Is It True That Larger Implants Will Eventually Sag? (photo)

Thank you for the question and pictures. Using breast implants that are too large for your frame can be problematic in many ways. That does not mean you cannot achieve a “very large” result but care must be taken not to cause problems by using implants too large for your anatomic dimensions.  Whether or not you will require breast lifting in the future will be dependent on many factors such as changes in weight, changes with pregnancy, and/or whether you choose to downsize breast implants in the future. Skin elasticity and genetics may play a role in the longer term.

 As you can see, the answer to your question is not as simple as you may have thought. You will find much more information about this topic in the attached link,  dedicated to “extra large” breast implants helpful to you. 

 Best wishes.

The best implants are silicone gel placed retro-pectoral since they look and feel more natural, are less likely to ripple and have maximum mechanical support.  However, large implants may not fit and if you attempt large implants, they will extrude inferiorly and laterally. You will have to decide between large implants, which will require multiple revisions or smaller implants that will be more stable.  Aligning the areola, breast tissue and implant over the bony prominence of the chest wall gives maximum anterior projection with a minimal size implant.

Best Wishes,

Gary Horndeski, M.D.

The capsule forms around a breast implant serves as an internal bra. Nevertheless with very large breasts it's best to protect them with the bra particularly during athletic activity.