The key to a successful breast lift is the quality of the skin. The final result will only be as good as the remaining elasticity of your existing skin. The plastic surgeon cannot alter the quality of the material that you bring to the operating room table. That being said, it is important to have a thorough examination and discussion of the operation and expected results prior to surgery. If your breasts were as large as a DD and you were happy with the size of your breast in a bra or bathing suit then it is possible that the breast lift was the proper indicated procedure. It is possible during a breast lift to reposition the existing breast tissue to a higher location creating some improvement in upper pole fullness. If you have thinned skin with a lot of stretch marks it is possible that initially you had a nice shape but the breast bottomed out over the past year. This is not uncommon. It is possible that a revision of your original breast lift is indicated and it is also possible that an implant, of sufficient base diameter is needed to give you your desired upper pole fullness. It sound like you need to express your concerns and I am sure that most plastic surgeons would be willing to help you get your desired result.
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Lack of upper pole fullness following a breast lift is not totally uncommon
Jeffrey Zwiren, 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.
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