Breast Implant Redo - Will Larger Implants Look Higher and Fuller?

I have had these current breast implants 425cc Saline for about 14 years. I feel they are too low for my taste. There is nothing wrong with the currents ones I just don’t like them. This decision is hard on me due to family and friends saying I do not need the surgery. I have had a consultation before and the physician said that if I go up to a 500cc to 550cc saline that he can get them higher and full again....what are your thoughts

Doctor Answers 27

The 425s have it

Dear Pembroke,

I don't know how old you are, but those implants look pretty darn good and quite natural.  We have a saying in Plastic Surgery, "perfect is the enemy of good".  You look better than "good" as it is, so don't look for perfection.  You might not like what you find.  Good Luck!

Manhattan Plastic Surgeon
4.6 out of 5 stars 47 reviews

You may find short term happiness

What you are asking your surgeon to achieve is one of the commonest requests in redo breast surgery.  Increasing implant volume will make you happy while the new bigger implants are tight relative to your skin envelope.  This will last perhaps a year or two at best.  After that you will have bigger implants in the same position as your existing implants but with a greater problem with more stretched skin.  The only solution I've found that works to do what you're looking for is to change to a textured implant which sticks to the tissue and therefore descends less with time together with a breast lift.  This choice involves a lot of compromises and my guess is that you're better to leave your breasts as they are.

Good luck.

Nicholas Carr, MD
Vancouver Plastic Surgeon
3.8 out of 5 stars 15 reviews

The bigger they are, the harder they fall (breast implants, that is)...

I often explain to my patients that I can remove extra skin in the breast, which will change the skin QUANTITY.  But I can't do anything about their skin QUALITY.  If skin has lost some of its elasticity, then using a larger implant will be a very short-term "fix".  Looking at your photos, I believe you need a breast lift.  I would not use a larger implant (unless you really really wanted it, even after hearing the risks). 

Upper pole fullness is something most women want, but it's truly not something found in "real" breasts.  You can achieve that look with a good bra, fortunately.  A bigger implant will get you more upper pole fullness, but only temporarily, as your skin will settle and stretch.  For now, I would recommend a breast lift with the same implants (or new ones in the same size).

Carmen Kavali, MD
Atlanta Plastic Surgeon
4.5 out of 5 stars 42 reviews

Implant exchange vs. lift

If you feel that your breasts are hanging to low after having them for a number of years you may want to consider a lift. It is possible that the implants themselves will not need to be removed or replaced for this procedure. Talk with your original surgeon and ask their opinion about your situation. Bring pictures of what you would like your breasts to look like and ask your friends and family for support.

Joseph G. Bauer, MD, FACS
Atlanta Plastic Surgeon
4.3 out of 5 stars 23 reviews

Higher fuller breasts will require a lift

In my opinion, you have an excellent appearing natural result. The size increase you describe will likely produce greater fullness but it will not likely be long lasting and may be relatively minor. If you truly desire greater fullness up top, you would  need a breast lift to reduce the size of the implant pocket in the lower portions of your breast. This will require significantly more scars and for that reason, I would adivse you to reconsider.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
4.9 out of 5 stars 81 reviews

Periareolar breast lift in Beverly Hills

In my professional opinion, increasing your breast implant size from 450cc to 500 cc would not make a significant difference in terms of lifting your breasts. Depending on if you are happy with your current breast size or if you would like to be a little bigger, you can consider changing your breasst implants to a 500-550 size and also have a peri-areolar mastopexy. while the mastopexy will help to raise your breast, it will make the breasts look a little smaller or flatter, which can be balanced by increasing your breast implant size!

Sean Younai, MD, FACS
Beverly Hills Plastic Surgeon
4.4 out of 5 stars 49 reviews

Breast implant Revision

An implant will not make your breast higher. Implants add volume only. Sagging naturally progresses, larger implants are heavier and may be prone to more sagging. So right after surgery with a larger implant, you will see more fullness, however, the increased weight and volume over time will aggravate your mild sagging. There is no such thing a permanent or long term superior and medial fullness.

Hayley Brown, MD, FACS
Las Vegas Plastic Surgeon
5.0 out of 5 stars 88 reviews

Don't look for trouble with larger implants

you have lots of info in all the other answers so i will just throw in a brief opinion rather  than list options. it appears that you have a pleasing looking result right now, though perhaps not exactly the look you would prefer. before spending time , effort and more money, evaluate the risk you assume with more surgery vs the potential for long term my opinion it is probably not  a good idea. you are not a piece of clay that a surgeon can mold into any shape you might want to be. avoid the temptation for more surgery .....!!!!

Bruce K. Barach, MD
Schenectady Plastic Surgeon
4.6 out of 5 stars 13 reviews

Important to understand the difference between short term and long term goals

Hi there-

While the option offered to you by your surgeon (placing larger implants) would probably achieve your goals in the short term, it is very important for you to understand that this will indeed be a short term solution...

It is important to understand that skin is a living organ, that reacts and responds to stress and gravity in proportion to the stress involved. In other words, ALL breasts will stretch and sag over time, and the larger the breasts (or the larger the implants), the faster this change in shape and sagging will occur.

Therefore, placing larger implants is only likely to give you what you want in the very short term...

If you would like breasts that are perky, round and shapely, and that REMAIN so, your best bet is probably to consider a breast lift with smaller implants, not larger ones.

Armando Soto, MD, FACS
Orlando Plastic Surgeon
4.8 out of 5 stars 157 reviews

Gravity never stops impacting aesthetics.

When breast augmentation patients develop breast sag it’s always tempting to use larger implants to increase upper breast fullness.Unfortunately, gravity is an unrelenting force that causes continued downward movement of the breasts following revision surgery.In the short term, this maneuver may significantly improve breast aesthetics, but in the long run may result in accelerated breast sag.
For these reasons, utilizing larger implants should be approached with caution. This is especially true when implants are placed on top of the muscle.Under these circumstances a breast lift might be a better option for correcting your breast sag. Unfortunately, this procedure is associated with additional scarring.
Correction of your breast sag will require a series of tradeoffs.In someone who has a relatively good result from her original procedure these tradeoffs probably don’t make sense.It may be better to leave well enough alone.
It’s important to thoroughly discuss these issues with your plastic surgeon.Your surgeon should be able to address your concerns and hopefully alleviate your anxiety.

Richard J. Bruneteau, MD
Omaha Plastic Surgeon
4.9 out of 5 stars 194 reviews

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.