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Breast Lift vs. Breast Augmentation or Both: Decisions in Breast Surgery

Raffy Karamanoukian, MD answers: Breast Augmentation a year post-Breast Lift?

I had a Breast Lift over a year ago while my husband was in Iraq, and was told I won't need a Breast Augmentation. I was a 36DD and am now a 36D, and I was told I had enough fullness.

Now, a year later, I am not happy because I am flat on the top part of my breasts and still have to adjust them in my bra often throughout the day. My doctor says now I will need an augmentation. Is this normal, and do I really need it? Why is it fair that I should have to pay for the full surgery now when I asked a year ago, and was told I won't need it? My husband and I are upset about me not being happy.  We have spent a lot of money, I have tons of scars, and I'm feeling uncomfortable.

 

 


Raffy Karamanoukian, MD
11 months ago
By Raffy Karamanoukian, MD - Los Angeles Plastic Surgeon

The following question will help clarify whether you need a breast lift vs a breast augmentation and lift.

  • Do you want to look better in the nude or in clothes?

If you want to look better in clothes, a breast lift will generally not provide any benefit.  A breast lift will reposition the nipple-areola to provide improvement in breast shape without a bra. This is usually a volume issue and can be addressed with an implant, otherwise a good pushup bra will do.

If you want to look better in the nude, then this is more an issue of nipple position and shape. This is generally where a breast lift comes into play.

If you want both, then a breast lift and augmentation is needed.

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