All sounds about right for your height/weight and native breast characteristics. Clearly you are opting for saline which is fine. Remember that larger implants in the 800+cc range especially saline tend to stretch the tissues more overtime with potential "bottoming out" despite lifting....also rippling is more likely especially if your tissues are thin. Be sure to discuss all of these details with your plastic surgeon.

Published on Jul 11, 2012

A breast implant will NOT lift the breast, no matter how large. You would need a mastopexy. Be sure to consult with a surgeon certified by the American Board of Plastic Surgery and get his/her opinion. When you speak about overfilling, you are speaking about a saline implant.

Published on Jul 11, 2012

Most plastic surgeons are reluctant and don't have the experience with that size breast implant. I have been specializing in XL breast implants for many years and this can be done, but I individualize for each patient.

Published on Jul 11, 2012

This CAN be done, but you need to come in for a physical exam to look over how big your implants are now, how big you would like to be, and how much extra skin you have with your drooping. Honestly too many variables to do in an email, but it can definately be done. Good luck. Make sure you go to a member of the American Society for Aesthetic Plastic Surgery as they are board certified and do most of their work in aesthetic surgery.

Published on Jul 11, 2012

You need a thorough in-person evaluation & consultation with an experienced Cosmetic Surgeon.

Published on Jul 11, 2012

If you don't have enough tissue to be over expanded to 1000 ccs, you can have an adjustable spectrum implant put in and slowly expand it post operatively.

Published on Jul 11, 2012

Yes, overfilling of a saline breast implant is done as a way to maximize the amount of fill available. This can be done with a breast lift. It is important to realize that significant overfill might lead to a shortened life span of your implant.

Published on Jul 11, 2012

Whether natural or augmented, no breast with that much weight stays up; it will go south farther than you think. This happens particularly quickly in someone who has had a lift, because by definition someone who needed a lift has skin that was incapable of holding up even the pre-implant weight.
If you don't care that is okay. But given the probable increased risk of complications and long term dissatisfaction with such a procedure, I personally would not do it.

Published on Jul 11, 2012

Unfortunately, without an examination, it is difficult to say what can / cannot be performed.
When patients need breast lifting, most of the time, it is not possible to perform the breast lift and XL implants in one surgery. The implants can put excessive pressure on the breast lift incision lines and increase potential risks and complications.
Sometimes patients perform the breast lift portion first and then return for the breast implants after the incision lines have healed... other patients have the breast lift and implants placed in one surgery but understand that the implants will be smaller than their ultimate goal. Once everything heals and there is additional skin laxity, the patient can return for a larger breast implant.

Published on Jul 11, 2012

The answer to this question is complex and depends on your skin tone as well as your goals and expectations. Placing a very large into a sagging breast may create difficult problems down the road regarding additional breast sagging. I would recommend you seek out a qualified plastic surgeon in your area who has experience in these procedures to discuss with an .you may consider a smaller implant which would give you a better long-term result. There are also other options regarding mesh support implantation if you can discuss with an experienced plastic surgeon.

In general, going into the XL sizes and trying to do a strong lift at the same time is almost impossible. The two surgeries are totally opposed to each other. One is trying to make you higher and tighter, while the other is trying to make you much larger and fuller. In these cases, most board-certified plastic surgeons will do the lift first and get the breast architecture in place. They will the proceed with the augmentation at a secomdary setting. It really depends on how much lift you need, and what your body can accomodate. I recommend consulting with a few plastic surgeons and see what they have to say.

Published on Jul 11, 2012

The bigger the implant the the looser the tissue the more that implant will want to stretch out the tissue. With an implant this big you may need to either stage it, add an internal bra made of mesh or dermal matrix, or perform the procedure and come back for a revision. Doing a lift and that size of implant will need some type of planning to make sure that there is enough support there. I think doing an internal bra is probably the best way to go. Even with this you are likely going to need a second procedure to fine tune the lift and augmentation.

Published on Jul 11, 2012

You likely can achieve the look you want, but it will take at least two surgeries, the first being a lift with a modest augmentation, and the second an implant exchange for the larger overfilled saline fake round high look. if you try to do it in one surgery the blood supply to your nipples could be compromised (and die), and the 800-1000cc implant will usually not fit a first timer!

Published on Jul 11, 2012

Large volume breast implants will place too much stretch and stress on the breast, especially when the breast is already stretched. A staged mastopexy first followed by a breast augmentation would be the best choice for larger volume breast implants.

Published on Jul 11, 2012

Yes it can be done but it may void the warranty from the manufacturer. It may lead to peripheral scalloping of the implant. Long term, you may increase the degree of sagging and produce greater risk of tissue atrophy. Putting in that large of an implant at the same time as the lift is risky because it is likely to put excessive tension on the wound and increase the rising wound dissidence so you may want to stage the procedures.

Published on Jul 11, 2012