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Is It Possible to Have Breast Implants and Lift to Achieve a B Cup?

asked 2 years ago by calisa in South Florida
Latest answer by Michael Law, MD
Question viewed 1,113 times
Tags: asymmetry, ptosis, weight loss, 200-249cc, A to B cup

Due to weight loss in the early 2000's, I dropped from a C to A/B cup. I have moderate ptosis and noticeable asymmetry. My surgeon explained that due to my small size, I will need Breast implants with the Breast lift.

I absolutely, positively, want to be no larger than a "B" cup. Is it possible for the lift to reduce me to an A then have the implant increase me back to a B? Am I looking at a 150cc or 200cc implant in this case? Are surgeons generally open to placing such small implants in patients?

19 answers to Is It Possible to Have Breast Implants and Lift to Achieve a B Cup?

Breast asymmetry corrected with lift and small implants.

Hi. 1) In New York City, we see your problem all the time. You can expect major improvement. 2) Most women need a breast lift with a circular scar around the nipples, and different sized breast implants. 3) Without seeing you, I would guess 100 cc's in the larger breast and 150 cc's in the smaller breast. You can certainly be a B cup, and you are wise not to go too big.

George J. Beraka, MD
Manhattan Plastic Surgeon

Small size after implants and lifts

Of course we don't know what you look like with no photos but if you are so fixated on a cup size rather than a look, I would suggest you do the lift first with no implants using an auto-augmentation technique. If you get enough from that to be happy you are done. If you need an implant after 4 months of healing, at least you will know you needed it. 150's are too narrow for most people but you can go with the narrowest ones like a 200 that would reasonably fit your chest wall dimensions. more

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon

Breasts after weight loss

Calissa, You may not even need the implant. It sounds like you have a nice amount of breast tissue and really don't want implants. If you are doing a significant reshaping of your breasts with the lift then I would recommend you doing that first. It is a significant decrease in volume to go from a C to an A or an A/B. We all may be talking about different volumes in breast tissues but one thing is for sure, you don't drop a cup size by doing a mastopexy if that isn't your goal. If in a bra... more

Ricardo A. Meade, MD
Dallas Plastic Surgeon

You may do well with a breast lift alone

I would recommend performing the lift alone first. A well- performed lift makes the breasts more round and higher on your chest. By "collecting" your existing breast tissue, it can give the appearance of larger breasts, a concept called "auto-augmentation". This approach would also avoid nipple misplacement and other risks associated with performing breast augmentation with implants and lifting at the same time. The long term problems of implants would be avoided... more

Jeffrey Horowitz, MD
Baltimore Plastic Surgeon

Simultaneous breast lift and implant placement could be the best option for you

Hi, Without seeing photos of you, it's hard to answer your question with complete certainty. That being said, with your extreme weight loss, it's very probable that you lost a considerable amount of volume from the upper portions of your breasts. Most surgeons believe that restoration of upper pole volume is best accompished with a breast implant. Again, without examining you, it's hard to know if I agree with your surgeon's recommendations, but his rationale undoubtedly was that mastopexy... more

Sam Jejurikar, MD
Dallas Plastic Surgeon

Breast Implants and Lift

You seem to have three problems, size, asymmetry, and ptosis. To correct all these problems will generally require a mastopexy (lift) with an asymmetric augmentation (implant). If you are very satisfied with the size of one breast, you may be able to augment only one side, but, usually, both sides are augmented to give equal fill superiorly. You will not need the implant to increase your breast back to a “B” cup, since the lift will not reduce the size of your breasts. Most good... more

Robert T. Buchanan, MD
Highlands Plastic Surgeon

Breast implants with breast lift after weight loss

It would be great if we had something other than the cup size system to discuss breast size, since it is so variable. No one can guarantee a specific cup size so we have to go on the "look" of a B cup, meaning that you don't want to be bigger unless it is necessary for shape. Implants are certainly not a requirement, and if they are recommended then the size is something that you work out with your surgeon. Small implants such as 150 or 200 cc are not typical but the final choice... more

