Saline implants (550cc) in right now, considering shaped silicone and possibly a little larger instead of a lift? (Photos)
Doctor Answers 6
Lift vs larger implants
Saline to shaped silicone implants
Saline to Gummy Bears
Unfortunately, all your selfies are with your arms lifted, so a good determination of the need for a lift is impossible. What is certain is that if you need a lift, larger implants are NOT going to help. Guaranteed. You'll definitely need a pocket closure, which is pretty standard anyway when converting from round smooth to shaped and textured devices. Be sure to visit only ABPS certified/ASAPS member surgeons expert in using shaped devices. Hint: there are not a lot of us, as most American surgeons (90% +) do not recommend shaped implants, and have no experience using them, only misguided opinions.
Best of luck!
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Revision to Shaped Silicone?
Your situation is not unusual. Over time larger saline implants tend to stretch out and thin your tissues. They also displace downward and outwards resulting in the kind of situation you find yourself in. An additional pregnancy will also tend to accelerate the problem of thin tissues, and with a saline implant this will often result in visible rippling. It also sounds like you have a quite a bit of animation change which is displacement of the implant upwards and outwards with contraction of the muscle.
So you have a constellation of problems that are related to a certain type of implant, thinning of your tissues and submuscular implant placement. What is not clear from your photos is whether or not you need a lift. It is important to remember that implants do not lift your breast. Putting in a larger implant will only add weight to your breast and tend to drag it southwards over time. It's not possible to tell from your photos whether it is the implant that is pulling your implant downwards and outwards (most likely scenario), or whether you have loose skin and breast tissue that is sliding off the implant. If it is not a skin and tissue problem then you will probably not need a lift.
What you do need is to have your implant repositioned upwards and inwards so they are not bottomed out and falling into your armpit. This is done by suture tightening and reshaping the internal implant pocket or capsule which is called a capsulorraphy. This is generally an effective technique but is more likely to fail with a larger implant. Switching to a new generation highly cohesive silicone gel implant will also reduce or eliminate the problem of visible rippling.
I would suggest swithching to a textured surface gel implant because the textured surface allows for microscopic tissue ingrowth and results in implant adherence to your tissues. Along with tightening of the capsule, this will help prevent recurrence of the downward and outward displacement of tissues that you currently are seeing. The textured surface implant will also help to reduce the animation problem that you are experiencing as well. All shaped silicone implants have a textured surface, so switching to a shaped implant would be useful. A shaped implant will have a somewhat more subtle or natural look which you should take into consideration.
Revision breast surgery
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