Follow-up question: 525mod+ going for a revision/lift and implant exchange? (photos)

Question

I'm having revision surgery next month with a lift, implant exchange (current 525mod+ saline) and going smaller. My chest wall diameter is 12cm, planning to go high/extra high profile in the Gel Xtra mentor implant. Doc suggested a 465cc silicon based on my measurements but I'm hoping to go significantly smaller with a 380. Doc hopes not to do a full anchor but if needed, will. Internal bra suggested? And implants hopefully stay put this time around with less weight/size.

Daniel Barrett, MD · Answer

Dear LaceeLovee,
breast implant type and sizing selection is a complicated process and requires a detailed consultation that includes a discussion of your goals, a detailed examination, and a lengthy discussion. But the decision will always start and end with the patient. When it comes to sizing, we have all of our patients find 3 photos of their desired breast size. We ask for naked breast photos because clothing can obscure the true size (push up bras). Next, we consult with patients and go over the photos and take detailed breast measurements during a physical exam. Next, we using a sizing algorithm to determine a range of implants that will work based on the exam and the measurements.Lastly, during the operation, we use silicone sizers in the operating room to see how the size actually looks in the breast. We sit the patient up in the operating room, while asleep of course, and compare the sizer result with their desired look photos. If it is too small, we start the process over with a slightly larger implant. We don't stop until we get the perfect match.Of all of my breast augmentation patients, every one of them has been happy with their size due to this detailed and meticulous process. You don't want to invest time and money into a result that is either too big or too small.You should discuss your concerns with a board-certified plastic surgeon and make sure that your surgeon understands your goals.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Donald R. Revis Jr, MD · Answer

Good morning,
I'm not sure which if any of these photos are you, but if downsizing as you stated, I would definitely perform the original Internal Bra, my strong permanent internal suturing technique. Otherwise your new 380cc implants are going to be doing cartwheels and somersaults all over your chest in your 525cc pockets. A lift does not reduce the pockets- only the Internal Bra can do that!

Gary M. Horndeski, MD · Answer

The technique I recommend is a mini lift.   Using a circumareola incision, your breast tissue is reshaped, elevated higher on the chest wall and more medial to increase your cleavage.  At the same time, smaller implants can be placed.

Best Wishes,

Gary Horndeski, M.D.

Connie Hiers, MD, FACS · Answer

You did not ask a question, but I would recommend going with the smaller 380 cc implant which still will  be a nice size but fit your frame and tissue much better.

Follow-up question: 525mod+ going for a revision/lift and implant exchange? (photos)

Answers (4)

Answer: Implants

Answer: Implants

Recommended reading

Everything you need to know about Breast Implant Revision

Our mission is to create a world where every investment in modern beauty is Worth It.

Follow-up question: 525mod+ going for a revision/lift and implant exchange? (photos)

Answers (4)

Answer: Implants

Answer: Implants

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Recommended reading

Everything you need to know about Breast Implant Revision

Our mission is to create a world where every investment in modern beauty is Worth It.