7 days ago
Skin removal alone, should not cause a 15% reduction in breast volume. In fact, the "tightening" of the skin brassiere should in fact improve the shape and position of the breast mound and nipple-areolar complex. You should realize that any cosmetic procedure will work well for some time but will not stop the aging process. Perky breasts will eventually droop again and possibly even increase (with weight gain and menopause). At such times, you may note that the superior pole (area between the collar bone and nipple) becomes flat and consider adding a "small" implant, to maintain the fullness of the superior pole. Many older generations of PS used to "stage" breast lifts with breast augmentation, arguing that often the former operation may be sufficient but that in the event that the patient desires further shaping, the skin brassiere is already tight and ready to accomodate a small implant.
The augmentation-lift is one of the most difficult ops we offer in cosmetic surgery. Patient expectations are high.The technical challenges of getting the nipples on line, ensuring equal volumes, mobile, sensate breast mounds with minimal scars is formidable. Still as long as we communicate well, the results should be excellent, for a while... Hope this helps. good luck.