Would lowering my pockets help give a little sag to my breasts?

I had a breast augmentation in 2008. Now, my right side is starting to deflate and my left side has capsular contractor. Both of my breasts sits pretty high and doesn't have any sag what so ever. Prior to my implants, I was a 34a (small b). My implants are 650 saline filled up to 690ccs. Since I am replacing my implants, I'm switching to 800 silicone hp hoping to have more of a sag instead of being high in my chest. Would lowering my pockets help with that? Dr said lowering wouldnt change it.

Answers from doctors (8)


Robert Kearney, MD

Published on Dec 26, 2016

No, that will not give your more sag. Your PS is correct. The only reason to go to the larger implant is to be bigger.

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Answered by Robert Kearney, MD

No, that will not give your more sag. Your PS is correct. The only reason to go to the larger implant is to be bigger.

Published on Jul 11, 2012


Larry Leverett, MD, FACS

Published on Nov 11, 2016

Sounds like the breasts have changed more than the implant position. If correction of the capsular contracture is carried out on the left, the upper pole fullness will resolve and it may fill up the bottom of the breast envelope, but the implants are not designed to impart sagginess.

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Answered by Larry Leverett, MD, FACS

Sounds like the breasts have changed more than the implant position. If correction of the capsular contracture is carried out on the left, the upper pole fullness will resolve and it may fill up the bottom of the breast envelope, but the implants are not designed to impart sagginess.

Published on Jul 11, 2012


Barry J. Kaplan, D.O.

Published on Jun 28, 2016

Your doc is right, but your capsular contraction has to be dealt with. I don't like silicone, but I appear to be in the minority on this. Check the pkg insert for FDA recommendations on silicone. 800 cc's is huge. Going without a bra will make your breasts sag.

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Answered by Barry J. Kaplan, D.O.

Your doc is right, but your capsular contraction has to be dealt with. I don't like silicone, but I appear to be in the minority on this. Check the pkg insert for FDA recommendations on silicone. 800 cc's is huge. Going without a bra will make your breasts sag.

Published on Jul 11, 2012


More About Doctor Tom Pousti, M.D.

Published on Jun 27, 2016

Thank you for your question. Unfortunately, without an examination, I would not be able to give you accurate advice.

Answered by Tom Pousti, M.D. (View Profile)

Thank you for your question. Unfortunately, without an examination, I would not be able to give you accurate advice.

Published on Jul 11, 2012


Kenneth L. Stein M.D. FACS

Published on Jun 27, 2016

No, that is not the correct approach.

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Answered by Kenneth L. Stein M.D. FACS

No, that is not the correct approach.

Published on Jul 11, 2012


Edward Domanskis M.D.

Published on Jun 27, 2016

It is really difficult to say without at least seeing photos. In most cases, I form a new space, which takes care of most of the differences!

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Answered by Edward Domanskis M.D.

It is really difficult to say without at least seeing photos. In most cases, I form a new space, which takes care of most of the differences!

Published on Jul 11, 2012


Andrew Trussler MD, FACS

Published on Jun 27, 2016

The most improvement in the lower pole of the breast in this situation would be to do a capsulectomy and make sure the lower pole is released. This will help the new implants to sit lower and give more sag there. Lowering the fold in this situation would be risky and likely would not hold.

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Answered by Andrew Trussler MD, FACS

The most improvement in the lower pole of the breast in this situation would be to do a capsulectomy and make sure the lower pole is released. This will help the new implants to sit lower and give more sag there. Lowering the fold in this situation would be risky and likely would not hold.

Published on Jul 11, 2012


ELLIOT B. DUBOYS, MD, FACS

Published on Jun 27, 2016

It would be important to know where the implants were placed. I would image they are under the breast tissue. Lowering your implants would not help your sag. What you need is a breast lift. With such large implants, each weighing more than 1 1/2 lbs, you are likely to start sagging again even with a breast lift. Larger implants might sag more; however, when they sag, you will not have any "upper pole" fullness and they will look like a "rock-in-a-sock". I agree with your doctor. Best of luck.

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Answered by ELLIOT B. DUBOYS, MD, FACS

It would be important to know where the implants were placed. I would image they are under the breast tissue. Lowering your implants would not help your sag. What you need is a breast lift. With such large implants, each weighing more than 1 1/2 lbs, you are likely to start sagging again even with a breast lift. Larger implants might sag more; however, when they sag, you will not have any "upper pole" fullness and they will look like a "rock-in-a-sock". I agree with your doctor. Best of luck.

Published on Jul 11, 2012


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