I want my large implants removed. I was told I would need a lift afterwards. Then I was told by another surgeon that I have no sagging and my nipples are placed perfect from a prior lift I had years ago and an exchange for smaller implants would be best. I am confused about what I should do.
You’re the only person who knows what is best for you, and it sounds like you need to find a surgeon whom you really trust.
You want your implants out, so have them taken out.
If you’ll be happy with your size after the implants are out, then don’t have new implants; if that’ll leave you too small, then have new implants placed.
If you really trust your surgeon and believe that he or she understands what you want, let your surgeon make the decision regarding a lift “on the table” ... if you’re not that confident, then let your body heal and decide for yourself about three months after surgery.
It’s your body - you know best what you want!!
Published on Jul 11, 2012
Most commonly in this situation, I will remove the implant and either place a smaller implant or more recently do fat grafting. Often times the lift needs to be redone.
Dr. Zenn
Published on Jul 11, 2012
Determining if you need a breast lift is based on:
1. The position of the nipples with respect to the fold. If below the fold, you need a lift; if at the fold, you may need a minor lift like the donut Bennelli mastopexy. If above the fold, you probably don't need a lift.
2. The position of the bulk of your breast tissue if it hangs below the fold, but the nipple is at or above the fold, you may do well with implants alone but will have some bounce/drop to the breasts as opposed to someone whose breast tissue and nipple are fully above the fold, who could expect a perkier result.
3. The amount of breast tissue you have and how loose the skin is.
We use simulation software in our office to help make the determination with patients as it can visualize results with and without lifts and with different size/style implants. Happy to help.
Published on Jul 11, 2012
Without seeing pictures it is nearly impossible to give you advice. I would recommend getting additional opinions until you are satisfied and confident about the recommendations. Typically when you replace implants with smaller ones, there can be a component of skin sag that needs to be corrected. It isn't unreasonable to think this could be the case for you. It really depends on how much smaller you want to go and what your expectations are aesthetically. Some surgeons avoid doing a breast lift because it is more involved and time consuming.
Published on Jul 11, 2012
Whether you get your implants removed or just reduced and whether or not you get an uplift depends on you. Since you already have the scars from a previous lift, it would just be necessary to reuse the same ones.
Published on Jul 11, 2012