redo with bigger implants - appreciate comments regarding implant size, type, dimensions

[G_girl]

Hello to all experts out there.
I'm planning a redo and would greatly appreciate any advice regarding my second boobjob.
Long time ago I had my first with 650cc double lumen smooth round implants over the muscle.
Unfortunately the right breast developed a light capsule quick after surgery. This was not a big problem, but now its time to fix it and go bigger by the way.
I really love the soft natural look, not this fake round beach balls.
What do you guys think would be best for my girls?
How big should I go and what kind of implants?
By the way, Dr. Pousti refused to do my babies without giving them a lift. Do you think that will be necessary?
The picture was taken few days ago to give you an impression and (c)G_girl.
I'm really curious about your comments.

[grundig]

Hi, G girl.  I rarely write in, but your situation intrigued me.  I had a "friend", very much in the same situation.  Her first set was 650's and they were terrific for 12 years.  But the breasts did go lax and there was the desire for a change and more size.  After a lot of thought and research, we decided to avoid the lift and go with a bigger saline implant, namely the Inamed 800's mod profile overfilled to 1200cc.  Sounds big, but not at all as big as you think.  The outcome was very good.  We avoided all the hassles of the lift (her nipples were a bit lower than yours and the bigger implant brought them up some).  She was worried about the fake beachball look, but they have settled in very nicely - her (your) skin is too lax to maintain that "fake" look for very long. The implant is not too hard (we had fears that it might be because of the overfilling).  No regrets, worked out well.  My opinion; the Inamed filled from 1000-1200cc, no lift - should look very nice.  Best of luck.

[Bonecracker]

 Dear G-girl,
+! on the last comment.  With those sensational nipples and areolaes of yours, and your incredible frame, 900 to 1200cc implants would look incredible for you.

All the best, warmest regards,


Bone...  

[MasterDragonfly]

Hey there G_girl, and welcome to the forum!

Quote:
G_girl said:
Hello to all experts out there.
I'm planning a redo and would greatly appreciate any advice regarding my second boobjob.
Long time ago I had my first with 650cc double lumen smooth round implants over the muscle.
Unfortunately the right breast developed a light capsule quick after surgery. This was not a big problem, but now its time to fix it and go bigger by the way.
I really love the soft natural look, not this fake round beach balls.
What do you guys think would be best for my girls?
How big should I go and what kind of implants?
By the way, Dr. Pousti refused to do my babies without giving them a lift. Do you think that will be necessary?
The picture was taken few days ago to give you an impression and (c)G_girl.
I'm really curious about your comments.

So many questions, so little caffeine.  (So far! )  Here's hoping I get this scribed before my session times out.

I'll throw comments out there, some of which you may already know the answer to.  For those, I'm just thinking out loud.

Taking care of the capsule will be taken care of during the revision.  To reduce the risk of it recurring, you might want to consider switching to under the muscle.  Or go with the "dual plane" placement, which seems to be growing in popularity.  One additional advantage of going under the muscle is they'll look less fake.  Put another way, if you wanted to go with the fake look, it would be best to stick with over the muscle and go for saline implants with at least 25% overfill.  (And mention to the surgeon you're aiming for the fake look, so that he can aim for that during surgery.)

Since you actually want the natural look, specify that with your surgeon.

Size:  This is a very personal choice, but I think you'll find that if you limit yourself to the maximum popular size of 800cc, you won't notice much of a change.  The law of dimishing returns with regards to volume vs visual impact.  I would recommend at least 1000cc (more on that in a sec) and ideally 1200cc or more.  It looks like you could do with a bit of a fill-up there.    Just for fun, go put 150cc of water into a measuring cup to see what that looks like.  Or put 150cc of rice into an old stocking (ie, the rice test and flatten it out over your breast); be aware that the rice test will have more projection than your final result; it's at best a rough guesstimate.

Now do the same test again, but with 350cc, and then again with 550cc (final size approximations of 1000cc and 1200cc, when added to what you currently have).

Saline vs silicone:  Silicone will likely get you more of a natural look (and especially natural feel - many consider the feel of silicone to be as natural as it can get), but the max size available (and only if you're part of one of the studies) is 1000cc.  Saline will easily get you to the size (eg, 800 or 850 overfilled to 1200cc) but will get increasingly firm, the bigger you go.

And you're already familiar with double lumens; you should be able to pump those up to 1200cc.  Not yours specifically; you'd have to get whatever the largest size is (likely rated at 800 but those can be overfilled to 1200 - it's been done before).

