Breast Augmentation: Q&A

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BA and Uplift with Large BWD, What are my Options? (Photos)

I'm having a Breast Augmentation lollipop lift. My BWD is 15cm. My surgeon has told me that the largest cc I could go to will be 335cc with a diameter of 12.4cm over the muscle. I'm worried that I'll look odd with an implant that is too small, but if I can't get a larger implant because of the amount of skin left from my uplift and the strain it would put on my incisions then what are my options? Thanks I'm 5' 6" 9st 4lbs Currently a droopy 34C

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BWD implant size

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8 Doctor Answers | Asked by gembobs in Wales

Doctor Answers (8)
Community Comments (0)

Options for aug and lift

Hello, You have the beginnings of a good future result in part because of the shape and symmetry of your breasts. Breast augmentation is designed to improve volume and brast lift is designed to rshapr the breast. Pick the implant size that gives you the look that you are going for first. This can be done by trying on the implants under a sports bra or tight T-shirt in your plastic surgeons office. The implants should be MP+ or HP as anything with less projection... more

BA and Uplift with Large BWD, What are my Options? (Photos)

You might consider 2 operations. First the L-shaped lift than allow 3 months of healing than do a larger implant like 450 cc range. This allows a choice. Also the expander implant is a good idea in your case. Best to discuss further options before consenting to the planned surgery.

Answer to RealSelf.com breast augmentation/lift question

I would generally agree with the other surgeons who have responded and not recommend placing the implant over the muscle. You appear to have a relatively thin skin envelope with little existing breast tissue in the upper poles of your breasts. Visibility, palpability, and rippling may be more of a problem if the implants are placed above the muscle. The capsular contracture rate may also be somewhat higher. You may be able to use an implant larger than 335 cc's, but... more

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Breast lift and implants

First, I think just from your photos you are not a 15 cm BWD. Most women I see are between about 10.5-12 and you look about the same size as most of the women I see in my practice. As for the right implant for you, it would be hard to say without seeing you in person. Certainly a vertical lift( lollipop) should probably be ok.

Steven Wallach, MD

13 reviews

Manhattan Plastic Surgeon

You may be happy with breast augmentaion alone

The combination of the lift and implant has much higher risks like implant malposition,thicker scar and nipple loss. You have grade II ptosis and you can get good result with breast augmentation alone(sub muscular,400 cc ,High profile,silicone).If you find that your breast are saggier that you were expecting, you can get breast lift later on. Most patient do not like the staged approach because of two surgery,but it is much safer and predicable.

Kamran Khoobehi, MD

28 reviews

New Orleans Plastic Surgeon

BA and Mastopexy

I agree that your implants should be placed behind the muscle. The are some long term benefits with being submuscular. Seeing as you will be having a lift there is no reason why you can't go behind the muscle.

BA and lift options

I would agree with a lollipop lift based on the photos you showed. You could go slightly larger in implant but that seems to be a good size based on the amount of breast tissue you have and the size of your abdomen. I suggest you go online to look and befores and afters looking for someone who looks like you starting out, and you like the post op result. then sit down with your surgeon to discuss things.

Rick Rosen, MD

3 reviews

Norwalk Plastic Surgeon

Breast augmentation and Lifting

Thank you for the question and pictures. I do not want to sound critical but I would not recommend sub glandular breast augmentation in your case. I think the chances of complications such as significant rippling/comparability/ encapsulation are much greater with this approach. You are correct, that when mastopexy is being performed, care must be taken with selection of breast implant size to avoid complications. Please make sure you're working... more

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