You have excess skin, large areolas and adding more volume
will make you problem worse.I recommend
a new technique called Implant Exchange with Mini Ultimate Breast Lift™.Using only a circumareola incision it is
possible to reduce your areola to a more appropriate size, exchange your
implants for smaller ones, reshape your breast tissue creating upper pole
fullness, elevate them higher on the chest wall and more medial to increase
your cleavage.Aligning the areola,
breast tissue and implant over the bony prominence of the chest wall maximizes
anterior projection with a minimal size implant.Small round textured silicone gel implants
placed retro-pectoral look and feel more natural, are more stable, less likely
to ripple or have complications needing revision.Implant profile is irrelevant in the
retro-pectoral position since the muscle compresses it.This technique avoids the ugly vertical scars
of the traditional technique, maintains nipple sensation and the ability to
Gary Horndeski, M.D.
Your skin has
stretched a good deal--this is not unusual with five pregnancies. This
is why most plastic surgeons are advising you to consider a lift. While
larger implants may fill some of that extra skin, they will also cause
additional stretching. It's impossible to recommend a specific surgical
strategy from photos alone, but I can guess that you would not be
pleased with the results of replacing your current implants with larger
ones, especially as the years pass.
choose a board certified plastic surgeon with hundreds and hundreds of
breast augmentations to their credit. And understand that even if the
surgical plan is ultimately a bit more involved than simple replacement,
you are likely to be happier with the outcome and with your investment
of time and money. You want your results to look great for many years
to come, right?
So we are to understand you DO NOT desire a lifting op?? If yes than your appearance will be fake looking... So if I assume you only desire implants 500 cc's would not be enough in my opinion. I might think in the 600 to 700 cc range. But I do not recommend this all I am doing is responding to your question...
More volume is not the answer! You now have more of the rock in sock look then a natural look. More saline is going to make this worse. If you like the way you look then by all means proceed. All board certified and experienced plastic surgeons would steer you away from just bigger implants. I would consider removing what you have and then in 3 months doing a lift with submuscular implants. You would also be a candidate to stage the lift first then the implants 3-4 months later. This of course is a bit more costly but has a higher rate of looking good! Good luck and please update us on your journey and decision.
There is a lot of distortion in your breasts. I think it is very important to find the right surgeon to correct the problem that you have. First, removal of the implants are necessary to see what kind of breast anatomy you have. The lift will be based on this anatomy during the operation. If you decide to have another implant, the implant should be placed below the muscle but as a dual plane technique. I would advise you to see a plastic surgeon board certified by the American Board of Plastic Surgery. Good luck!
I think it important to understand that what breast implants do, is make larger what you already have. If you have a sagging breasts, larger implants will make larger sagging breasts ! Your pictures show an implant over the muscle in a sagging breast. In my opinion, i think it to be a mistake and bad idea to simply place larger implants. Depending on how old those current implants are, I would recommend placing new implants under the muscle and performing a lift. Listen to what "most doctors say." The size of the implant you choose should only have to do with what cup size you desire. The excess skin is managed by the breast lift and not by the size of the implant.
Thank you for your question and pictures.
A lift along with changing the position of the implants to a submuscular position would definitely rejuvenate your breast to a more youthful looking breast.
If it's a matter of size. Going up in volume from 330 to 500 should fill you out an additional cup size.
I hope this helps.