Do I need a lift? (Photo)

1. Your implants are rather large for your chest and have contributed to stretching out the skin below your nipple.

2. The look you desire is not realistic without a push up bra. If someone has very tight skin before surgery, that look can sometimes be achieved, but you said you were deflated before surgery.

3. Sometimes the capsule can be tightened to move the implant up and in, but if you look at where your nipple is when you do that, it’s clear you would need a lift to get the look you want.

4. That said, no lift stays as high as your hands can push to due gravity and natural tissue stretch over time. My advice is to wait until after you have kids to have a lift unless you’re truly miserable.

5. I know they’re not what you want, but they still look great!

Hello my fellow Virginia Beach person! I believe that your implants may have been too large and too aggressive of a profile; this would be more easy to determine with an in-person physical exam. In addition, high profile implants project far too much to produce a more natural breast shape. Essentially, high profile implants were created for breast cancer reconstruction; they have a large amount of projection for a very narrow given breast base width. I would recommend adding Galaflex (internal bra) and performing an "inferior mastopexy" to shorten the nipple-to-fold distance on both breasts. This will help provide long term support and set an appropriate distance for the breast.

If you are considering a breast lift i would suggest that you wait until you have had your children. Regarding other options, you may achieve some improvement by repositioning the implants. To predict the degree of improvement would require a physical examination.

Unfortunately, you have not provided before photographs. However, you now have large low breasts that will continue to descend down the chest wall. If you want to achieve higher perkier breasts then I recommend explantation with 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. Later, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Unfortunately, your breast implants are low, not your breast tissue. A breast lift would not address this.

Your desired look photo would require surgery to reinforce the fold, restoring upper fullness by the implants.

If you are having children soon, you may wish to wait.

An exam and consultation with your/a plastic surgeon is recommended to further discuss your options and expectations.

Your implants are too large and heavy for your tissue. You would do much better with smaller implants. Since your tissue has been stretched, you may need mesh for support. However, if you plan to have children, wear good supporting bras for now. Wait until you have had all the children you want and then consider a revision.

Hey there! Great question - I think the sagging that has occurred is largely the result of the implant size choice. Those 415cc's are large on your frame. Larger implants inevitably will lead to tissue changes and sagging, simply because they're heavier. That being said, pregnancy and the post-partum period, whether or not you breast feed, will likely alter the appearance of your breasts due to hormonal changes and its impact on the breast tissue you have. If you were to have a lift and revision before having kids, it would very much be a "now" result. It's difficult to predict how those changes will look but unless they are minimal OR you decide to simply go for a larger implant (which is rare), you'll likely need a lift/mastopexy at that time. Hope that helps!

To make an accurate assessment regarding the outcome of a plastic surgery procedure we generally need to see a complete set of proper before and after pictures.
If you don’t have before, and after pictures, then ask your surgeon to forward the pictures they took.
Without knowing what you look like before the operation, we don’t know your candidacy for the procedure.
to me, it looks like your implants are excessively large and using that size implant has violated your natural breast periphery margins.
You’re beginning to bottom out slightly and this is most likely part due to the size of the implants in combination to how the primary procedure was done.
Using excessively large implants leads to increased undesirable side effects, increased, complication rates, and increased revision rates.
I suggest you follow up with your provider and discuss your concerns with him or her.
Alternatively, you can schedule second opinion in person consultations with other providers in your community.
For second opinion, consultations come prepared bringing with you a complete set of proper before and after pictures and a copy of your previous operative report.
These are all available from your current providers office if you request them.
There are generally three variables to determine the outcome of a breast augmentation procedure period of
The first variable is the patient’s candidacy for the procedure in the first place.
The second variable is the selection of implants in regards to size, shape and type.
The third variable is the surgeons ability to place the implant in the correct anatomic location during the procedure.
I’m guessing you were always a good candidate for breast augmentation surgery, but issues are now more related to implant selection, and or placement of the implant during the primary procedure. (these two variables are interrelated).
Best,
Mats Hagstrom, MD