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Stephen A. Goldstein, 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.

 

 


Stephen A. Goldstein, MD
11 months ago
By Stephen A. Goldstein, MD - Denver Plastic Surgeon

Hello,

When a patient naturally has a significant amount of breast volume (i.e. a "DD"), a breast lift can often be successfully performed WITHOUT an implant.  This seems to be what your surgeon had in mind when he suggested the mastopexy without an implant.  I agree with the other surgeons who have said that we cannot always predict the outcomes of the surgery--and in your case, it seems that you would have had better results by using an implant.

I encourage you to express your frustrations and concerns with your surgeon and together you can reach a reasonable solution and surgical plan.  Money is a concern for EVERYONE in these tough economic times, so be honest with your surgeon about not wanting to spend more money and see what he can do for you. 

I'm sorry you're so unhappy and I wish you the best.

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