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Shahram Salemy, 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.

 

 


Shahram Salemy, MD
11 months ago
By Shahram Salemy, MD - Seattle Plastic Surgeon

You should definitely relay your concerns with your surgeon, but don't be too angry with him. While it is difficult to know your exact situation without having seen you preop, I think it is certainly reasonable to assume that if you started as a DD, you would have had enough volume after a lift only and not required an implant. That being said, having the implant placed now is very straightforward and some would argue that it is safer as a two stage procedure.

I think if you speak with your surgeon, he will do everything possible to make you happy, and this may even involve reducing or eliminating his surgical fee.

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More answers to “Breast Augmentation a year post-Breast Lift?”

A: Yes you do need an implant but don't be angry at your doctor

Richard P. Rand, MD
11 months ago
By Richard P. Rand, MD - Seattle Plastic Surgeon

When a patient has "DD" volume preop and needs a lift, they can often be happy with the result without an implant. On some occasions, the upper pole needs more volume and this comes from an implant. Sometimes you know this preop and sometimes you can't tell. The second operation is just a straightforward augmentation because the lift improved your shape to where now all it needs is some more volume.

Ideally if one knows more volume will be needed preop, the 2 procedures are done simultaneously, but sometimes they just need to be staged. Not your doctors fault so don't be upset at them!

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