Breast Augmentation: Q&A

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What is Achieveable and Still Realistic For A Breast Lift With Implants?

I am 5'4" 128 lbs. I AM seeing a BOARD CERTIFIED plastic surgon with hospital privelages.I want a specific LOOK. how do I convey that. Is this understandable... I want Upperfullness/projection/ Round/NO MAJOR arm pit boob! LIFT them up to my ears ( ok maybe not quite) I know I need a vertical lift is this realalistic and acheveable. I am currently a saggy c what would it take (approx) to make a FULL D..or DD at most. (I know you all hate cup sizes so thats why I added a photo!

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9 Doctor Answers | Asked by It's been long Enough

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Expectations after breast lift and implants

This is a good question because it is always very important to manage expectations before undergoing any cosmetic procedure. Based on your photo (a full exam is necessary to make a complete and sound plan), it does appear that you would benefit from a lift and implants. I do agree that a vertical lift would be the best option. While there are increased scars with a vertical lift, there is more power with that procedure in lifting and shaping the breasts to give a more round... more

Breast Lift with Implants Expectations

Based on our photos, it apears that a vertical breast lift with implants will be the best solution for you. I think it will help you but you need to consider a couple of things so you have realistic expectations. First, if your breasts have sagged significantly you do not have good elasticity of your skin and tissues (otherwise you would not have sagged in the first place). This means that the larger an implant you choose the more weight you will have to bear and the more likely you will be... more

Yes you can achieve nice full result

Based on the photos you seem to be a good candidate for the bilateral vertical mastopexy with implants. You should be able to achieve a look you desire. You can choose between silicone or saline implants. Make sure to choose the implant that will give you fullness you are looking for. Choosea board certified plastic surgeon that is experienced with that type of procedure. Always the biggest concern is a vertical incision, but it is the best option there is for best results. Avoid... more

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Realistic Goals

It looks like you would benefit from breast lifting as well as implants. You may want to consider doing it in 2 stages to get the results your are looking for. Clear communication with your plastic surgeon is important in achieving the desired goals of the patient. I like to communicate with patients with “goal” pictures. During surgery, I use temporary sizers to determine the size/profile that will give the patient the look she is looking for. Trying to... more

Consider breast lift without implants

Dear Tirby, I'm afraid my colleagues are correct. Implants will eventually lead to more sagginess, but on a larger scale. You may want to consider another alternative. I understand that you want upper pole fullness - this translates to a younger 'perkier' look that is very attractive. There is a procedure that achieves this without having to use implants. Because the existing breast mound is fixed as high as possible, it appears to be larger in size. The extra skin is used to... more

Expectations after breast augmentation

I think that it is important during the exam to show patients how the upper pole of the breast will look over time. It is impossible to keep them up to the clavicle as some may want ande overtime they do descend. A vertical lift and implants may be the right thing for you, but an exam is essential.

Steven Wallach, MD

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Manhattan Plastic Surgeon

Breast Lift and Augmentation

Thank you for the photos and a great question. As women age, and particularly if they have had children, the breast tissue can "thin" and their skin can become more lax. In addition, their nipple and areola can descend below the inframammary fold or "breast crease." Although placing a breast implant provides a small amount of breast lift, it does not lift the breast as much as a mastopexy or "breast lift". With the degree of ptosis... more

Realistic breast lift augmentation results

From your photos, you look to not have the greatest elasticity. That is typical of folks who need lifts. You could bet a very nice result with a full lift and an implant but the bigger you try to go with the implant for a fuller upper pole, the more it will sag with gravity.

What is Achieveable and Still Realistic For A Breast Lift With Implants?

Thanks for the posted photo. Yes you can achieve the full look. It might need 2 operations to obtain a larger implant size. Seek in person evaluations from boarded PSs.

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