What Should I Do to Add Volume to my Upper Breast?

Question

I currently have implants they've dropped and now I have ski slop breasted also they seem set far apart and too firm. My current implants are saline and the we're placed 3 years ago. Also I have stretch marks from my last pregnancy two years ago. Thank you.

Gary M. Horndeski, MD · Answer

Unfortunately, you have not provided any photographs or your bra size.  There is a new technique called The Mini Ultimate Breast Lift, which uses only a circumareola incision to increase upper pole fullness.  This technique will reshape your breast tissue, elevate them higher on the chest wall and more medial to increase cleavage.  At the same time, your implants can be repositioned or replaced to achieve your desired goal.  The best implants are silicone gel placed retro-pectoral since they look and feel more natural.  You may be an excellent candidate for this new technique.

	Best Wishes,

	Gary Horndeski, M.D.

Richard Baxter, MD · Answer

As you know an in person consultation with an experienced plastic surgeon is required in order to get specific advice, but often the problem you describe happens when the implants settle and the muscle pushes then down and out. Pocket reinforcement with a Strattice graft can be very helpful to hold the implants up and in, sort of like a living internal bra.

Matthew Schulman, MD · Answer

Without seeing a photo, it is impossible to comment for sure. if your implants "dropped", then you may need a revision in which the implant is supported with the use of acellular dermal substitute such as Alloderm or Strattice. If your implants are over the muscle, moving them under the muscle may help to improve the upper pole. Switching to silicone may also help. Lastly, if the implants are in good position, you may consider fat injections to the upper part of your breast to help soften the upper border of the implant. You need to see s few board certified plastic surgeons.

Jourdan Gottlieb, MD · Answer

Photos would be really helpful in answering your question. There are many possibilities, and a picture would narrow them down considerably. 

	It may be that the implants have settled and the lower breast tissue has stretched out. The remedy here would be breast lift.

	If the implants have slipped below the breast fold, surgery to reinforce the fold with sutures, your own tissue, or Strattice would be best.

	If you have lost upper pole volume and that's the only issue, either fat grafting or implant exchange would be the choice. 

	An in person evaluation is,of course, the best way to analyze the problem and choose the best solution.  All the best.

Steven Wallach, MD · Answer

If you want more volume and superior fullness you will need to go with larger implants and possibly a different shape. An exam in person is essential.

What Should I Do to Add Volume to my Upper Breast?

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Answer: What Should I Do to Add Volume to my Upper Breast?

Answer: What Should I Do to Add Volume to my Upper Breast?

Answer: Adding volume to implants

Answer: Adding volume to implants

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.

What Should I Do to Add Volume to my Upper Breast?

Answers (6)

Answer: What Should I Do to Add Volume to my Upper Breast?

Answer: What Should I Do to Add Volume to my Upper Breast?

Answer: Adding volume to implants

Answer: Adding volume to implants

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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.