Found a rupture so now Wanting to go bigger, will I need a lift as well??

Hi, I have just found in an ultra sound breast check up that I have a ruptured left implant. And now have to consider revision. I have had these 500cc implants under muscle and placed through the armpit, Existing for 10years and I have breast feed my two children 7 and 4. Now I have to have revision, I am really wanting larger size 700 ultra high profile? as While I was breastfeeding I loved the big size so the 500cc now feel extremely small, and the fat roll under the arm bothers me. 166cm, 62kg, 10E was a 10B I'm not sure if the shape is from the rupture on side, or sagging as my left breast always had more milk, and the muscle pulls a bit on the left. I would like an opinion on whether I should be considering a lift, as well or is a bigger size sufficient to fill what I need for large round high profile look. ??? Thanks

Sylve October 26th, 2016 QLD

  • Answer
    Dr. Raymond Goh

    Raymond Goh

    123 answers

    Plastic Surgeon
    Queensland, Australia

    Hi Sylve.
    Thank you for posting your photos and questions. Your photos reveal current asymmetry between your left and right breasts, likely due to the ruptured implant which has been documented. You do not display significant ptosis that will require a lift, especially if you wish to up-size. You have to bear in mind however, that there may be some degree of residual asymmetry after a remove and replace with capsulectomy. The other factor to keep in mind is that a high volume implant (700cc) will take a strain on the breast supportive tissue and can have negative long term consequences. 
    All the very best.
    Dr Ray GohValley Plastic Surgery