I want a full B or C cup. Should i go with or without implants? (Photos)

Question

Hi i am 40 yrs old 4ft 11in short and weigh 135. Currently have natrelle srf 520 implants and makes me a 36DD. I want a lift but dont know if i should ask to go with implants or not. I want a full B or C cup. Please help, i will have a consultation this fall but im just courious of about what size i might be without implants just a lift. If implant is advised what size would be ideal for my size. Thank you in advance.

Ramin Behmand, MD, FACS · Answer

When undergoing a breast lift, it creates an opportunity to significantly reduce implant size without causing loose or sagging skin—something that isn’t always possible otherwise. From there, there are two options for volume: fat grafting using your own fat, or using smaller implants.

Fat grafting offers a subtle increase in volume but has limited ability to enhance shape or projection. Implants, by contrast, provide more reliable contour, fullness, and upper pole shape.

If implants aren’t a concern, combining a breast lift with smaller implants is often the most effective way to achieve a proportionate result. Based on your frame and the amount of breast tissue present (which would need to be evaluated in person), implant sizes in the 280–350cc range could be a good fit for your goals.

– Dr. B

Christine Fisher, MD, FACS · Answer

Hi Humorous.  Whether or not you also require a breast implant along with a lift depends on the amount of breast tissue you have as well as your size goals.  For patients who are happy with their natural breast tissue volume, I perform an “auto-augmentation”, conserving all of the natural breast tissue, while reshaping the breast and raising the nipples.  If you lack enough natural breast tissue (which is difficult to assess in photos), I would recommend an implant as well to achieve your size goals.  I also highly suggest using an absorbable mesh, that creates an “internal support bra” and absorbs after about 18 months, leaving a collagen support behind and maintains the results over time.  I almost always include liposuction to the lateral breasts and armpit areas in addition to a breast reduction to maximize the contour of the torso.  Implant revision surgeries can be a challenge, so I highly recommend seeking out a board-certified plastic surgeon that specializes in surgery of the breast and is very experienced in implant revisions.  Best of luck in your aesthetic journey!

Emre Guvercin, MD, FEBOPRAS · Answer

If your previous breast tissue is B cup it will be possible to do take out your implant than do a mastopexy without reducing you breast tissue. With the Push-Up Lift technique, we’re able to explore all treatment options in a personalized and tissue-preserving way.

Ted Eisenberg, DO, FACOS, FAACS · Answer

In person evaluation, previous pictures and history is needed to determine if implants are needed. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Daniel Barrett, MD · Answer

Dear Humorous837094,

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 (anchor - lift). Most importantly it does not require the horizontal component scars that the anchor-lift requires and breasts appear much more natural, lifted, and less boxy. Lastly, the lift lasts longer because the lollipop doesn't rely on the skin to hold the breast up, its actually breast tissue thats being brought together to support the breast and hence improves longevity.

Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Leila Kasrai, MD, FRCSC · Answer

What size were you before you got breast implants? That would be the easiest way to say what size you’ll most likely be without implants. If you were a B or C before surgery, then you’ll be about that size if your implants are removed and you get a lift.

Gary M. Horndeski, MD · Answer

The technique 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%) and the ability to breast feed are maintained if not injured during your previous surgery. At size 36 DD, each 200 cc of implant removed corresponds to 1 cup size change. You will go down 3 cup sizes to a B or C.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Cengizhan Ekizceli, MD · Answer

Thank you for your question and photo. Based on your frame (4’11”, 135 lbs) and current implant size (520cc, 36DD), downsizing to a full B or C cup is absolutely achievable.
If you’re open to implant removal, a breast lift (mastopexy) alone can give a perkier, natural shape &mdash; though volume will be significantly reduced. You may land around an A or small B cup depending on your tissue and skin elasticity.
If you’d like to maintain some upper pole fullness, consider downsizing implants to around 250–300cc, paired with a lift. This usually results in a full B or modest C cup, proportionate to your petite frame.
A consultation will help confirm if your existing tissue can support your desired shape without implants.

Camille Cash, MD · Answer

Depending how long you've had your implants and if your weight has been stable you will have about the same amount of breast tissue as you had before augmentation.  If that is the size you are wanting then a lift should be adequate.  If you want more volume then you can add a small implant.

Darryl J. Blinski, MD · Answer

Based on your nicely, post photos and exchange of size implants 300 to 350 cc high profile with a full anchor lift. Fee $10,000-$20,000. Best of virtual con with.

I want a full B or C cup. Should i go with or without implants? (Photos)

Answers (11)

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