I Have Seen 3 Different Board Certified Plastic Surgeons Regarding Breast Augmentation, and Gotten 3 Opinions? (photo)

Wt 125 lbs Age 38 2 children breast fed 6 to 9 months each. Moderate sagging Current bra size 34B Desired 34 full D 3 board certified plastic surgeons gave 3 different opinions Doctor A recommended under the muscle with breast lift absolutely necessary. Doctor B recommended under the muscle and lift not necessary. Doctor C recommended over the muscle and lift not necessary. I'd like to avoid a lift but I don't want to sacrifice the shape in the long run, I want to be happy with the outcome.

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33 Doctor Answers | Asked by EmNm2013

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Breast Aug With Or Without A Lift

There are a lot of different opinions - but in reality, you are the only one who can determine what's right for you based on the opinions you're getting from board certified plastic surgeons. The decision to augment is generally easy, but "to lift, or not to lift" is not always so obvious. See my web reference below for more information on making that decision. The surgeon you ultimately choose should understand your cosmetic goals and be able to answer all of your questions (you... more

Breast Augmentation

When your body changes lead to some laxity of the breast area, the placement of implants can provide some variablility to the final outcome. You appear to be a candidate for augmentation alone, particularly since you want to avoid additional scars from a lift. This does require horever some expectation regarding the final settling of the implants to still achieve a full rounded breast with improved nipple projection. While some techniques of implant placement will enhance... more

Breast Augmentation

Without a breast lift, overtime your breast will droop to an unsatisfactory low position. I therefore think a lift is mandatory. The implants can go either under or over the muscle. The lift will also help keep the implant up, avoiding droopiness.

Breast augmentation results

One thing I might suggest would be to look at many before and after photos. Take note of patients have a similar starting point and have a result that are pleasing to you. Without an in person consultation it is difficult to know what is best for you, but I think a lift would be best for you.

Michael Law, MD

17 reviews

Raleigh-Durham Plastic Surgeon

michaellawmd.com

What would be the best augmentation for this patient.

Several options could be considered, depending as to what you are desiring. A breast lift combined with an augmentation may give you the best result. a subpectoral dual plane augmentation would be the more acceptable technique, in my opinion, to give you upper breast fullness,a more natural shape that allows for better quality mammograms for the future, but may give slightly less fullness along the inner aspect of the breast. Be sure to talk to... more

Breast Augmentation with Mastopexy?

You have an interesting situation. One thing you have to remember is that the plastic surgeons are offering you their opinions based on what will give you the best outcome in their hands. There is no right or wrong answer. The questions you have to ask yourself are: What size would you like to be? Are you willing to sacrifice shape and longevity of your outcome in order to avoid additional scars? I believe a submuscular implant with a limited incision... more

Different Options for Different Patients

Thank you for your interesting question! I am always amazed at the various recommendations that my colleagues make to patients. We have different ideas of what is attractive, and patients have different goals and concerns which drive our recommendations. Your photos show that your breasts have settled. If you did not want a lift, you would have to place a good sized implant over the muscle. This is the treatment that would be recommended to a nude model who... more

Simple answer...

I believe that any Plastic Surgeon still advocating breast augmentations above the muscle in 2013 should be avoided!!! Because of the large amount of breast tissue you have the best answer for you is a submuscular breast augmentation with areolar repositioning (Binelli Mastopexy) to place your breast tissue directly over the implants. This approach will give you a great, long lasting result with minimal scarring...good luck!

Breast augmentation with or without lift

I can simply your situation. I see a lot of patients very similarly to your from an anatomical standpoint. First question: how big do you want to be? what size? This can help decide about whether a lift is needed. Second question: what are your goals for surgery...do you want to be more "uplifted" ? Does the areolar differences in the nipple concern you? If so and you want to be 350 cc or less....then do a silicone gel... more

3 Different Board Certified Plastic Surgeons-- 3 Opinions

I am not surprised to see differing opinions, since this is a "borderline" call. To add to the mix, I would suggest augmentation alone, and decide in 3 to 6 months about the lift. That is the best way to avoid "unnecessary" lift incisions. The risks of no lift are nipples too low breast draping off the implant. The nipples will be low, but not so much that a lift is "manditory." If the breast tissue seems to drape in an unsatisfactory manner, that... more