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Breast Lift and Augmentation for a 40yr Old, 5'4 and 130lbs

asked 1 year ago by alchemista
Latest answer by Tom J. Pousti, MD
Question viewed 547 times
Tags: age 35-44, C cup, options, technique

I fit into a 34c but am saggy. I've seen 3 surgeons:

Doc1:Full anchor bl+175-200cc saline
Doc2:Short scar bl+250-275cc silicone
Doc3:Aerola reduction+400-425cc silicone

I've decided on Doc2 as I am most comfortable with him. But I still need re-assurance w size.I felt the 200cc sizer was too small and the 225cc perfect. Doc recomended 250 left (which also needs reduction for balance) and 275 on right. I want the fullness of a full C but not too much projection. Appreciate your input

23 answers to Breast Lift and Augmentation for a 40yr Old, 5'4 and 130lbs

Which Breast Lift Technique To Use?

Without seeing your photos, it would be hard to offer any advice about which technique to use. That being said, you should choose a board certified (American Board of Plastic Surgery) who has documented experience in this procedure. Ask to see before and after photos. If it would help, you should ask to speak to a patient of the doctor to ask questions about the procedure, post-op course and results. Finally, you should feel comfortable with the surgeon you choose. Elective surgery is a big... more

Douglas L. Gervais, MD
Minneapolis Plastic Surgeon

www.mpsmn.com

Breast augmentation/lifting

Much of the final “look” achieved after breast augmentation/lifting surgery depends on several factors: 1. The initial shape, size (volume of breast tissue), symmetry of the patient's breasts. In general, the better the preoperative breast appearance the more likely the breast augmentation “look” will be optimal. 2. The experience/skill level of the surgeon is important in determining the final outcome. For example, the accurate and gentle... more

Tom J. Pousti, MD
San Diego Plastic Surgeon

www.poustiplasticsurgery.com

Expectations

It seems like you have done your homework and visited with several surgeons. Be confident in your choice and enjoy the changes that surgery can accomplish. Best of luck to you.

Marc Schneider, MD
Fort Myers Plastic Surgeon

Breast lift (Mastopexy)

All three docs may be offering a reasonable solution. Which one fit you best is difficult to say without seeing your pictures. However, when choosing your doc, make sure that he/she is a board certified plastic surgeon and that he/she was able to show you before and after pics of what to expect. Finally, as to the question of the size of the implant, you should have had an opportunity to try different implant sizers to see which one you really like. Any... more

Martin Jugenburg, MD
Toronto Plastic Surgeon

www.torontosurgery.ca

Keep the goal in mind for breast lift augmentation

You have three consultations with three very different recommendations that are all over the map. The most important consideration with breast lift and augmentation is a clear vision of the goal or 'look' of the procedure. Communication is the key and is confusing to me how after careful consultation one suggests an anchor lift with a 200cc implant, and another a round block lift with a 400cc implant. If your message is not clear and consistent the result is up to chance. Best of... more

Peter E. Johnson, MD
Chicago Plastic Surgeon

www.peterejohnsonmd.com

Short scar mastopexy versus anchor pattern scar

Hi Alchemista, I am glad you are doing your research and asking questions BEFORE you make a final decision. Without photos and knowing the implant styles it is a little hard to be precise with answer. Also, we need to know what bra size you are now. However, in general I agree to NO to #3. Peri-areolar only lifts are rarely successful and given the other 2 docs recommend more extensive surgery, my guess is that they are right. Personally I don't like... more

Tracy Pfeifer, MD
Manhattan Plastic Surgeon

drpfeifer.com

Breast augmention and breast lift together

It is great that you have sought out several different opinions. Breast augmentation and lift together is extremely complex with a fairly high rate of complications when done together (this is a national statistic). In general, if you really want to "play it safe" then simply do the two procedures separately. As much as any women may not ideally want two procedures, sometimes it is the safest way to go. Filling the breast out with added volume from an implant and... more

James F. Boynton, MD
Houston Plastic Surgeon

www.BoyntonPlasticSurgery.com

Breast lift and augmentation

It sounds like you have done your research. Augmentation mastopexy is challenging procedure so it's important that you feel absolutely comfortable with your choices. The implant size is dictated by your desire for size but also by your breast dimensions. Don't hesitate to discuss implant choices again with your surgeon. Enjoy your new breasts!

