Which Breast Surgery Will Give Me Perkier, Fuller Breasts?
- Asked by Miche11e3 in ut
- 5 years ago
Before I had my first child, my breasts were a small B-cup. I got pregnant, then all of a sudden my boobs jumped to double D's. I was extremely excited to have huge full boobs without surgery, but soon after I had my baby, they seemed to just deflate like balloons. What would be the best breast surgery to make them higher and fuller? I always heard if you get implants they make them more lifted but I'm not sure.
The Operation is Tailored to the Patient
Rejuvenation of a woman's breasts after having children is a very common scenario for plastic surgeons. While most women who are seeking cosmetic breast surgery would like their breasts to be full and sitting nicely on the chest, this goal will require different approaches based on the individual's inherent anatomy. There are usually 3 key issues that need to be addressed by your surgeon, and your input in this process is really important:
1) volume or size of the breast: the surgeon needs to know what your goal size is, and based on your input, he or she can tell you whether or not this is a reasonable goal given your breast anatomy and your overall body frame
2) amount and quality of your breast skin: this will help determine if the skin will tolerate a particular sized implant or if some skin needs to be removed
3) position of the nipple: in some women, even after children and breast feeding, the nipple position is still ok; but in other women, the nipple may need to be elevated (lifted)
With these principles in mind, the surgeon will be able to offer you either an augmentation alone, a breast lift, or a combination of the two. He will be able to review with you the pluses and minuses of each option, and put together a plan that meets your goals. Needless to say, this takes a fair amount of skill and experience, so it is very important that you seek out a Board Certified Plastic Surgeon in your area if you are considering breast rejuvenation.
Best of luck,
What Goes Down Must Go Up - Turning Breast Deflation Into Breast Elation
Sorting out implants and lifts
The issues you describe are common in plastic surgery practices. There are basically 3 types of patients that come in for breast restoration after childbirth.
1. The first variety have well shaped breasts with the nipple areola well above the crease below the breast. These people have usually always been small and gravity and looseness have not affected them much. They can have a simple breast augmentation to get to their desired end point working with their surgeon to achieve the look they want.
2. The second type of patient has enough size in their bra when it gathers up the loose tissue. They are not looking to be larger. They can often be served by a breast lift without an implant.
3. The third and most common group are those who want an increase in size or volume (therefore needing an implant) and also need an elevation of the nipple areola to place them on the front of the breast mound (therefore needing a lift). There are several kinds of lifts that can be done and the amount of scarring required depends on how far up one needs to move the nipple to get to a youthful position.
Remember that implants DON'T lift the breast. I have yet to meet the patient who would be happy with their result if they had implants alone but needed a lift and didn't get one. I have pictures of patients who had that done by other doctors and not once have I met a patient who looked at those pictures and said they would be happy with that look just to avoid the scars.
Recent Breast Augmentation Reviews
Breast Augmentation Photos
Mommie Makeover for your breasts
The scenario that you describe effects millions of women across America annually and is one reason for the marketing phenomenon known today as "Mommie makeovers". Typically, correction of the condition that you describe requires both a breast lift and augmentation using implants. However, since you were excited about your "huge full boobs" during pregnancy, you might be a candidate for a large augmentation, which might correct your sagging without the "lift" part of the operation. If you are planning to have more children you may want to wait on any surgery at this time. Surgery may affect your ability to breast feed and the results of surgery may be affected by future pregnancies. Consultation with your board certified plastic surgeon will identify your needs and alternatives more specifically.
Perkiness is in the eye of the beholder
Perkiness is not an anatomical definition. What makes a breast look perky or saggy is deterined by a number of factors (i.e. location of nipple, amount of breast tissue below the inframammary fold, the degree of fullness or emptiness above the nipple, firmness of the breast tissue and skin, etc.)
