implant, potentially using Galaflex (internal bra) and potentially performing a lift. A lot of these decisions depend on a physical exam. I would recommend seeing a board-eligible or board-certified plastic surgeon with experience in revisionary breast surgery.

Daniel Barrett, MD · Answer

Dear Genius6876,breast revision surgery is the most difficult plastic surgery procedure performed. Botched breast surgery alters normal tissue planes and laxity, the ability of breasts to heal properly, and leaves scar tissue that dramatically affects the level of difficulty of the corrective surgery.Many patients come in to correct poor outcomes from their initial surgeries. The most common problems are due to implant malposition, bottoming out of the implant, poor scarring, and incorrect implant size.While the type of revision required will depend on the result of the previous surgery and the desired result of the patient, some revisions involve extensive pocket repair that may or may not need specialized external bras.If you are considering breast surgery revision, you should speak with a board certified plastic surgeon and have yourself properly assessed. Only after a thorough examination you will get more information and recommendations. Also, you have to make sure that your surgeon understands your breast augmentation goals.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Zoran Potparic, MD · Answer

You have nice result after augmentation, implants are grossly symmetric and nipples on the top of breast mount; you have low sitting breasts and that is best that can be achieved with augmentation. However, if you want both breast crease (IMF) and nipples in higher position, you will need a true lift with anchor like scar. Is it good alternative for what you have? In person consultation with your surgeon and/or second opinion consultation with another surgeon with known expertise in breast surgery, is recommended. Good luck.

Gerald Minniti, MD, FACS · Answer

You are correct in your assessment. The implant pockets have opened inferiorly allowing the implants to sit too low on your chest. A surgery to correct the pocket position is called a capsulorrhaphy, and it usually involves both sutures and a resorbable mesh to reinforce the repair.

Ronald J. Edelson, MD · Answer

I think you have a really nice result. If you want more upper fullness the simplest way to achieve that is larger implants., but I would advise leaving them alone. You have a good result. Don’t look for problems

Nelson Castillo, MD · Answer

Thank you for sharing your question and photograph. It appears you have bottoming out taking place with both of your implants and the correction would either be a suture capsulorrhaphy, internal bra, or both to support the implants in a higher position on your chest. Hope this helps.

Camille Cash, MD · Answer

From your photo you may want to consider smaller implants to better fit your frame.  By selecting the correct volume and profile you may find the results are more in line with the look you are wanting.  See a board certified plastic surgeon near you for a consultation to learn more.

Heather Vande Ven, DO · Answer

If you’re interested in achieving a higher sitting breast implant appearance, you should consult with a board-certified plastic surgeon who can provide you with an assessment and recommendations. Factors that can influence the placement of breast implants include implant size, type, and surgical technique. Your surgeon can discuss options like subglandular (over the muscle) or submuscular (under the muscle) placement, as well as the use of a breast lift (mastopexy) to achieve your desired results. The best approach will depend on your unique anatomy and goals.

Connie Hiers, MD, FACS · Answer

Naturally, your breast sit somewhat low on your chest and the bases cannot be raised. However, you have a small amount of bottoming out which can be corrected by tightening the inferior pocket and positioning the implant a little higher.  Going bigger is not a good option since you will have a heavier implant in position which can sag again.

Which procedure would help me achieve higher sitting implants? (photo)

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