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If I'm Having a Lift with Breast Augmentation Should I Go Up in the CCs as Well? (Photo)

asked 8 months ago by KSMOM4 in Hutchinson ks
Latest answer by Gary M. Horndeski, MD
Question viewed 469 times
Tags: cc, D to DD cup, lift

Im 23 and have had 4 kids (last pregnancy was triplets) Ive consulted with dr about some lipo and doing breast augmentation and was recomened to have a breast lift. I curently am 195lbs and stand at 5'11. I have a bra size of 38d. Im wanting to be in the upwards area of a DD. Id rather be a little bigger than smaller and not sure if getting a larger cc in the 450-550 range would work when getting a lift as well? I want them to not look to fake.

16 answers to If I'm Having a Lift with Breast Augmentation Should I Go Up in the CCs as Well? (Photo)

Implants with a lift

First lets say that looking natural is a personal opinion and varies from person to person. I would say that if you are already a D cup, that placing the size implants you are stating will likely end up larger than a DD and also will likely not stay under the muscle for long due to their size and weight. These are things you need to discuss with your surgeon prior to undertaking those choices. When in doubt, the implant can always be placed at a later date so that appropriate sizing can be done. more

Julio Garcia, MD
Las Vegas Plastic Surgeon

Mastopexy

I think you have a good and enough volume from your own breasts, if all lax skin goes away with the appropriate technique the breasts will lift up and will look like having an augmentaion without implant. If you look at your numbers , you are already on D size, and you are looking for one more size up, so you don't need to have that much of CCs to get what you want. Reshaping the breast with mastopexy with no tissues ( only skin) resection will give a great young shape breast... more

Fatema S. Alsubhi, MD, SSC-plast
UAE Plastic Surgeon

Breast Augmentation/Lift

You plan to have a breast lift and augmentation sounds great for you. The lift will move your nipple back up to the middle of your chest and implants will give you great cleavage and roundness at the top of your breast as well as achieve your goal of a bigger cup size. Good luck!

Bivik Rajnikant Shah, MD
Columbus Plastic Surgeon

Should I have implants as well as a breast lift?

I would advise you to just have the lift in the first instance. It will not change the cup size of the bra but your breasts will sit higher on your chest and will feel fuller. A 450-550cc implant will significantly increase your cup size and all implants bring with them potential complications. If you feel that you are lacking in volume after the lift, then you can have implants. I often do implants and a lift in one go, but in your case, I would advise you to stage it... more

Jonathan J Staiano, MBBS
Birmingham Plastic Surgeon

Breast implants and lifts

One undeniable fact especially when considering breast implants and lifts is that the problems with this surgery almost always come from the implants and the bigger you go the more problems you will have. So stick to the smallest implant that will still give you enough volume to make you happy. Bigger isn't always better.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon

Breast lift with implants

Dear KSMOM, I highly discourage you from having implants in addition to a lift. Implants with time and regardless of size and placement will always stretch tissue and make things worse than what you have now. I believe you will greatly benefit from a new technique called the Ultimate Breast Lift. This technique will reshape your breasts and give them a firm and perky 'implant' look. But, the most attractive part of this procedure is that there are NO VERTICAL SCARS. The scars are... more

Gary M. Horndeski, MD
Houston Plastic Surgeon

Breast lift and implant size

In general, when a breast is lifted properly it looks bigger even though the volume didn't increase. From a mechanical (fitting) perspective, implants done with a lift (mastopexy) should be smaller (both in width and forward projection) than in augmentation alone. In your situation I would strongly advise against any implants put in at the same time. You are asking for problems of size, shape, weight, and secondary surgery by lifting and augmenting breasts that are already D cup size. Do... more

Scott L. Replogle, MD
Denver Plastic Surgeon

If I'm Having a Lift with Breast Augmentation Should I Go Up in the CCs as Well? (Photo)

Your questions are very hard to advise over the internet. If you truly desire a larger/lifted breast than a combination of at least 350 cc + lift can be done. But why not do the full lift first operation, allow healing. Than see if you desire a larger result with an implant. Just a thought.

Darryl J. Blinski, MD
Miami Plastic Surgeon

Breast lift and breast implants.

The combination of a breast lift and breast implants requires careful thinking. They are separate operations working against each other. If you have plenty of breast volume, which you do, a breast lift may be all you really need. Many patients with sagging breast ask for implants because they want firmer breasts. Breast implants may give more firmness, but using breast implants should be if you desire larger breasts. You already have nice volume, I would be very... more

Steven S. Carp, MD
Akron Plastic Surgeon

www.carpcosmetic.com

Breast lift with implants

Your surgeon is the best person to talk with about the size of implant that you choose. That being said, based on your measurements and photograph, 45-550 cc implants should easily take you up to a DD cup size. Obviously, the larger you go with implants, the more fake they will look. You do have some asymmetry of your nipples which may be why your surgeon recommended a lift at the same time. You don't appear to have much sagging on the right and a little more on the left. Just... more

James McMahan, MD
Columbus Plastic Surgeon

Breast Lift With An Augmentation in D Cup Breasts

Anyone who undergoes a breast lift with an augmentation must do so cautiously. They need to understand that the two procedures are at odds with each other - it is like stepping on the gas and the break at the same time - the breast lift tightens the skin envelope, while the breast augmentation expands the breast envelope. And although it may look very good at first, you are at a very high risk of recurrent sagging, especially when you try to increase the volume from a D to a DD.... more

Gary D. Breslow, MD
Paramus Plastic Surgeon

I would recommend lift only at first

I would agree with other plastic surgeons. Your breasts are D size and you would need lift only. Implants will cause more sagging and you will have problems down the road.

Kamran Khoobehi, MD
New Orleans Plastic Surgeon

Questions about increased implant size

First of all, a "DD" or larger is not going to look exactly inconspicuous so your request to have your breasts "not look fake" is not a reality. The larger you go, the less natural your breasts will appear and the more obvious/blatant they will be to others. Another important consideration is that the larger you go in the size of the implants, the more and faster you will be dealing with untoward issues such as skin stretching and thinning out. This will be further... more

Steven Turkeltaub, MD
Scottsdale Plastic Surgeon

www.turkeltaub.com

Breast augmentation together with breast lift

If you visit enough surgeons and offer to pay enough money eventually you will find a surgeon who will do almost anything but that does not mean you should have it done. In my opinion you are currently heading down a path you will regret when you are older. You have some breast drooping which is understandable given your weight and history. I can assure you that if nothing else changes but your age the drooping will progress as you age. If you get implants placed under the muscle the breasts... more

Aaron Stone, MD
Los Angeles Plastic Surgeon

"I want them to NOT to look to Fake"

RE - "Im 23 and have had 4 kids (last pregnancy was triplets) Ive consulted with dr about some lipo and doing breast augmentation and was recomened to have a breast lift. I curently am 195lbs and stand at 5'11. I have a bra size of 38d. Im wanting to be in the upwards area of a DD. Id rather be a little bigger than smaller and not sure if getting a larger cc in the 450-550 range would work when getting a lift as well? I want them to not look to fake." I don't know what... more

Peter A. Aldea, MD
Memphis Plastic Surgeon

Breast implant size/cup size?

Thank you for the question and picture. The more breast surgery I do the more I realize that there is no correlation between the size or model (profile) of implant used and resulting cup size. This may have to do with several factors including: the amount of breast volume the patient starts with, the shape of the patient's chest wall (concave or convex), the type and model of breast implant selected (saline/silicone and low/moderate/high profile), bra... more