Upsizing from 350cc to 450cc. Will I need a lift? (Photo)

Dear Birdie 16, bottoming out occurs when the implant falls below the current breast crease or inframammary line. It's more likely to happen with inframammary incisions, which is why I try not to use the inframammary approach to any breast surgery. Bottoming out can also occur if an implant is...

Dear katrinaschan, bottoming out occurs when the implant falls below the current breast crease or inframammary line. It's more likely to happen with inframammary incisions, which is why I try not to use the inframammary approach to any breast surgery. Bottoming out can also occur if an implant...

Dear Littlelovex, my preferred lift is a lollipop lift when a periareolar won't do (ie greater than 2cm lift required). The lollipop technique was created by a Canadian plastic surgeon named Elizabeth Hall-Findley and treats the breast as a three dimensional structure instead of two dimensions...

I would recommend downsizing the implants, tightening the pocket, placing Galaflex for internal support, and performing a breast lift. Large implants create large problems without adequate support. I recommend seeing a board-certified plastic surgeon with experience in aesthetic breast surgery.

If your breasts keep bottoming out then you have too big of a load. You need to consider another option such as explant with lift or fat transfers or smaller implants. I do not know anyone who will use external sutures to prevent bottoming out. Best Wishes, Gary Horndeski, M.D.

At this time, I recommend explantation and lift using The Bellesoma Method. The implants are removed, your breast tissue is reshaped creating upper pole fullness, elevated higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%)...