Would I See a Difference Going from 375 Cc to 500 Cc? (photo)

Hello I am having a BA on thursday to fix my current boob job. I dont want to go to big but I really want to see a difference. Right now I am a C cup but as you can see the first PS placed them through the armpit and they are just too high and nipples facing down. My new PS says he will creat a lower pucket and will place the implants in a way they look even and the nipples are in the middle. Help pls. Thank you.

Doctor Answers 7

You need the implant repositioning and not bigger implants

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The lower pole of your breast did not stretch post augmentation and your implants stayed high. You had  trans axillary augmentation and pectoralis muscle was not released and has pushed your implants too high. If you get bigger implant,the problem will get worse. You need revision and not bigger implants.Please get second opinion.

Breast implants

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Right now it is hard to tell what would be good for you. Obviously these implants are too high, and you need to have them moved lower and the muscle released better.

375 cc to 500 cc should make a difference

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Thank you for your question.

Of course going from 375cc to 500cc implants should make a difference.  Will it meet your goals? It's hard to tell without an examination and some goal photos.

Also, as you know, cup size varies depending on who makes the bra; therefore, discussing desired cup  size may also be inaccurate.
I use  intraoperative sizers and place the patient in the upright position to evaluate breast size. Use of these sizers also allow me to select the breast implant profile (low, moderate, moderate plus, high-profile) that would most likely achieve the patient's goals. The patient's goal pictures are hanging on the wall, and allow for direct comparison.
I have found that this system is very helpful in improving the chances of achieving the patient's goals as consistently as possible. 

Positioning of Implants Needs Corection

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Hi there-

Because the position of your implants is in such need of correction, I would advise you to first correct the shape, then adjust size if necessary. The shape of the breasts is paramount.

Concern About Implant Placement

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Increasing your current implant #size may cause #sagging. Typically, to increase implant size the #pocket will need to be adjusted and a #breast lift may be necessary; to better #support the weight of the implants. However, it is possible that the #pockets may need to be adjusted. Creating a #Neopectoral #pocket is sometimes used as a technique to provide a stronger more secure placement for breast #implants. In this case, the implant is removed and the capsule is dissected from the muscle to create a new or “neo” pocket for the implant. 

Your implants may need to be re-positioned. It's best to begin by consulting with a board-certified surgeon in-person to learn of that is in fact the case, and, as to which approach and implant #type is most ideal for you.

The best #option for #revising should be discussed during a one-on-one consultation with a board-certified plastic surgeon. Deciding on additional #elective cosmetic #surgery is a personal #choice. Your procedures should always be performed by a #PlasticSurgeon who is board-certified and has a great deal of experience specializing in cosmetic #surgery. 

The increase in volume would make a difference.

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The increase in volume will make your larger but if done alone would simply make your implants even higher. I agree that the muscle may have not been released in the first surgery and that is contributing to the 'high' implants. Your revision should include a full muscle release and you should consider an anatomic or 'tear drop' implant as your nipple to breast crease is very short. This will help to decrease your upper pole fullness. 

Bigger May Not Be Better

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Going with a larger implant may not be the best solution to your problem.  According to the pictures, the placement of the implants look high.  Lowering the breast pocket to have better implants placement may be the best solution. 

M. Mark Mofid, MD
La Jolla Plastic Surgeon

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.