Most of us have distinct opinions on how a breast should look. My generation has been thoroughly brainwashed by the media but, Gravity and Age conspire to thwart the best made plans.
The augmentation-lift is probably one of the most difficult procedures in cosmetic breast surgery because there are so many expectations, which need to be met:
a) size, shape, and position of the breast;
b) length and quality of the scar;
c) mobility and feel of the breast;
d) longevity of the result.
Some of these goals can be achieved by the patient and physician jointly discussing and choosing the "correct" size, shape and filler material. On the other hand, there's a certain element of unpredictability in this operation, which is why many surgeons will suggest "staging" or separating the two procedures.
Stage I would involve tightening the skin brassiere (Reduction/Mastopexy) and Stage II increasing the volume (Augmentation) so that the upper pole (space between the collar bone and nipple) is fuller and more attractive.
Many patients decline two stages because they cannot arrange two recoveries. I'll inform them, ahead of time, that a lift-implant is feasible however, there is a high possibility that small adjustments will need to be made, later. Patients are generally accepting of this and quite frequently, the "touch ups" are realtively minor. I'd encourage you to discuss your observations fully with your surgeon so that you can accomplish your objectives.
Contact the doctor