My wife collared_cherri (you can see her pics in another thread) got 800cc saline overfilled to 1000cc.  Except for the fact that they're noticeably large, they don't have that FAKE look about them.  Mind you, she also got them under the muscle.  I'll dig out her thread if you can't find it.

Breast lift:  Looking at your pic, I'm a wee bit surprised that Dr Pousti would insist on a lift.  Now, if those were 100% natural, then I'd say it would be unavoidable.  But if you're just going to take what you currently have and just go larger?  Without knowing exactly where your breast fold is, I'm going to take a guess and say you have grade 3 ptosis.  And this might be the factor that he's zeroing in on.  It would be a bit of a drag if you ended up absolutely having to get a lift, because my guess is your areolas would be reduced in the process (this is usually unavoidable) and you'd lose that awesome vascularity along the upper aspect of your right areola.  That said, if you like having large areolas and you end up finding that you can't avoid getting a lift, go for the keyhole lift and insist that the surgeon retain the maximum size possible of your areola.  The one plus from this is it's also an opportunity to make them perfectly round, if you like that sort of thing.

Another point which you're probably already aware of, is that a lift will mean leaving you with a vertical scar from the lower aspect of your areola down to your breast fold.  It's not ideal, but it's not horrific, either.  Once the scar heals up, it shouldn't be much more than a fine line.  And you have options for getting it touched up down the road, either through injection (can't remember the name of the product offhand), laser, and/or micropigmentation (ie, tattoo colouring/shading).  So it's really not the end of the world, but I completely empathize with you wanting to avoid it if at all possible.

I suppose that you might be able to get away with just a crescent lift, but I'm betting that that's not what Dr Pousti was considering when he mentioned it to you.

The obvious answer if the surgeon you're consulting with is saying something you don't feel comfy with, is to find another surgeon.  Have you been here yet?

http://www.largerimplants.info/drupal/node/36

You might have to travel a bit farther, but the good news is, owing to the fact that you already have implants, your recovery should be a fair bit easier the next time around.  Although if you go under the muscle, you might find that a fair bit more uncomfy during the recovery.

Over vs under the muscle:  One major advantage of going under the muscle (ditto for dual plane) is that the implants will end up with better support.  Better support means they'll be better able to defy gravity in the long run than with over the muscle.  It won't prevent them from ever being affected by gravity, but it does fare better in the long run than over the muscle.  Wearing a decent bra for as long and often as you can possibly stand wearing it will also make a difference in the longevity of your investment.

Let's see... have I covered everything?  I think I have, but I may have instead gone off on a wild tangent or two.  Feel free to add more questions or express concerns as the mood suits.

[Sonny]

It seems to me that there are more booblovers out there who are into large areolas and veins on large breasts.
I could post more pictures of G-girl, if anybody is interested.
Just let me know if this is appreciated in this thread.

[G_girl]

Hi Grundig,
thanks for your detailed answer. For me it is important now to gather as much information as possible and it is good to know the results of former surgeries! What would we have done before the internet? Best wishes, G girl

[G_girl]

Hello bonecracker,
thank you for your comment. I like my nipples the way they are and hope to keep them! Maybe it takes some time to find the right surgeon but thank god we have got the internet.
Best wishes, G girl

[G_girl]

Hi MasterDragonfly,
thank you so much for this warm welcome and for all all this information! I am really impressed about the amount of facts you guys have for me. I just want to give you a short response at this time, surely will be back with more questions!

[sonic2at]

*waves at Sonny and at G Girl*

Interested? --- Hell yes absolutely erotic and inspiring.
*grins*
So more pictures are definately most welcome.

[Sonny]

If you like the veiny look, this could be one for you!
I hope she will keep this.
(c)Sonny

[be_love]

There is enough tissue for big implants

[mcgarp]

Looooove the veiny look!  Kinda has a Busty Dusty thing going on there.  That is a very very good thing!  I can see why you hope you don't lose that!

[MasterDragonfly]

Vascularity is good, mmkay?  

[lovefakeboobs]

G,
I love your arealoes they look great nice and big. I think they are lifts that would push them and still keep their beauty. Bigger implants they would look great.
I take its your husband or b/f taking that pic of you semi-nude

[TheZookie007]

Quote:
Sonny said:
It seems to me that there are more booblovers out there who are into large areolas and veins on large breasts.
I could post more pictures of G-girl, if anybody is interested.
Just let me know if this is appreciated in this thread.

