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Advice for Breaslift Plus Augmentation- Which Technique Is Right For Me? (photo)

asked 4 months ago by Theresa in Orange County in Mission Viejo, CA
Latest answer by Douglas Leppink, M.D.
Question viewed 267 times
Tags: C to D cup, crescent, doughnut, recommendation, technique

I'm a 36C. My plan is to have a breast augmentatin with silicone implants to increase my bust size to a 36D. I want a breast lift but don't want the vertical scars. Would a cresent or donut lift give me enough (1 to 2 cm) lift with the implants? In my most recent consultation, the surgeon said my sag is 2.5 centimeters. Thanks for your advice!

12 answers to Advice for Breaslift Plus Augmentation- Which Technique Is Right For Me? (photo)

Breast Lift without Vertical Scar Provides Aesthetic Improvement

I agree with you Theresa, you need a lift. A donut lift would not be adequate and a vertical scar is certainly not attractive. There is a new technique that's called the Ultimate Breast Lift and it can be done without a vertical scar. The advantage of this technique is it creates upper breast fullness using your own tissue and NO implants are required. The goal of plastic surgery is to make your breasts more attractive, not necessarily to increase... more

Gary M. Horndeski, MD
Houston Plastic Surgeon

www.horndeski.com

Breast Lift or Not

With your photos, I think you will get a nice looking breast with implants using a dual plane technique and you can avoid the scar you are worried about. You will always have lower breasts due to your anatomy but start with the augment for now and sometime down the road if a lift becomes more necessary you can think about it then.

Ronald V. DeMars, MD
Portland Plastic Surgeon

TYPE OF BREAST LIFT

Thanks for the photos, they are very helpful. It appears that your nipple is at or just below the breast crease. I would not recommend a lift. I think you would do well with a subfascial or dual plane augmentation. Even though you have a wide frame, I would consider a high profile implant to give you a more lifted appearance.

Todd B. Koch, MD
Buffalo Plastic Surgeon

Need wide implant to fill base diameter of the breast

It is difficult to know for sure if you actually need a breast lift or if an implant alone would give you enough lift or improvement. Looking at your photos you have a very wide breast and you will need a wide implant to fill your breast base diameter. In my experience a breast, such as yours will require a sizable implant in the 450 to 500 cc range possible and most of that volume is going to be taken up filling in the base of the breast. From the frontal view you can see... more

Jeffrey Zwiren, MD
Atlanta Plastic Surgeon

Breast Lift with Augmentation

Theresa the photos you sent indicate a nipple position above the fold under your breast. If that is true then an augmentation with periareolar lift would be appropriate if you are trying to avoid the scar on the front of the breast. A periareolar lift is not really a "donut" of skin removed but an asymmetric egg-shaped removal of skin to reposition the nipple and areola. If the necessary elevation is equal to or less than 2 cm. then I believe that this is an appropriate... more

Douglas Leppink, M.D.
Grand Rapids Plastic Surgeon

Doughnut lift for a modest small lift

Thank you for your question and the photos. Yes, you could opt for the 'donut' lift around the nipple instead of a vertical scar. This technique is very limited in the amount of skin that can be removed and may not give you as much lift as you want. The vertical technique is more powerful in achieving a noticable lift. It all depends on what you want the final result to look like weighed against the insicisions/scars that you would need to achieve the desired... more

J. Jason Wendel, MD
Nashville Plastic Surgeon

Breast Augmentation/Mastopexy?

Thank you for the question and pictures. The operation that I would recommend for you will depend greatly on your goals; generally, I asked patients to demonstrate their goals to me in front of a full-length mirror and with the help of “goal” pictures. Keeping in mind, that the best operation for you ( to achieve longer-term breast lifting and fullness etc.) is a breast augmentation with a vertical mastopexy, a breast augmentation alone can be done at... more

Tom J. Pousti, MD
San Diego Plastic Surgeon

Advice for Breaslift Plus Augmentation- Which Technique Is Right For Me? (photo)

Great posted photos! I agree with most of the previous experts. Larger implant mod profile or MP + at 500 cc range. As stage 2 a donut lift if needed after 3 months of healing.

Darryl J. Blinski, MD
Miami Plastic Surgeon

Augmentation now, lift later

The breast augmentation will give you volume and some lift to breast. The crescent lift is very weak on the scale of effective procedures to raise the nipple, and the donut lift is prone to relapse with later stretch of the nipple due to pressure from the implant. My vote would be to avoid the scar, enjoy the implants, and consider a lift later. Best of luck, peterejohnsonmd.com

Peter E. Johnson, MD
Chicago Plastic Surgeon

You may get implants first with the understanding that you will need lift later

You breast tissue is low and touching the chest wall. If you want to be bigger and would be OK with the low setting breast tissue, breast augmentation with implants will help you. The add weight of the implants will sag your breast more and you will need full lift later.

Kamran Khoobehi, MD
New Orleans Plastic Surgeon

Breast lift needs to address patient unique factors instead of following established protocols

You have a border line sag and get by with breast augmentation alone. There will still be saggy appearance because skin is sretched, but it is not worth any extra scars, since any improvement in sagging will be short lived and scars will be permanent.

Vasdev Rai, MD
Dallas Plastic Surgeon

Which breast lift technique is best for me

Theresa, There are different techniques used in breast lift surgery and it depends on how much laxity or sagginess you have to start with as well as the size implant that is chosen for you. Without an in-person examination it is difficult to tell you which technique would give you the result that will help you reach your goal. I do not recommend a crescent lift due to the real inability to get any lift from it among other reasons. Many women have concerns about the vertical scar that is... more