Will 400cc implants work for me? HP + lift (photos)

Question

I am a 33 year old 5’5 143 pounds breastfed two children but have always been saggy. I sent my surgeon some photos in order to secure a surgery date and I stated I wanted about 400 cc hp + lift. He responded that with a lift he could only do 240-280 but achieve the 400 look. I was a bit disappointed to hear that because 240 to 280 seems very small I’m not sure if it’s worth it. This doctor has great reviews great photos so I’m sure he’s correct but just want opinions, is 400 doable?

Ronald J. Edelson, MD · Answer

I agree somewhat with your surgeon. When a lift is done with implants, larger implants make the procedure more difficult and tougher to get a good result. Other surgeons would do the 400 if you wanted. Just want to explain the reasoning  behind a lift with implants

Gianfranco Frojo, MD · Answer

When performing a lift, you do NOT want to place large implants. You do NOT want to place high profile implants either as there is far too much anterior projection for the given base width. It seems that your surgeon knows what they are doing. I would have them perform a simulation to make it easier for you to see the possible results. This can be done with Vectra, Crisalix or even PhotoShop.

Ted Eisenberg, DO, FACOS, FAACS · Answer

After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size implants. They also get to see what they would look like when the breasts have fully dropped and fluffed and in clothes. You get to see actual results and the surgeon's experience and not a virtual idea of what can be achieved. Women tell me that this process is very helpful in determining what is right for them. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Gary M. Horndeski, MD · Answer

The most important factor in your outcome will be the lift procedure done. The lift technique I recommend is The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them 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. Later, fat transfers or small implants can be placed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Richard Zienowicz, MD · Answer

Hello,

It sounds like you may have had a virtual consultation - and perhaps not a video one. I would recommend an in-person consultation to not only have your surgeon perform measurements of your chest or Vectra 3D imaging to perform measurements and give you a rendering of your results, but to be able to show you photos of similar patients and for you to try on sizers so that you feel comfortable with the implant size chosen. The surgeon is likely accomodating for your natural breast tissue; however, as I said you should feel comfortable going forward with surgery and confident with you and your surgeon's choice of implants.

Connie Hiers, MD, FACS · Answer

Measurements are needed to see what size your breast can hold and still look natural. The recommended sizes would look nice. If you go too large for your frame and tissue, you will just have big balls on your chest that will sag over time from the weight.  Your surgeon can guide you to the maximum size best for you.

Mats Hagstrom, MD (license on probation) · Answer

Each provider will have their own method for guiding patients through implant selection.
There are three variables to determine the outcome of most breast augmentation procedures.
In your case, there’s also a lift involved so that makes the procedure more complex.
For standard breast augmentation, the outcome is going to be based on The patient’s candidacy, the selection of implants in regards to size type in shape, and the surgeons ability to place the implant in the correct, anatomic location.
With mastopexy there are a number of other variables to take in the consideration, including incision patterns.
I generally do not recommend patients schedule surgery based on virtual consultations.
I highly recommend patients have in person, consultations whenever possible and schedule multiple consultations before selecting a provider.
During each in person consultation, ask each provider to open up their portfolio and show you their entire collection of before, and after pictures of previous patients, who had very similar body characteristics to your own.
 Being shown a handful of pre-selected images, representing only the best results of a providers career may be insufficient to get a clear understanding of what average results look like in the hand of each provider, what your results are likely to look like or how many of these procedures they’ve actually done.
 There is no correct number of consultations needed to find the right provider.
The more consultations you scheduled the more likely you are to find the better provider.
The biggest mistake patients make is scheduling only one consultation, which basically eliminates the ability to find the better provider.
 Breast dog ation surgery has a fairly high revision rate, and when done in conjunction with a breast lift revision rates are even higher.
Ask each provider what their most common indication for revision surgery is, what their revision rate is, and what their revision policy is.
Each plastic surgeon will have their own way of guiding patients through implant selection.
Providers should definitely listen to patients request during this process and failure to advocate Lee communicate the desired outcome is likely to lead to dissatisfaction with the outcome of the procedure.
I recognize that some people may live in rural areas where they don’t have access to a lot of plastic surgeons.
When traveling for elective surgical procedures, try to keep the distance to what you can do in a day driving.
I highly recommend patients have in person, consultations and preferably schedule multiple consultations before selecting a provider.
Being board-certified in plastic surgery with years of experience, and overall good reputation does not mean somebody’s mastered anyone single procedure.
There isn’t much patience can do about their own candidacy for the procedure.
What patients do have control over is provider selection and considering the importance and how few plastic surgeons have truly mastered any one single procedure my suggestion is that patients put all their efforts into provider selection.
Never assume somebody has mastered an operation without confirmation.
Best,
Mats Hagstrom, MD

Will 400cc implants work for me? HP + lift (photos)

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