Oh come on, you know the answer to this already Of course we'd like to see more of her -- that's what this forum is all about

[TheZookie007]

Quote:
Sonny said:
If you like the veiny look, this could be one for you!
I hope she will keep this.
(c)Sonny

That's what I'm talkin' 'bout Can you imagine veins like that on even bigger boobs, boobs so large that her (already) large areolae would start to look small? I think we have another potential huge implant girl like our Keisha Evans on the horizon, since G_girl has enough natural size to be able to handle the really big implants.

...I can't wait!...

[Bonecracker]

 Dear Zookie,

+1 on fantastic comments.

Cheers,

Bone...  

[Sonny]

Hi,
I just want to thank everybody for the nice comments with this shot of her, which was taken during her pregnancy.
To keep you updated; she is looking for another doc now, who hopefully won't lift her breasts and reduce her areolas.

Is it right, that the Silimed saline 1000cc implants are no longer available even if the surgeon participates in the study?

[MasterDragonfly]

Quote:
Sonny said:
Hi,
I just want to thank everybody for the nice comments with this shot of her, which was taken during her pregnancy.
To keep you updated; she is looking for another doc now, who hopefully won't lift her breasts and reduce her areolas.

Awesome news.

Quote:
Is it right, that the Silimed saline 1000cc implants are no longer available even if the surgeon participates in the study?

No idea.

Best to contact the implant manufacturers directly and ask.  If they say "yes the study is still ongoing" then ask for a participating surgeon in your area (or as near as they can list one).  This is basically how we found out about a local surgeon participating in the 1000cc silicone study (from then Silimed).

[Sonny]

Maybe this snapshot proves why her doc don't like to make her bigger without a lift; but it also proves why I'm in a contrary position
Hopefully she will find a surgeon who sells her a slightly larger bikini instead of a lift

[sonic2at]

Yay ! What a view, alas these "Wardrobe Malfunctions" always occur when i am not around.... life is evil !
Looking forward to the next pic : )

[G_girl]

Hallo, first let me thank you for all those lovely comments.    
Meanwhile I've made contact with Doc Yermian. The bad news is, he also recommends a lift. He thinks I will not look right without it.
He also won't do large implants and lift during one surgery, because he's concerned about the blood supply of the areola complex. This sound reasonable, but it means to have another expensive surgery 6 month later.
Anyway I think I should skip the lift. I guess it all has to do with different understandings of ideal measurements or beauty. It's the same with areola size. Why get all the breast reduction patients the same small sized areolas? I can't imagine that all women love this style or want to look the same way.
What do you guys think?
I'm also unsafe whether to go with saline or silicone? On one hand I love the natural touch and look of silicone, but one the other hand most of you mentioned to choose 1000cc-1200cc or even bigger to fill my breasts a bit more. We all know, if I want to have it done in the US, this means saline.
As I have some natural tissue I could also achieve a nice result with saline, maybe. I guess it depends on the right implant and its overfill. I hope there is any advise out there.
I try to refresh this thread with this picture taken few years ago. (c) G_girl

[ChrisR1]

I say go for the implants without the lift - I like the look; a lot of augmentations have the nipples set fairly high on the breasts, and the result is that you can't always show a lot of cleavage without the nips poppin' out. Here's a pic of Rebecca Wild - she's got implants with breasts that the doctor probably would have suggested a lift for as well.
I'd definetly go for the silicone, if possible.
BTW, my wife had her implants done by Dr. Yermian, and we are super happy with him and his work.

[MasterDragonfly]

Quote:
G_girl said:
Meanwhile I've made contact with Doc Yermian. The bad news is, he also recommends a lift. He thinks I will not look right without it.

cherri and I consistently got this same response with the various surgeons we'd gone to.  We'd hoped it was avoidable, but after getting the explanation more than once, it dawned on us it was the only path to joy.

Quote:
He also won't do large implants and lift during one surgery, because he's concerned about the blood supply of the areola complex. This sound reasonable, but it means to have another expensive surgery 6 month later.

One of the local surgeons here said the same thing.  Only the wait would have been 6 weeks, not 6 months.  And we'd seen his handiwork up close and personal (one of his patients/employees).  Quite spectacular.

Check out other surgeons, see if they'll do a combo lift/augmentation in the same surgery.  The downside is whoever you find might not be quite so amenable to the larger sizes.  Still, it doesn't hurt to ask.

Quote:
Anyway I think I should skip the lift. I guess it all has to do with different understandings of ideal measurements or beauty.

Not to be a wet blanket, but skipping the lift is easier said than done.  I'll explain why in a moment.  But just be aware that if I thought you'd probably end up needing a lift (and I'm a far cry from being anything close to a surgeon), and if an experienced surgeon says he won't touch you without doing a lift, I'd lay odds that every surgeon you go to will say the same.

