How does a doctor determine the maximum size implant a patient can do? I’m 5’7 115lbs and have a 28” chest. I have silicone implants under the muscle and are 375cc high profile. They are now sagging, rippled, thinned out. My nipples now are flat and invert depending on my positioning. Does stretched out skin like that mean a larger implant can fit? My skin has always been thin to begin with. What are options to fix distorted looking breast like that? End goal was enormous fake looking breast
Answer: Does stretched out skin mean a larger implant can fit? It is difficult to answer your questions without the benefit of photos. But in general, if your breasts are sagging, rippled, and thinned out, larger implants will make all of these issues worse. You would likely achieve greater benefit from a breast lift as opposed to larger implants.
Helpful 1 person found this helpful
Answer: Does stretched out skin mean a larger implant can fit? It is difficult to answer your questions without the benefit of photos. But in general, if your breasts are sagging, rippled, and thinned out, larger implants will make all of these issues worse. You would likely achieve greater benefit from a breast lift as opposed to larger implants.
Helpful 1 person found this helpful
Answer: Choosing the right size and profile breast implants for you After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size and style breast implants. They also get to see what they would look like when the breasts have fully dropped and fluffed and in clothes. You get to see actual results and the surgeon's experience and not a virtual idea of what can be achieved. Women tell me that this process is very helpful in determining what size and style breast implant is right for them. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA
Helpful
Answer: Choosing the right size and profile breast implants for you After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size and style breast implants. They also get to see what they would look like when the breasts have fully dropped and fluffed and in clothes. You get to see actual results and the surgeon's experience and not a virtual idea of what can be achieved. Women tell me that this process is very helpful in determining what size and style breast implant is right for them. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA
Helpful
February 25, 2025
Answer: Can a larger implant fit if skin is stretched? An exam is needed for the best recommendation but from your description adding a larger implant to breasts that have excess skin and are already sagging would just make things worse. A lift will remove excess skin and raise the position of the nipple. Your surgeon can take measurements of your breasts (different than bra sizing) to determine implants that would fit the space.
Helpful
February 25, 2025
Answer: Can a larger implant fit if skin is stretched? An exam is needed for the best recommendation but from your description adding a larger implant to breasts that have excess skin and are already sagging would just make things worse. A lift will remove excess skin and raise the position of the nipple. Your surgeon can take measurements of your breasts (different than bra sizing) to determine implants that would fit the space.
Helpful
February 11, 2025
Answer: Implant Size Limits Thank you for your question. Your surgeon will determine the maximum implant size based on several factors, including breast width diameter, skin and soft tissue elasticity, the structure of the implant pocket, and the ribcage shape. If the skin is stretched, it can accommodate a larger implant, but thin skin increases the risk of rippling, bottoming out, and the implant's visibility. If your skin is already thin and stretched due to your 375cc implants, opting for larger implants could exacerbate rippling, increase implant visibility, cause the implants to drop too low, and worsen nipple positioning. In such cases, procedures like capsulorrhaphy and fat grafting may be necessary to improve soft tissue coverage and reduce the risks of rippling and visible edges. Consulting with a breast revision expert can help create a suitable plan for you. Based on the examination, the appropriate implant size and profile can be determined, along with any necessary soft tissue modifications, such as a revision lift.
Helpful
February 11, 2025
Answer: Implant Size Limits Thank you for your question. Your surgeon will determine the maximum implant size based on several factors, including breast width diameter, skin and soft tissue elasticity, the structure of the implant pocket, and the ribcage shape. If the skin is stretched, it can accommodate a larger implant, but thin skin increases the risk of rippling, bottoming out, and the implant's visibility. If your skin is already thin and stretched due to your 375cc implants, opting for larger implants could exacerbate rippling, increase implant visibility, cause the implants to drop too low, and worsen nipple positioning. In such cases, procedures like capsulorrhaphy and fat grafting may be necessary to improve soft tissue coverage and reduce the risks of rippling and visible edges. Consulting with a breast revision expert can help create a suitable plan for you. Based on the examination, the appropriate implant size and profile can be determined, along with any necessary soft tissue modifications, such as a revision lift.
Helpful
February 10, 2025
Answer: Breasts Although you did not post photos, it appears that you do not have much breast tissue. Going larger might make things worse and you may stretch and sag even more. You probably need to go smaller and have your lateral pockets tightened. You might benefit from mesh. If you have saline implants, switch to gel for fewer ripples.
Helpful
February 10, 2025
Answer: Breasts Although you did not post photos, it appears that you do not have much breast tissue. Going larger might make things worse and you may stretch and sag even more. You probably need to go smaller and have your lateral pockets tightened. You might benefit from mesh. If you have saline implants, switch to gel for fewer ripples.
Helpful