What you shoud do is explain exactly what sort of breast you would like to your plastic surgeon, both in terms of volume and shape. Depending on what you have to begin with, you might need just a lift of sorts (there are many variations), just an implant (and there are many types) or a combination fo lift and implant. Be prepared to compromise. If you canachieve the look you want in a bra, you might just need a lift that tightens the skin. If you feel empty or loose in a bra, you probably need an augmentation.
Implants + a possible lift
The best option to give you higher fullness is to get high profile saline implants. Whether or not you need a lift will be completely dependent on your current breast tissue. Without looking at where you are now and where you want to be, it is impossible to tell exactly what size implants or if a lift is necessary.
But for starters, Saline will give you a rounder and higher profile than Silicone. Plus, you can choose to do a low, moderate or high profile of Saline as well. A high profile saline implant is going to give you full, rounded breast that sits higher than a Silicone implant will.
The best thing to do is talk with a plastic surgeon who has bras that you can try that simulate different sizes of implants. This will allow you and the doctor to see what you are thinking, rather than just trying to describe the results that you want.
Breast augmentation surgery.
It is very common in pregnancy that you will go up a cup size or two. Depending on several factors (like weight gain, weight loss, response to hormones, breast feeding), some women's breast will sag or droop significantly after. In order to restore lost fullness to the upper part of the breast, an augmentation is the only thing that will restore that volume. If you have a lot of sagging however, you will need (or at least you should consider having a breast lift at the same time of your augmentation). Implants by themselve will not lift a sagging breast, they just make them bigger, but they remain somewhat saggy. So it really depends where your breast sit on your chest. If you are borderline, then an augmentation is usually suffcient without a lift.
Perkier, Fuller Breasts and How To Get Them
It depends on what type of breasts you have before surgery. If you have small, non-ptotic breasts then an implant is sufficient. If you have minimal breast tissue and no ptosis, which means that your nipple position is in a good position in your bra then you can use implants alone. If you have sagging breast tissue with breast ptosis then you need a combination of a breast augmentation with a lift, called an augmentation/mastopexy. It is difficult to give perkier, fuller breasts with a mastopexy, or breast lift alone without using an implant or autologous fat augmentation of breasts/fat injections of the superior pole which gives you long lasting fullness.
Getting bigger, perkier breasts
Getting bigger breasts and getting perkier breasts may require different procedures, especially if you have had kids. Often after having children, breasts have excess laxity. Excess laxity is often best corrected by a breast lift, while breast augmentation is performed to increase breast size. Getting an excessively big implant to help correct some of the excess breast laxity is usually not a wise decision as the two procedures are designed to accomplish different things. So have a careful and throurough discussion with your plastic surgeon about your breasts and your goals and make sure to get the right procedure or set or procedures.
All the best,
Web reference: http://aaaplasticsurgery.com
Fuller , perky breasts with breast implants-results vary-depends on skin excess, position of nipple
Your question is a good one. It is a common dilemma and it is one of the most difficult situations, as a surgeon to explain to a patient, in my experience. I have a lot to say about it, so sit down now, as my intent is to explain the logical, scientific and aesthetic considerations that must be addressed. The decision of--breast augmentation alone vs. breast augmentation and simultaneous breast lift (mastopexy), are dependent on some key issues which I will outline below, and which I address with all of my breast augmentation (and potential breast lift) patients:
1. I assess the breasts and ask---are the breast truly sagging, i.e.., ptotic... i.e.. are the nipple-areola low, below 22 cm to 25 cm by breast measurement of (SN:N) position from the manubrium, i.e., center of the clavicle?
2, I assess--- is the breast skin, especially the lower pole skin ( below the nipple areola), excessively stretched and droopy...with the nipple/areola at a normal position--a condition known as pseudoptosis?
3. I assess--what size breasts does the patient want, if she has excessive skin--and--are the nipple-areola low or borderline-low? If the patient has excessive amounts of lower breast skin that hangs, yet the nipple areola is normal in position, the patient may benefit from an excision of lower pole skin along the inframammary fold, and not need to have the nipple areola moved, avoiding the circular peri-areolar scar and vertical scar of the classic breast lift (sometimes referred to as an "anchor" scar).
