Q&A: I WANT NEW IMPLANTS, MINE HAVE LOST VOLUME AND RIPPLED DUE TO WEIGHT LOSS.

"Do I need an uplift? I really don’t want to. But I do want much bigger more high profile fake looking if you will! Can an uplift be done internally and will that be enough if needed? What kind of size implant would be good? I am a uk 32e now. At the moment they are very empty feeling and have rippled and don’t feel as firm as they did. I had them done in 2009. I would appreciate any advice and help."

 

DR. POUSTI: Thank you for the question and congratulations on your weight loss. Keep in mind as you are thinking about your goals that sometimes adjustment of the breast implant pockets (capsule adjustments) may be sufficient to achieve the outcome you are looking for. This procedure may be what you are referring to as an “internal lift” or an internal bra procedure. I would need to examine you to determine whether or not this procedure would be feasible in your case. Otherwise, formal breast lifting and reaugmentation will be necessary.

Generally speaking, the best online advice I can give to ladies who are considering revisionary breast augmentationsurgery is:

1. Concentrate on choosing your plastic surgeon carefully. Concentrate on appropriate training, certification, and the ability of the plastic surgeon to achieve the results you are looking for. Ask to see lots of examples of his/her work.

2. Have a full discussion and communication regarding your desired goals with your plastic surgeon. This communication will be critical in determining breast implant size/type/profile will most likely help achieve your goals.

In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. I have found that the use of words such as “natural” or “up a cup size” or “DD cup” etc means different things to different people and therefore prove unhelpful.

Also, as you know, cup size varies depending on who makes the bra; therefore, discussing desired cup size may also be inaccurate.

3. Once you feel you have communicated your goals clearly, allow your chosen plastic surgeon to work with you in determining the best plan to achieve your goals.

I hope this, and the attached link (dedicated to revisionary breast augmentation surgery concerns), helps. Best wishes.

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