by Terrye Tebbetts

Question

“I am in a situation where I still desire a rounder looking breast and since it is too late for me to use high five I still wonder what is the weight diff between 378cc and 450cc, is it not an insignificant amount of weight diff!?
I have had lift done but still have a flat looking breast and am not sure whether a slightly bigger implant will make the difference for me?”

Answer

Having already stepped on the toes of those with larger implants, I’m going to venture into the Mastopexy (Lift) and implant category………again, remember not to shoot the messenger……just trying to even the playing field so better decisions can be made and happy patients can be had by all.
If a woman needs a breast lift, it is because her skin and tissue did not hold the weight of her own breast tissue over time well (or that of a large implant) – the skin stretches and the breast envelope grows long from sternal notch to nipple and from nipple to inframammary fold.  In other words, the bulk of the breast sits below the inframammary fold force the woman to pick up what she has and nestle it into her bra every morning.  It is the true rock in a sock look.  A Mastopexy seeks to simply lift the nipple back above the fold.  It reduces the skin envelope of the breast leaving a smaller home for the tissue she already has – producing a firmer, perkier breast.  A lift cannot change where the inframammary fold is on the torso, nor can it reduce the WIDTH of the breast (from side to side).  A lift can also not change the genetic qualities of the patient’s tissue — you can move the tissue back up, but you cannot get rid of what made it sag to begin with.  So having said that (and here’s the real unpopular part of my sermon today), anyone who needs a Mastopexy is never a truly good candidate for a breast implant becasue a breast implant is nothing but fake weight.
I am not familiar with your particulars, but when I hear you say you  had a lift and you feel your breasts are still flat – makes me wonder how wide your breasts are and whether the implant you have in place fills the width adequately.  Maybe it doesn’t, making a larger – wider – implant more appropriate in an effort to fullfill your goal of rounder and bigger, but once again we face the added weight issue that may dump you back into even more operations.
In my experience, once a patient wants a larger implant – it can’t just be a small increase – like the 25cc’s most talk about – - if you truly want to see a change in what you see and how you dress them – it has to be a significantly larger implant.
What does you ps say about trying to achieve the “rounder” look – 450?  Can you measure your base width and at least get that number to work off of for the starting point of the implant?

About the Author: Terrye Tebbetts is one of the most knowledgeable women in the world about breast implants, with 27 years of experience educating patients and 11 years as a patient herself. For more information about breast implants or breast augmentation Dallas surgeons, please visit www.thebestbreast.com.