Would I benefit from a lift or is it possible to just size up? 2 years post op. Currently at 375 CC, goal is 500-600 CC (photos)

In your frontal view, you can see your breasts are wider than your chest wall. Larger implants will make your current situation even worse. I recommend a lift using 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 from your previous surgery. Later, fat transfers or small implants can be placed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Thank you for your question. I think it is possible to change to a larger implant without lifting. Since the positions of both implants look a little different, it is necessary to adjust the position, and if a larger implant is used, the tissue will be thinner, so it is recommended to perform fat grafting at the edge of the implant.

Thank you for your question. Unfortunately, your breasts are asymmetric. A lift and an implant revision can help to fix this. You do not need much of a lift, however your breast tissue is starting to slide off of your implant. I agree that putting in 600 cc implants will be too large while simultaneously performing a lift and will lead to poor results overtime. You can consider slightly upsizing your implant, and adding some fat grafting to not only help camouflage the implant, but also to increase the volume. Good luck.

Dear Keely90x,
determining whether you need simply a breast augmentation versus a breast lift can be somewhat complicated. It depends on a number of factors including skin laxity and current nipple position. Generally speaking, if the nipples are lower than the inframammary line the patient will most likely need a breast lift. If the nipples are at or above the inframammary line we can generally get by with just a breast augmentation depending on the size of the implant the patient wants. I often still using implant when I perform a breast lift because it provides more upper breast fullness after the lift. To be sure a consultation with a board-certified plastic surgeon will help determine what the patient actually needs.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Some people appreciate the more natural looking look which means a mild degree of droopiness is acceptable. With this in mind you could potentially consider a slightly larger implant. Please be advised though that in principle it is not ideal to correct ptosis (droopiness) by using very large implants. A thorough consultation will help you make your mind up as this is a very personal decision made on your aesthetic goals

Please do not go bigger for you will just stretch and thin your tissue even more and sag. Yes, you need to go somewhat smaller and have a lift. Your tissue is sagging now and an augmentation does not correct this.

After reviewing the nicely posted photos I agree with you to exchange implants to 500-600 cc moderate plus or high profiles. I might offer bilateral donut lifts but that could always be done 3 months postop under local anesthesia. Fees from $5,000+. Best to virtual consult with...

While you may tolerate the larger implants now, it will accelerate you time to needing the uplift in my opinion. A full consultation would be necessary. The uplift may offer you the best opportunity to get the fullness and projection but the consultation would help clarify matching a procedure to your goals. I recommend you work with a Board Certified Plastic Surgeon.

Hello! It depends on what you are unhappy with in terms of your prior breast augmentation. There are a couple of things to be cognizant of if you would like to upsize your breast implants. Foremost, you have a slight breast asymmetry, which is common (they are sisters, not twins) with the right breast appearing to be slightly larger than the left and the right nipple slightly lower. If this does not bother you and/or you would like your implants to be of the same size then it is of no consequence to keep the new implants the same size (this is entirely up to you). Larger sized implants that are placed above the muscle do have a higher risk of bottoming out because the skin is what is holding them in place and skin is prone to stretching with time and under the weight of the implant. So I would suggest that if you prefer to upsize your implants, it would be worth considering placing mesh to reinforce them (regardless of whether you keep them above the muscle or choose to place them under the muscle). The greater weight of the implants may cause the breasts to age (i.e. droop) faster than if you had none in place so it is important to be aware that if you put larger implants in, you may need a breast lift in the future. Hope that helps!