With my Anatomy Can I Realistically Achieve a Full Lower Pole with a Centered Nipple?

I have been recommended subglandular and submuscular placement at two different consults. I hope to attain a full lower pole, a more centered nipple and cleavage through saline implants since my left breast is smaller than my right. Is saline better for me than silicone? And are my expectations realistic? Would I also need another procedure to release the constricted inferior pole?

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8 Doctor Answers | Asked by Interested in BAug in Phoenix az

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Correction of ptotic, constricted breast

Your expectations are realistic. You can obtain a full lower pole and a more centered nipple. Cleavage is determined by your body and can only be enhanced somewhat. From your pictures, I would use sub-glandular implants after releasing the lower pole and deep breast tissue. However, pictures can only go so far. What you need is a consult with a surgeon who does a lot of different shaped breasts. Ask for experience and qualifications before making the appointment. Once you have had... more

Breast Augmentation / Lower Pole Fullness

I agree with Dr Rand. I think you can obtain a beautiful result with subpectoral implants but you will need a nipple lift. Without the lift (NipplePexy) you will see much of the lower pole of your breast.

Questions regarding the potential postoperative appearance of the breasts

You should be able to obtain a very satisfactory result from breast augmentation surgery but don't expect full symmetry and perfection. Silicone implants would afford you a much better opportunity to obtain the outcome you are seeking. I would also recommend that they are placed behind the muscle versus in front of the muscle. You best bet would be to seek out a reputable board certified plastic surgeon in your area who performs a lot of breast augmentation procedures. more

Full Lower Pole With Augmentation

I do not feel that you should have a problem achieving the result that you desire (full lower pole, symmetry, etc.) if you are operated on by a qualified and well trained surgeon. Seek a consultation with a board-certified plastic surgeon (preferably one who is a member of the American Society of Aesthetic Plastic Surgeons (ASAPS). It is generally more difficult to achieve upper pole than lower pole fullness. I feel that your minor asymmetry can be adressed with silicone... more

Repeat question

Dear Kristina, You asked this same question yesterday when you wondered if you had "severe tuberous breasts." Again, you need a periareolar lift to move the nipples up, a slight lowering of the crease to gain length below the nipple, and an implant placed below the muscle in my opinion. You would look as though you could have a nice result.

Can I achieve my desired breast augmentation results?

Your expectations are realistic and your desired results attainable. A full consultation and exam are required to make the best recommendation. From your pictures I would recommend a silicone implant over the muscle with a circumareolar lift. It is possible that you may require more than a circumareolar lift, but this can only be determined after examination and discussion of your expectations. Always choose a Board Certified Plastic Surgeon who is a member of the American Society of Plastic... more

Correction of constricted lower pole

Greetings, If you see a well-trained an experienced plastic surgeon, a beautiful aesthetic result is a realistic result. A periareolar incision with release of te constricting lower pole ligaments and placement of silicone implants would give you the best results in my opinion.

Subglandular vs. Submuscular placement of breast implants

I think you can get a very nice result but I don't usually recommend sub-glandular (over the muscle) placement. With a surgeon who has experience, you can achieve a rounded out look with better areola placement. Do your research regarding the surgeon's you visit - make sure to choose a surgeon who is certified by the American Board of Plastic Surgery (not cosmetic surgery) and a member of the American Society of Plastic Surgeons. From here, you know you are... more