Should my boobs really be sitting this low? (Photo)

Question

I got my boobs done only a little over a year in these pictures. I don’t think they should sag this much already. I got high profile 650ccs. I feel like they should have sit much higher or I should have had a lift. They sit on the top of my stomach. I like that they look natural but I was hoping they would look a little more firm.

Carlos Mata, MD, MBA, FACS · Answer

Thank you for your question. The sagging you're experiencing with your 650cc high-profile implants could be due to their weight stretching your skin, especially if you have naturally less elastic skin. Large implants like yours can sometimes lead to more sagging over time. It's possible that a breast lift might be needed for a firmer look. Discussing this with your surgeon can provide options for achieving the appearance you desire.

Brian K. Reedy, MD · Answer

Thanks for your question! I would need to see a before photo to give you an accurate answer. If you had low-hanging breasts prior to the augmentation, then this might be a realistic expectation for this point. Good luck!

Carlos Marciales, MD · Answer

Hello, all the bodies are different, and depending on the frame of the chest, height of the person the breasts look higher or lower, in your case you have large implants, and therefore they are also heavier and that tends to hang more, in your photos I can see that you have a very good result and they look very good, very good work as a surgeon

Daniel Barrett, MD · Answer

Dear Adventurous07200728,
you have big implants and they can be heavy so this can be the problem with your breasts. I understand your concern. However, without a proper assessment, it would be difficult to determine what is wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Gerald Minniti, MD, FACS · Answer

One of the greatest minds in plastic surgery who modernized the process behind breast implant surgery was the late John Tebbits. After tens of scientific articles written and published in our scientific journal, PRS, he published a textbook on breast augmentation. It was revealing to me how he managed informed consent for breast augmentation, something I learned a lot about. I am certain you never signed a consent like his when you had your surgery. His consents were taylor made to a variety of circumstances, including one for larger implants. The bottom line: it can be entirely unpredictable how the body will respond to the mass and volume of an implant, with greater risk of unwanted outcomes with ever larger implants. Tissue dynamics and the formation of scar capsule around the implant will affect where the implant sits, and how thick the breast tissue remains after expanding ('drop and fluff'). Data supports the fact that larger or higher profile implants lead to higher rates of revision. Having said that, your breasts are symmetrical and have a pleasing shape, and I do not recommend revision surgery with a larger implant. However, a surgery that tightens the scar capsule and reinforces it with resorbable mesh is a possible option ('internal bra"). Please keep in mind that even with a revision surgery expert, you may experience a complication leading to an outcome that negatively affects the appearance of your breasts compared to now. If on examination, your tissues appeared very attenuated or if you were experiencing continued expansion and increasing glandular ptosis or drop out, then that operation would have a better risk/benefit profile.

Matthew Zeiderman, MD · Answer

This is a good question. Given the large size of the implants and looking at your nipple position, which is excellently centered on the implant, the implants have "settled" in what is an appropriate position.Large implants are heavier and will drop faster. Currently you have a natural look and in my professional opinion a nice result for an augmentation.
If you want a perkier look or the breasts to sit higher on your chest, that desired look could certainly be achieved. You will need a lift and your implant under the muscle. I can't tell definitively but it looks like the implant is sitting on top of your pectoralis muscle, so there is less support to hold it up.
I would encourage you to speak to your surgeon and see what he/she can do for you.

Ronald J. Edelson, MD · Answer

Your implants do look low but would need to confirm with exam. You would need to determine if a breast lift is the right thing for you, along with smaller implants

Nelson Garcia Mendez, MD · Answer

From the photos we can see that her breasts are of medium implantation, that is, they are not born so high, so the upper pole tends to not always be so full and if we add to that the fact that she has large implants, therefore older which will make your breasts tend to sag more than normal. It really has an acceptable and very natural result, unless you have some contracture or complication, I would not recommend performing a second surgery on your breasts.

Camille Cash, MD · Answer

From the photos it appears that the implants are in the correct position behind the nipple.  The larger implants are heavy and have settled more to the bottom.  The look is a natural slope without a lot of upper pole fullness.

Connie Hiers, MD, FACS · Answer

Naturally, your breasts sit somewhat low on your chest and the bases cannot be raised. With your large heavy implants, you do have some bottoming out which makes the breasts sit even lower.  This size is too heavy on your tissue.

Should my boobs really be sitting this low? (Photo)

Answers (12)

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