Fort Lauderdale Breast Lift doctors

The first issue is simple: your implants are too large. They essentially reduce the lift to nothing more than a minor nipple elevation. The asymmetry you had preoperatively remains, although it is improved to a degree. Many women believe that big implants = volume. The fact is, perky refers more to the skin envelope than the presence of an implants. Many women achieve a very youthful, full look from a mastopexy alone. Circumareolar, or "donut" mastopexies are effective ways of elevating a nipple and reducing excessive skin volume however they can often lead to a flat appearing breast. The vertical lift gives more projection, while an anchor scar allows the most flexibility for redraping the breast and coning it. Not sure what your goals were from the implants, but upper pole fullness does not require a large implant, just an implant that fits the breast. If you look at the photos you chose for examples, neither of those women appear to have excessively large breasts. The implants "fit" the footprint of the breast and do not dominate the lift. You may be best served seeing 2 or 3 other board certified plastic surgeons to get another opinion.

Thank you for including multiple photos. Preoperative photos would also be of great help. A few things come to mind when looking at your photos and listening to your goals from surgery. Your breasts are quite big for your body frame. The implants are likely too wide for you breast anatomy which is evident by the amount of lateral fullness. The right breast is still larger than the left despite a smaller implant on the right side. If you didn't want "larger" breasts, why choose implants of 350 and 400cc? These implants will lead to some sagginess over time simply due to their weight. "Perky" breasts usually refers to smaller breasts that sit up higher on the chest wall. One recommendation would be to downsize the implants and focus more on tightening the skin envelope. The vertical scar from a vertical lift will reduce the width of the breast while coning at the same time. However, you may also need a horizontal scar in the fold to reduce the excessive vertical skin excess in the breast. Choosing saline or silicone is these least important issue for you to consider.

Thank you for your question. Unfortunately, without a detailed exam, no one can tell you what implant you will need to achieve the volume you are looking for. The recommendation is to see at least 2 Board Certified Plastic Surgeons for consultation. A lift with implants is known as an "augmentation mastopexy." This is quite a challenging operation due to the conflicting goals of each portion of the procedure. A lift elevates the nipples and decreases the breast skin to provide a better shape to the breast. An augmentation relies on the stretch of the breast skin to increase the overall size of the breast. Because of these competing actions, augmentation mastopexy has the highest rate of revision for any cosmetic breast operation. It is not uncommon for surgeons to recommend staging the procedures, typically with the lift first followed by the augmentation. Although this requires two anesthetics, the results can be more predictable. Some women find that they don't need the augmentation once the breasts are in a better position and shape. Given your photos, you are definitely a candidate for a lift (likely a circumvertical or "anchor" scar lift). Implant volume is chosen based on the breast anatomy/measurements and your final goals from surgery.