Jupiter Breast Lift doctors
 |
David Bogue, MD
Boca Raton Plastic Surgeon
660 Glades Road Suite 380, Boca Raton |
16 answers | |
 |
David Shuter, MD
Jupiter Plastic Surgeon
730 Indiantown Road. Jupiter Florida 33458 Entire building, Jupiter |
6 answers | |
 |
David Rankin, MD
Jupiter Plastic Surgeon
641 University Blvd Suite 103, Jupiter |
3 answers | |
 |
Kim Edward Koger, MD
Palm Beach Plastic Surgeon
4600 Military Trail Suite 202, Jupiter |
||
 |
Aldo A. Lombardo, MD
Jupiter Plastic Surgeon
851 W. Indiantown Road, Jupiter |
Recent Answers
Hello: I had a primary breast augmentation in July - 500cc smooth silicone under the muscle through the areola. Developed capsular contracture in my left breast and my right has dropped below the point where I liked it. I am also attaching a picture from before anything was done to me. I want both my breasts to look like my right did at 2 months after the surgery (refer to picture). Any way to achieve that without doing a lift? Why did the right drop so much if it wasn't droopy before? Thanks!
There are multiple issues that are apparent from your photographs. The left breast has an obvious capsular contracture. Release of this contracture and repositioning of the implant will certainly improve this area. The right breast is ptotic due to the heavy nature of a 500cc implant. Implants of this size are going to cause the breast to drop due to gravity. The use of a dermal matrix such as Strattice can help support the implant by providing an "internal" bra. In addition, the use of Strattice in the left breast should also lower the recurrence risk of capsular contracture.
Height:5'7 1/2 Weight:127 BEFORE STATS: Bra Size-32C,BWD:14,(R)Breast from Sternal Notch:23 (L)Breast from Sternal Notch:21 AFTER DONUT LIFT & AUG. STATS: Bra Size-32DDD,(R)350cc's(L)400cc's Mod+ unders. SEEKING: Stronger lift w/ less loose skin, firmer, perkier, & more upper pole fullness. Ultimate wish would be for breast not to drape too excessively over the crease(hey, a girl can dream!). Which lift would afford me most of my wishlist? CC & Profile suggestion? Are examples achievable for me?
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.
Stats: Donut lift, 350cc(R),400(L)silicone unders. Was adamant in stating I wanted perky breasts not larger & saggier breasts. Expressed concerns about(R)breast being lower & gave ok for more aggressive lift. PS opted for donut. Have stated dissatisfaction & PS recommends internal bra w/ larger implant. Not convinced this will give me more perky & youthful breasts. (R) breast is now my special "utility breast" as it sags on my upper ribs. Vertical lift the way to go? Vertical w/ saline overfill?
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.