4. If the lower pole skin is not that relaxed/stretched, but the nipple is slightly low, then the patient may benefit from a conservative peri-areolar breast lift, raising the nipple areola "north" or "up" and then using the implant to fill the breast and assist in breast elevation by addition of upper pole breast volume. Additionally, the patient may also benefit from just a breast augmentation alone, and not even need a lift of the nipple areola. The volume of the implant may inflate the breast enough to give it a lifted appearance and this fullness may also lift the nipple areola or give the 3-D "image" of a lifted nipple areola (despite, the fact that if you measured the position of the nipple-areola, it is in the same position or maybe even lower, than the pre-operative position!).
5. If the patient has a normal nipple areolar position, (18-22 cm from the manubrium), yet "looks" droopy because of relaxation of the breast skin and loss of breast volume, then a simple breast augmentation may provide enough volume to give the appearance of a lifted, perky breast, simply by filling the breast with volume, correcting the pseudoptosis with the sole use of a breast implant, not needing any type of breast lift and precluding excessive breast scars.
6. If the patient has excessive skin, empty breasts, low nipple areola--somewhere below a measurement from the manubrium of 26 or lower (SN:N 26 or lower), then the patient may benefit from a full breast lift (mastopexy) at the time of the breast augmentation. This would be the classic breast lift scar, which involves a circular scar around the areola, a vertical scar and a limited inframammary scar.
7. If the patient is adverse to having a mastopexy scar and the breast has limited ptosis (nipple areola lower than 22 cm but not as low as 26 cm), and some volume to the breast tissue---a breast augmentation alone can be done (no breast lift). I would highly recommend placing the implants on top of the muscle, beneath the breast tissue, to allow the implant to be in the natural position of the relaxed breast/skin brassiere. In this way, the breast will be filled, but the breast will appear full, settled, pendulous, "mature" and "heavy", but a good bra can give the patient the lift they want when they are wearing clothing. Many women are happy to have a full breast that is lower than the "ideal, youthful" breast. They are happy to have the breast full and do not use the word "perky". These patients may be very satisfied with just a breast augmentation and not want or need to have a breast lift.
8. Another interesting situation, is when a patient insists that the implant be placed below the "muscle" (pectoral muscle). Many patients have read from various sources, including the internet, and/or talked with friends/family members who have had sub-pectoral breast augmentation,and they are informed of the advantages of sub-pectoral placement, but they do not understand and may not have been "educated" about "their" individual anatomy. That is, the patient with true breast ptosis (droopy breasts, with low nipple-areolar position), will not be a good candidate, and could even be severely distorted from an attempt to place the breast implant below the muscle. This would create a distortion of the breast, and the breast could actually droop over the sub-pectoral implant, which may appear as a bulge in the upper part of the breast, leaving the droopy bottom half of the breast empty and deflated.
Most important to note, is that It takes time for a plastic surgeon to give a thorough consultation to a patient and educate them of their choices, their individual and unique anatomy and then put this into perspective, letting them know what choices are best for their anatomy. It is not all visual-- it is also mathematical, as there are normal mathematical and geometric relationships that make a breast beautiful (as well as a face beautiful).
I tell patients I am not a wham bam breast surgeon, and all patients in my practice are measured before they undergo any breast surgery. The patients need to know about their anatomy and how their anatomy often defines what can be done to enhance and beautify the breasts. All patients should take their time and find a surgeon who will spend the time with them, measure their breasts, and then explain to them the surgical options that are best for them, customized to their body and unique anatomy. I could go on even further, but I hope this gives you an idea of how complex, yet exciting and unique breast surgery is, in the hands of a careful and thoughtful plastic surgeon, and a well -informed and realistic patient. This is an important and exciting operation that can have very powerful and positive consequences on a woman's self esteem, so I encourage you to take your time and find a great plastic surgeon who will do the best operation for you. Christine Petti, M.D., F.A.C.S., Los Angeles, CA
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.