Do I Need a Lift This Time when I Exchange Implants? (photo)

I want to go 1or 2 sizes larger when i exchange my saline implants for new ones. Mine are 18yrs old now. i dont think i need a lift but im unsure.Whats your opinion please?

Doctor Answers 6

Breast Lift and Implant Exchange

Yes, I believe you will need a lift to better position the breasts on the chest wall.  I would also exchange the implants to new ones.  Overall, your breasts will be perkier and have a more youthful shape.  Please seek out a plastic surgeon who has significant experience in doing secondary breast lifts with implants.  Thanks for the question.

Los Angeles Plastic Surgeon
4.5 out of 5 stars 30 reviews

Increase projection with simultaneous lift

You are an excellent candidate for a new technique called Implant Exchange with Mini Ultimate Breast Lift.  Using only a circumareola incision it is possible to reshape your breast tissue creating upper pole fullness, elevate them higher on the chest wall and more medial to increase your cleavage.  This will correct the asymmetry and allow placement of silicone gel implants.  Aligning the areola, breast tissue and implant over the bony prominence of the chest wall maximizes anterior projection with a minimal size implant.  I recommend silicone gel implants placed retro-pectoral since they look and feel more natural, are more stable, less likely to ripple or have complications needing revision.  The goal of breast surgery is to achieve beautiful breasts and people often think adding volume is the only technique that increases projection.   


Best Wishes,


Gary Horndeski, M.D.

Gary M. Horndeski, MD
Texas Plastic Surgeon
4.6 out of 5 stars 223 reviews

A lift is important for you

A lift is going to give you a much nicer result than simply exchanging your implants for newer, larger ones.  Good luck!

Evan Sorokin, MD
Cherry Hill Plastic Surgeon
4.8 out of 5 stars 76 reviews

#BreastAugmenation Revision

Yes, you do need a lift with your surgery as well as you have a significant animation deformity. The degree to which this can be improved is limited, but you should see a physician with experience in revision breast surgery as this will be a challenging situation to correct. 

Best of luck,

Vincent Marin, MD
San Diego Plastic Surgeon

Vincent P. Marin, MD
San Diego Plastic Surgeon
5.0 out of 5 stars 46 reviews

Breast implant revision

I agree that a complete revision with lift and possible silicone implants is a good idea. Please seek out a board certified plastic surgeon who can show you some good before and after pictures of cases similar to yours.

Gregory T. Lynam, MD
Richmond Plastic Surgeon
4.9 out of 5 stars 59 reviews

A surgical revision is in order with this result.

I think you would benefit with a revision of the entire operation. There's too much lateral volume and your scars can certainly be made better.

Vincent N. Zubowicz, MD
Atlanta Plastic Surgeon
4.7 out of 5 stars 35 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.