Will a bigger size implant fix saggy skin? (Photo)

Question

I got a breast augmentation 6 months ago. they are 650cc HP Sientra silicone. I was undecided if I wanted a lift as well, so we started with the augmentation first. I am concerned about the skin that appears to be hanging off of the breast/implant. I wanted larger implants anyhow. would 800cc fix the sagging skin? do you suggest an areola reduction? do I need a lift?

Gary M. Horndeski, MD · Answer

No, a bigger implant will not fix the sagging skin. Your 650 cc implants are a one level and your breast tissue is hanging at another level. The 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 if not injured during your previous surgery.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Paul E. Chasan, MD, FACS · Answer

Thank you for your question.  You definitely need to finish what you started.  You would benefit from a breast lift with removal of inferior pole breast tissue.  Breast lifting is an art form.  Make sure that you critically evaluate your surgeons results with regard to symmetry of the areolas, size of the areolas, and placement of the incisions.  You are an excellent candidate.  Best wishes to you.

Daniel Barrett, MD · Answer

Dear bringinsexyback78,
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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Connie Hiers, MD, FACS · Answer

Implants may not lift the breast enough to avoid a lift. You probably need a lift. Please do not go bigger for you will stretch and thin your tissue even more and sag with time.

Mark Eberbach, MD · Answer

NO. Bigger is not the answer. You need a breast lift to get a youthful shape. Bigger implants will just cause more hang.

Good luck

Darryl J. Blinski, MD · Answer

Based upon your excellent posted photos I would consider exchanging from Sientra (not a fan) to saline over inflated 800 cc implants (filled to 1,000 cc's) with bilateral donut lift. Fee $10,000.

Will a bigger size implant fix saggy skin? (Photo)

Answers (6)

More Breast Implant Revision Questions

I'm going from 340cc to 495cc - will there be a difference?

What size of implant will be more appropriate for me? (photo)

Uneven breasts 20 months post-op - Opposite of the uneven pattern I had prior to breast augmentation (photo)

6 months post- op, my nipple points outward, what went wrong? What is recommended? (photos)

Downsizing after breast augmentation 5’3, 115lbs 12.5bwd to fix "side boob"

Will more CCs, with the same projection, make me a cup size bigger?

WE SEND PRETTY
EMAILS