Richard Baxter, MD
Seattle Plastic Surgeon

Breast Lift and augmentation for small, natural looking breasts

I encourage women who are investigating breast augmentation to consider a breast implant size that will help them 'fill out clothes better' and improve the overall proportions of their body, not one that makes them look like "the gal with the boob job". For you, that may mean "b" cup. That is not all unusual in my practice. After one or more pregnancies, or significant weight loss, most women experience a loss of breast volume combined... more

Michael Law, MD
Raleigh-Durham Plastic Surgeon

michaellawmd.com

Breast lift and augmentation

Weight loss can change the body in so many ways. Your breasts may have been full before and now have a deflated look. If this is the case your surgeon is trying to give your breast some volume and improve the sag. It is not impossible to be a B cup with a breast augmentation and a lift. Talk with your surgeon about your expected results and why he suggests those two surgeries, explain to him your concerns.

Joseph G. Bauer, MD
Alpharetta Plastic Surgeon

Breast augmentation with a combined breast lift

Achieving the results you want from breast surgery depends a lot on communication between you and your surgeon, and specifically talking about the size, shape, and look you are going for. It's hard to know if what you want can be achieved without an exam, but in general I would think what you are describing can be done, and in fact using smaller implants has some advantages in this type of procedure compared to using larger ones, and your surgeon will certainly go over those with you.... more

Shahram Salemy, MD
Seattle Plastic Surgeon

Breast Lift and Implants

It is impossible to tell what you can achieve without examining you or atleast seeing some pictures. You also need to be open to the idea of achieving nice small breasts and not be so fixated on the cup size. Most women out there are wearing the wrong cup size anyhow. So to say that you absolutely dont want to be larger than a B, you will be disappointed later on. This procedure is an art and not a science and predicting exact bra size is impossible.

Farbod Esmailian, MD
Orange County Plastic Surgeon

Breast lift or Augmentation for asymmetry and sagging

Without an examination or at least, several photographs it is impossible to give you but a generalized set of opinions which may or may not be applicable to you. First - if you like your current bra cup (despite the sagging) then, a Breast Lift ALONE (especially a short scar Hall-Findlay type procedure) would give you the perky breasts you are looking for. In the unlikely event that you realize a few months from now that you want MORE volume, you could have a Breast Augmentation at a... more

Peter A. Aldea, MD
Memphis Plastic Surgeon

Breast reduction, lift and augmentation with an implant

This is certainly possible and you should discuss your concerns with your surgeon. The breasts can easily be reduced and lifted followed by augmentation with a small implant.

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Breast Lift with implants

The size of the breast implant depends on your measurements, specifically the base width of your breast. The volume the implant you choose depends on the profile of the implant. If you are wanting a one cup increase in size (A to B) then a low profile (Allergan) or moderate profile implant (Mentor) would probably be the best choice. While implants can give a "lift" by restoring volume and filling out the skin envelope of the breast, you will probably need an additional incision to... more

John Burns, MD
Dallas Plastic Surgeon

Breast lift and implants

A breast lift and implant placement can be performed to give you a modest improvement. You can easily get into a "B" cup. Discuss your concerns with your surgeon.

Steven Wallach, MD
Manhattan Plastic Surgeon

Breast Implants and Lift to achieve a B cup

Yes it is possible in the Internet cyber space, but without photos how can we, the experts, give you a definitive answer. My guess is yes so go see 3 boarded plastic surgeon for their opinions and be sure to have a mammogram. Regards.

Darryl J. Blinski, MD
Miami Plastic Surgeon

Implants and Lift after Weight Loss

I agree with Dr. Rand that it would be prudent in your case to initially undergo a breast lift alone since you absolutely want a relatively small cup size. You can always have a small implant placed at a later date if you feel that your breasts are too small. In addition, it is somewhat safer to have an augmentation and a lift performed as staged procedures, especially if your degree of ptosis is significant.

John Whitt, MD
Louisville Plastic Surgeon

Simultaneous breast implant and lift to remain a B cup

It is very common to undergo both procedures at the same time. And most plastic surgeons should not be opposed to using a small implant to only go up to a "B" cup. If you see a plastic surgeon who tells you to go bigger than a "B" cup you should go to see a different plastic surgeon. I agree that the size range of 150-200 cc in most cases will give upper pole fullness back without increasing your size by much.