Now for the explanation:

The implant is placed on a particular position on the chest wall.  Contrary to common misperception, it's not just filling up the breast.

Let's assume for the moment that you had a surgeon willing to give you an augmentation without a lift.  You'd end up with spectacularly placed implants and the upper portion of your breast would look fabulous.  And you'd have this naturally droopy breast hanging from it.  

Ponder this for a moment.  Spectacular, perky implants, droopy breasts hanging from them.  Got the visual?  Good.

Your surgeon won't be happy with the result, you won't be happy with the result, there would be unhappiness all around.  And surgeons aren't in the business to create unhappiness.  Successful surgeries mean happy patients, and happy patients means no reoperation/revision surgery (and no lawsuits).

So would you be able to find a surgeon willing to pump you up big and NOT do a lift?  I suppose anything's possible.  If you find one, I'd be quite keen to hear the details (and see the results).

Also bear in mind that a lift isn't the same as a reduction.  In oversimplified terms, a reduction is similar to a lift, but with the added transaction of removing extra breast tissue.  A lift is merely meant to remove excess skin, not breast tissue.

Quote:
It's the same with areola size. Why get all the breast reduction patients the same small sized areolas? I can't imagine that all women love this style or want to look the same way.
What do you guys think?

You mean the whole reducing-the-areola-size thing?  Yeah, I'm not too fond of it.

When cherri went for her pre-op consult, we made it clear that we weren't keen on losing size.  He explained that ordinarily he follows cutout templates (like cookie cutters) which he draws on, but that yes, he could go larger, but that he'd have to draw it freehand.  The results worked out pretty well.

If you stop and think about it, at some point an areola which is big enough would make the lift a rather challenging surgery, assuming that the surgeon were aiming to preserve the original diameter of the areola.  Let's say you had areolas which were 6 inches in diameter.  Now imagine the surgeon cutting the needed 'keyhole' shape needed to move your areola northwards.  It starts to boggle the mind.

That said, many women adore getting smaller areolas from a breast lift.  Why?  Beats me.  Something about looking more youthful?  *shrug*  There's something off-putting about looking *too* youthful, if you catch my drift.  Give me "I'm large and command you to suck me!", any day.

Quote:
I'm also unsafe whether to go with saline or silicone? On one hand I love the natural touch and look of silicone, but one the other hand most of you mentioned to choose 1000cc-1200cc or even bigger to fill my breasts a bit more. We all know, if I want to have it done in the US, this means saline.

Unless someone such as Dr Yermian happens to still have implants in his stockroom which are both silicone and larger than 800cc.

Another option is to go with a double lumen and pump them to 1200cc.

I would strongly advise you to have some consult time at a clinic where you get to fondle both saline-filled and silicone-filled implants.  That might help you make your final decision right there.

If you decide that silicone is the only way, then next I would advise you to reach out to the implant manufacturers directly, and ask them which surgeons in your area (or within reasonable traveling distance) are participating in the 1000cc silicone implant study.  Then call those surgeons, see if they're still taking patients for the study, and start whittling down the list from there.

Quote:
As I have some natural tissue I could also achieve a nice result with saline, maybe. I guess it depends on the right implant and its overfill. I hope there is any advise out there.
I try to refresh this thread with this picture taken few years ago. (c) G_girl

Again I'm oversimplifying, but the only advantage that having ample breast tissue will help you with is in disguising the fact that you have implants.  You'd have the added option of being able to go over the muscle without the implants becoming super-obvious, something which women starting from AAA-cups don't really have the luxury of.

Hope this helps?  And again, when it comes to wishing it were possible to get huge implants without getting a lift, you're preaching to the choir.  The closest I ever got to hearing good news in that regard was during a phone conversation with Suzanne (wife/nurse of Dr Baeke, retired from the boobjob business), who said it might be an option.  Never did get a consult from Dr B to find out for certain, though.

[Verbotenbruste]

I don't think Cindy Cupps had a lift after her last enlargement either.  You would probably end up with a look like hers.

[MasterDragonfly]

Quote:
Verbotenbruste said:
I don't think Cindy Cupps had a lift after her last enlargement either.  You would probably end up with a look like hers.

One does not get a lift after an enlargement.  One either gets the lift before the enlargement, or during the enlargement.

And I would be keen to see what Cindy Cupps looked like before her last enlargement.  More to the point, I would be keen to know what grade ptosis she had pre-op.

