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)

Question

So I had breast augmentation 2 years ago 375cc above muscle and I am really unhappy with how they look. I am booked in with a different company in 6 weeks time and they have suggested I go smaller implants and that I need an uplift :( I wanted to go bigger to 500-600cc without an uplift but I am being told they won’t allow it so I will attach photos of now and also before my breast augmentation.

Gary M. Horndeski, MD · Answer

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.

Chul Hwan Seul, MD, PhD · Answer

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.

Wess Cohen, MD · Answer

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.

Daniel Barrett, MD · Answer

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

Antonios Mitsakos, MD · Answer

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

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)

Answers (9)

Answer: Revision surgery

Answer: Revision surgery

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Everything you need to know about Breast Implant Revision

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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)

Answers (9)

Answer: Revision surgery

Answer: Revision surgery

Answer: Read below

Answer: Read below

Browse related questions

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.