Breast Lift or Breast Augmentation; I Want Natural Looking Very Soft Nice Voluptuous Breast? (photo) Doctor Answers, Tips
Breast Augmentation: Q&A
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Breast Lift or Breast Augmentation; I Want Natural Looking Very Soft Nice Voluptuous Breast? (photo)

History- I had a breast reduction 10 yrs ago. I went from a G to a C. Since the reduction, I've had kids and gained 109lbs(CUP DD) and have lost 100 lbs(CUP B). Question- I'm I a good candidate for Breast Augmentation Without the lift, considering my overall goal. I would LOVE TO BE A NICE D OR DD WITHOUT A LIFT, I'm not concern with my nipple riding high. I do not want to risk that change in my nipple or breast shape. How many CC's do you recommend(w/ or w/o lift)? I have seen a B.S.P.S.

17 Doctor Answers | Asked by QTMOMMY in ATLANTA
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Breast Lift or Breast Augmentation

Since your arms are raised above the head, the resulting photos are less helpful than they would otherwise be. The arm elevation simulates a lift. If these were photos with arms at the side, I would say a lift is not necessary. But I presume that with your ptosis (sag) that implants alone would give an unsatisfying outcome, with the appearance of breast skin draping off the implant. Choosing a size is not a good online activity. Most estimate that it takes 200-250 cc to get one cup... more
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#BreastLift or #BreastAugmentation ANS:

A DD is probably possible but I agree that with your arms in the air it can be a bit deceiving. But it seems that you should be able to fill out your breast envelope with just an implant if big enough!
+2

Sizing

Your nipples appear to be in a very good position. your proper sizing can be done during a physical exam and evaluation with some measurements

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+2

Implant size

Obviously it is difficult to guess from a photo, but to get to a D, you will probably need 425cc-475cc. Over 500cc should get you to a DD cup. Your surgeon should be able to help you. Good luck.
+2

Choosing your implant size

It is impossible to give accurate advice without an in person exam. The best way I know to choose an implant size is to try on implants or sizers in your bra and then put a tight fitting shirt on. This will give you an idea of how much volume you need to achieve your goal. You then need to listen to your surgeon about how that size will work with your anatomy. As far as the lift is concerned, if you are happy where your nipples are and just want more volume, then you probably don't... more
+1

Breast Augmentation after Previous Breast Reduction

If a patient already has the scars of a breast reduction and wants breast implants, I would perform the breast augmentation and fine tune the skin envelope as necessary to produce the best contour and nipple areola position or size as desired.
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Aug vs. Lift?

Hello and thank you for your question. It is best to see where the nipple position is and how much skin laxity there is when your arms are naturally down by your side. If your nipples are above you breast crease with your hands down by your side, then you are a good candidate for a breast aug without a lift. More important than cc's is breast diameter and projection. I would choose a implant with a base width equal to your breast diameter minus your tissue thickness,... more
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Breast Lift or Augment for Natural Breasts

Based on your photos and desires for a "voluptuous" breast with a natural softness, I think you should achieve your desired result with placement of relatively large silicone implants. Such implants should adequately fill out your slightly loose skin envelope and firm and lift your breasts. In your case, I would consider implant placement in front of the pectoral muscle even though that would raise the risk of scar contracture around the implants, as you will get better filling... more
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Best Breast Implant Size/Profile for Me?

Thank you for the question and pictures. Whether or not you will benefit from breast lifting surgery, will depend on your physical examination. Keep in mind, that with your arms elevated, your breasts' position on your chest wall may be lifted. In regards to the best breast implant size/profile that will help achieve your goals, the best online advice I can give is:
 1. Concentrate on choosing your plastic surgeon carefully. Concentrate on appropriate... more
+1

Breast augmentation following a reduction in the past.

Breast augmentation certainly can help with your volume issues. Your nipple position is good and thus a "traditional" lift is likely unnecessary. However, if after an augmentation, you have additional laxity in the skin, a tightening procedure to shrink the skin envelope can be done without ever changing the nipple position. As for implant size, that is chosen based on goals and your breast measurements.
+1

Breast Lift or Augmentation or Both?

The best approach would be to find a board certified plastic surgery that understands your situation and expected outcomes from surgery. Without examining you, it is difficult to give you specific advice. However, based on your photos, it looks like you would benefit from augmentation to increase volume and a lift to help improve shape. If I would treating you, I would place the implant and then evaluate whether the lift was necessary and, if needed, perform it at the same... more
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Breast augmentation after lift?

I have seen lots of patients with this scenario and breast implants placed under the muscle work great to fill the emptiness. However, with your hands up in the air it's hard to tell if a revision of the lift is needed. Ask your plastic surgeon and good luck - Dr. Aldo.
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Breast lift or just augmentation

First, your arms appear to be elevated in the picturses. This leads to some distortion. Without an exam it is difficult to say what would be best for you. If your nipples are not low on the chest, a breast augmentation may be all that you need.
+1

Re-inflating breasts following a reduction and weight loss

It is a little hard to determine the position of your nipples from your first photograph since you seem to be raising your arms over your head. This tends to give a bit of distortion when trying to determine the relationship of you nipples to the inframammary crease. On your front view you can see all of the nipple and areola from the front as well as some of the non-pigmented skin below the areola. There appears to be more sagging on the right side than the left.... more
+1

Breast augmentation with breast lift

It's very difficult to give size recommendation without more information. Your photos were taken with arm raised above shoulder which makes the breasts looked higher than they really are. Since you already had a breast reduction, doing a breast lift now will not add any new scarring. Adding the right implant volume can be determined after your in person consultation. Best Wishes, Stewart Wang, MD FACS, Wang Plastic Surgery
+1

Choosing correct breast implant size for breast augmentation

The best way of finding what size breast implant looks the best on you is to actualey try them on. I have patients try on different size breast implatns in a bra during their consultation for breast augmeentation.
+1

BREAST IMPLANTS

Hi QT Mommy, Thanks for the photos. Your arms appear to be lifted above your head and are distorting the natural appearance of your breasts. It would be better to take the photos with your arms at your side. It appears you have some breast ptosis but without measurements and an examination I am unable to make any firm recommendations on size or style.
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Comments (2)

New York2952 3 Feb 2013
Thanks i want a breast lift but im just bothered by the scar around areola and the scar that's lined underneath. Im still thinking about it tho! GOOD LUCK
QTMOMMY 28 Nov 2012
Thanks for all the replies. There's really no difference at all when my arm are up and when they are down, the nipples move slightly towards the center of my chest but the nipples doesn't drop. These pictures were originally taken for a consult for a tummy tuck DR asked for 360 of my body and looking to see if a lower body lift or tummy tuck was necessary.

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