Let's assume for the moment that Cindy Cupps had grade 3 ptosis pre-op.  There's still the fundamental problem of either a) finding the surgeon that Cindy Cupps used, or b) finding any surgeon willing to do the procedure without a lift.

I can assure you that arguing with a prospective surgeon regarding what you want vs what he's willing to do is probably the surest way of getting shown to the door and disqualified as a viable surgical candidate.  You really don't want to start that sort of argument with your surgeon, because you won't win it.

[Sonny]

I found this picture in the Cindy Cupps thread. I'm not sure if she had grade 3 ptosis, but I guess she could have been in the ballpark. I really love her large, stretched areolas.
I hope you can remember Honey Moons, Tabatha Towers or Justa Dream. I'm sure they all had a severe ptosis when they got their big implants.

The images in your attachment are owned by the Score Group, so they had to be removed from the forum.  Since you found them in another thread (where we hadn't noticed them), the rule violation goes to the original poster rather than you.

[Verbotenbruste]

Quote:
MasterDragonfly said:

Quote:
Verbotenbruste said:
I don't think Cindy Cupps had a lift after her last enlargement either.  You would probably end up with a look like hers.

One does not get a lift after an enlargement.  One either gets the lift before the enlargement, or during the enlargement.

And I would be keen to see what Cindy Cupps looked like before her last enlargement.  More to the point, I would be keen to know what grade ptosis she had pre-op.

Let's assume for the moment that Cindy Cupps had grade 3 ptosis pre-op.  There's still the fundamental problem of either a) finding the surgeon that Cindy Cupps used, or b) finding any surgeon willing to do the procedure without a lift.

I can assure you that arguing with a prospective surgeon regarding what you want vs what he's willing to do is probably the surest way of getting shown to the door and disqualified as a viable surgical candidate.  You really don't want to start that sort of argument with your surgeon, because you won't win it.

My mistake, I know this, I phrased it incorrectly.

[MasterDragonfly]

Yeah, it does kinda sorta look like she may have had at least grade 2 ptosis.

I guess the choice is clear:  either find her surgeon, or find another surgeon willing to do the augmentation without the lift.  It seems you can cross Dr Yermian off your list based on your wants/needs.

[Bonecracker]

 Dear G Girl,

After looking at the Cindy Cupps pictures some more, I have to agree that there is a strong resemblance there and that you could easily get her implants or bigger and get a similar to, but overall better look than even she has.

Go for it, soon.  LOL

Warmest regards,

Bone...  

[lovefakeboobs]

G,
What are you now a D, or a DD? I said in a previous post you have a really great size now. I think your arealoes are awesome I would be happy to have them in my hand or whatever
I am kind of a less surgery as possible guy, I know they are doing great things with it comes to it when you get down to it the more someone has the more things can do wrong. If you get a lift then larger implants the chances of a sensory nerve not connecting back is greater. You might have beauty and beautiful ones but they would be number too.  
And I would not want to see you in a position where your dependant someone's prospective that you should go bigger, your the one whose living them.
I am not sure if they have improved the technice they might have to make that arealoe smaller if you do a lift. But if you get a bigger implant they are going to look more natural too unless they place the implant lower to push the nipples straight out.
In short you have to consider all the costs and if it worth it
Either if you did or did not do a redo I would be happy to have you as a friend.

[Sonny]

I just reviewed some older pics and want to share some with you. This shows her big areolas in comparison to an orange. I hope you like it. (c)Sonny

[Sonny]

I found another nice shot where she's trying to remove some sand from her thong. (c) Sonny

[ChrisR1]

Quote:
Sonny said:
I just reviewed some older pics and want to share some with you. This shows her big areolas in comparison to an orange. I hope you like it. (c)Sonny

I think great looking areolas

[G_girl]

Hi folks,
I have to apologize for my absence, but during the last month I have been so busy, that I had no time to hang around in the forum.
Meanwhile I contacted Dr. Faibisoff. By the way, his office is very friendly and really takes care for every patient. They gave me detailed answers to all my questions.
The good news is, he is willing to do my boobs without a lift. The bad news, which is not really a news, 800cc saline implants are the max. Of course he can overfill such implants, but I'm not sure if I would like that. As an alternative he could use expanders which can be filled up to 1500cc.
The best option for me seems to be part of the Silimed study and go with the 1000cc silicones. Unfortunately Sientra/Silimed's inventory and implant availability is becoming more sparse and you have to wait up to 6 month for the implants.
In search of an alternative I contacted a renowned European surgeon. He has no problems to give me 1200cc silicone implants without a lift.
That sounds good. What do you think?
(c) G_girl