I had a breast augmentation in 2015 with Mentor 400cc silicone implants. Since then, I’ve had two children—one in 2018 and another in 2023—which has led to significant weight fluctuations. I’m 33 years old, 5’5”, and 129 lbs. Before my augmentation, I was an A cup, and now I’m a D cup. Over time, my implant pockets have stretched and bottomed out, making my breasts uncomfortable. When I lie on my back, my implants fall into my armpits, making my chest look flat. When I lie on my side, I constantly have to readjust due to discomfort. Additionally, my chest is naturally bony, particularly in the cleavage area, and my breasts have always faced slightly outward. Before my augmentation, my A-cup breasts had a conical shape, which makes me apprehensive about getting an explant with a lift—I worry I’ll return to an A cup and won’t be happy with the results. I recently had a consultation with a surgeon who specializes in explants and he recommended an explant with a lollipop and anchor lift, all done in the same procedure. While I’m open to revisions, I’m also concerned about the possibility of needing multiple revisions as I get older.
Answer: Explant with Bellesoma Method 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.
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Answer: Explant with Bellesoma Method 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.
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April 7, 2025
Answer: Breasts I would suggest going down in size and doing the lift. When you were an A cup, you were not happy with your size. Once removed, you still may not be happy with your size. You might consider going down to 200-250 cc's which may drop you down to a small C to C cup. Usually, going down 150 cc's decreases the breast one cup in size. Bras, however, are not made to standardized sizes.
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April 7, 2025
Answer: Breasts I would suggest going down in size and doing the lift. When you were an A cup, you were not happy with your size. Once removed, you still may not be happy with your size. You might consider going down to 200-250 cc's which may drop you down to a small C to C cup. Usually, going down 150 cc's decreases the breast one cup in size. Bras, however, are not made to standardized sizes.
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April 6, 2025
Answer: Explant or revision Dear elena19921992,
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April 6, 2025
Answer: Explant or revision Dear elena19921992,
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April 6, 2025
Answer: Revise with implants or no implants. There are many options for you, and the ultimate decision is up to you and what would make you the happiest. The simplest option is to only remove your implants with or without a breast lift. You would be 400 cc’s smaller but if you have gain some weight since your augmentation your breasts will be some larger than they were before your augmentation, depending on how much weight you’ve gained. If you are concerned about the deflation of your breasts after implant removal, adding a breast lift to your implant removal will elevate your breasts in addition to making them appear more full. This choice is the least expensive/shortest recovery and leaves you with only your tissue so you never have to worry about implant malposition, implant rupture, or any other issue associated with your implants and your risk of needing an additional revision is very low. You would just need to be OK with your volume reduction.
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April 6, 2025
Answer: Revise with implants or no implants. There are many options for you, and the ultimate decision is up to you and what would make you the happiest. The simplest option is to only remove your implants with or without a breast lift. You would be 400 cc’s smaller but if you have gain some weight since your augmentation your breasts will be some larger than they were before your augmentation, depending on how much weight you’ve gained. If you are concerned about the deflation of your breasts after implant removal, adding a breast lift to your implant removal will elevate your breasts in addition to making them appear more full. This choice is the least expensive/shortest recovery and leaves you with only your tissue so you never have to worry about implant malposition, implant rupture, or any other issue associated with your implants and your risk of needing an additional revision is very low. You would just need to be OK with your volume reduction.
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April 6, 2025
Answer: Options You have several options to consider. If you remove the implants you will lose the volume they provide and will return to a size similar to what you used to have, but your skin will likely be loose as well. You can consider removing the implants and getting a lift which would result in small, lifted breasts. If you like the volume of the implants but just not the issues you described you can keep the implants and have a lift. The pockets could be tightened as well. There is no way to guarantee that another procedure will not be in your future no matter what you choose as you (and your breasts) will continue to age.
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April 6, 2025
Answer: Options You have several options to consider. If you remove the implants you will lose the volume they provide and will return to a size similar to what you used to have, but your skin will likely be loose as well. You can consider removing the implants and getting a lift which would result in small, lifted breasts. If you like the volume of the implants but just not the issues you described you can keep the implants and have a lift. The pockets could be tightened as well. There is no way to guarantee that another procedure will not be in your future no matter what you choose as you (and your breasts) will continue to age.
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