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Breast Implant Type with Lift for Upper Pole Fullness?

I need a breast lift and am concerned about the type of breast implant I should have. I am a full C and have laxity from weight loss. I only want to increase the cup size to a D but want the upper pole to be full and firm. I know that I will need by diameter measured first, but I wonder, what is the best implant type I should have to achieve a fuller upper pole?

Asked 30 months ago by Kate51558 in Philadelphia

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breasts sagging bigger

The type of implant you cshould choose depends on the width of your breast

You should choose an implant which will give you enough width to achieve medial fullness or "cleavage". From what you describe, I would usually choose the moderate plus, given the fact that you don't want to be that much bigger and your breast, having been large is proably fairly wide. However I would caution you that maintaining upper pole fullness has more to do with how the dissection is performed, and thus you choosing the right surgeon, than choosing the right implant. more

W. Tracy Hankins, MD

Las Vegas Plastic Surgeon

Breast lift and upper pole fullness

Kate51558 a good upper pole fulness can be achieved with a carefully designed breast lift alone. If you are interested in a very small increase in size, it may be possible to achieve that look and upper pole fullness with a lift alone. You may not need an implant at all. If you however do need an increase in total volume with the help of an implant, then you want a round implant, not a shaped/anatomic implant which has more fullness on the bottom than on the top... more

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Martin Jugenburg, MD

Toronto Plastic Surgeon

ASPS

Breast implants for upper pole fullness

Patients have many options when considering breast implants and their use with a breast lift. A breast lift will benefit from an implant when it is necessary to add fullness to the upper portion of the breast or to improve the cleavage. Keep in mind that the weight of a breast implant may accelerate the process of breast and skin sagging and may predispose you a breast lift surgery in the future. For this reason, it is important not to use an overly large implant. For the... more

B. Pat Pazmino, MD

Miami Plastic Surgeon

ASAPS ASPS

Upper pole fullness created by surgeon, not by implant.

Hi. I know exactly the look you want, and I hope your surgeon does too. Upper pole fullness after breast lift with breast implants is achieved by how the surgeon does the surgery. In New York City, we use round, smooth walled, moderate plus profile, cohesive silicone gel implants, but other implants can give you the look you want also.

George J. Beraka, MD

Manhattan Plastic Surgeon

ASAPS ASPS

Breast augmentation and upper pole fullness

This is an interesting question since you have lost some weight in the breast causing it to sag but it's still a C. Unfortunately, no matter how many people blog about this subject we could all be talking about a different thing. Your board certified plastic surgeon must evaluate you and see what his thoughts are on the lift with an implant. Many times a lift will achieve the more youthful breast that you seek. It will not give you any change in your upper pole fullness though. The breast... more

Ricardo A. Meade, MD

Dallas Plastic Surgeon

ASPS

What is the best Breast implant type with lift for upper pole fullness?

There are two issues here. The first is the type of implant to use for a lift. I have a preference for high profile implants because the higher projection of the implant helps pick up the slack of skin on the lower pole of the breast. Whereas the diameter of the implant is important, I think POSITIONING of the implant is much more important. Read my blog post link below, I have photos of 4 different patients with different implant positions relative to the chest. As you will see,... more

Ricardo Rodriguez, MD

Baltimore Plastic Surgeon

ASPS

Upper pole fullness and implants

You are correct that the base diameter is critical. The profile of the implant will determine how much fullness you get in the upper pole. Moderate looks the more natural, moderate plus has some extra push up look, and the high profile is the most dramatic potentially least natural look.

Richard P. Rand, MD, FACS

Seattle Plastic Surgeon

ASAPS ASPS

A breast implant and breast lift will never give you upper fullness

I have never been able to achieve - nor have I seen any other surgeon show long term photos of good upper pole fullness and firmness in any patient who has needed a lift/augmentation after significant weight loss. The skin is usually damaged and has lost its elasticity. Though early photos may show upper fullness, with time the lower breast stretches and the volume falls down and drops out of the upper pole. Sure, early results look good. But the larger and higher projecting the implant... more

Steven Teitelbaum, MD

Los Angeles Plastic Surgeon

ASAPS

Cup Size

It is very important to communicate your size goals with your surgeon. In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. I have found that the use of words such as “natural” or “C cup” or "fake looking" means different things to different people and therefore prove unhelpful. Also, as you know, cup size varies depending on who makes the bra; therefore, discussing desired... more

Tom J. Pousti, MD

San Diego Plastic Surgeon

ASAPS ASPS

Upper pole fullness and lift

The right implant fo ryou would have to be determined on exam in the office. Remember that all breasts loosen a bit and do not stay as high as initially placed.

Steven Wallach, MD

Manhattan Plastic Surgeon

ASAPS ASPS

Breast Implant and Upper Pole

I have to say first that you need to discuss all this with your plastic surgery and let him or her decide on the implant that works well for your body and desires. The definition of upper pole can be very varied. But in general the wider the implant the more cleavage you get and the fuller the breast is through out. Wider or moderate implants are more natural. As you go up in profile, the look before more un-natural and fullness is more concentrated in the central portion of your... more

Farbod Esmailian, MD

Orange County Plastic Surgeon

ASPS

Breast lift is critical issue

If you have had significant weight loss are still a C cup and need a lift, the breast lift procedure is the critical part of your surgery. You may need to separate the breast lift surgery from the implant surgery to get the optimal outcome. It is difficult to achieve long term upper pole fullness with a large breast no matter what implant you use. The heavier the breast, the more sagging you will have - specially if the skin tone is not good because of weight gain/loss or aging. So, discuss... more

Bahram Ghaderi, MD

Chicago Plastic Surgeon

ASAPS ASPS

Upper pole fullness is in the eye of the beholder

The reason you may see so many different opinions posted is because upper pole fullness is such a "relative" term. In general a higher profile implant will, by definition have more fullness(projection) than a moderate profile implant. Expectations are critically important. In patients with a history of significant weight loss it is not realistic to expect "the upper pole to be full and firm" long term. You may see results in the early period after surgery, with swelling... more

John E. Gross, MD

Los Angeles Plastic Surgeon

ASAPS ASPS

The best implant for you depends on your dimensions

We would need to be able to examine you and take measurements to best determine the right implant for you. I feel that a moderate profile implant provides a more natural look although I have obtained natural-appearing breasts with high profile implants as well. Schedule a consultation with a board-certified plastic surgeon where you can undergo an exam as well as to be able to ask all of your questions. Take care. Dr Edwards

Michael C. Edwards, MD

Las Vegas Plastic Surgeon

ASAPS ASPS

A moderate size implant will fill the upper pole

Upper pole fullness could be only acheived with adding an implant. Many factors have to be carefuly examined when a breast lift is to be performed with augmentation. The breast diameter must be taken in consideration, the skin stretch, the desired level of augmentation etc. A proper exam by a board certified plastic surgeon in addition to a sincere discussion of risks and alternatives over time should be done. To try to address your question in a broad manner. A round gel implant placed... more