Nia Banks, MD, PhD
Washington DC Plastic Surgeon

www.drbanksplasticsurgery.com

What procedures and sizes are best for breast lift and enlargement

Without providing photos, any recommendation or concurrence with one of your physicians would be pure and unhelpful conjecture. The correct answer may not even be any one of these. An examination would provide the best determination including for the implant size. Peri-areolar lifts rarely provide the appropriate shape; vertical lifts also have limitations. It is even possible that a modification of the anchor shaped scar may provide you with the best overall outcome. You may... more

Steven Turkeltaub, MD
Scottsdale Plastic Surgeon

www.turkeltaub.com

Breast Lift and Implants - Size, Incisions, Scars, etc

Hi alchemista There are obviously no absolute answers to what you're talking about. However, in my experience, I would say the following: 1) Very few patients think their implants are too large; many patients wish they had gone a little larger 2) Most women who have a lot of sagging are not as large (cup-wise) as they say they are; instead, they need a larger bra cup to hold the excess and loose skin. If you look at the actual breast tissue size (ie,... more

Alan Engler, MD
New York Plastic Surgeon

Breast Lift and Augmentation

Hello Alchemista, If you've made your decision on your doctor, than you should discuss implant size issues with him. Having said that, I have some concerns. The reality is that you really don't have a choice about what breast lift you should get. One type of breast lift cannot do the same things to your breasts that another type of lift might, so really your 'breasts' should make the decision. The type of breast lift for you should not... more

Gerald Minniti, MD, FACS
Beverly Hills Plastic Surgeon

Breast Lift with Augmentation

The fact that you have seen three different surgeons with three different opinions is not terribly surprising. There is no exact science involved. Photos would have been helpful. I feel that you can best select the size of your implants, but I also would favor silicone over saline. I am usually not a proponent of a periareolar mastopexy because of the potential for widening of the scar. You mentioned being more comfortable with one surgeon; I think this is very... more

John Whitt, MD
Louisville Plastic Surgeon

Breast Lift and Augmentation for a 40yr Old, 5'4 and 130lbs

If you have 34C then the lift will probably reduce you to a B cup . If you desire a full C cup you will require 1 and 1/2 cups upgrade therefor between 200-250 cc with ultimately final decision intra operatively with the appropriate sizers.

Erel Laufer, M.D.
Tampa Plastic Surgeon

Breast size vs. breast implant size

There are really 2 questions here the first being implant size and the second being pattern/size of skin excision for the lift. You appear to be hapy with the lift advice and without a photo or examination there is no way for me to broach the subject of a lift. In general the more nipple elevation that is required the bigger the skin excision and resulting scar that is required. The best advice I could give your here is have your surgeon draw out the planned skin excision and pull this skin... more

Aaron Stone, MD
Los Angeles Plastic Surgeon

Breast Augmentation and Lift

Without a photo, it is impossible to give you advice. However, limiting the amount of lift in a circumstance where it is needed (and with this range and your description it probably is), a small areolar lift is likely to fail. A vertical lift is a powerful procedure in all but the most severe circumstances. Communicate with your surgeon as to your ideal goals, and the implant volume is quite variable so this forum is not the best circumstance to make that decision. Sizing... more

Vincent P. Marin, MD
San Diego Plastic Surgeon

www.marinaesthetics.com

Breast lift-augmentation

If you have chosen a plastic surgeon, listen to what he/she says. You can discuss things you hear on the website, but it is not fair to him/her to doubt his/her opinions. None of us have had an opportunity to examine you. Information gathered here in the face of your already choosing a surgeon can only cause more confusion and misinterpretation.

Robin T.W. Yuan, MD
Beverly Hills Plastic Surgeon

Breast lift and augmentation planning

I've done several peri-areolar breast lifts in combination with breast augmentation. 100% of the time, I think the patient would have had a better long-term breast shape with a vertical breast lift. My bias at this point in my career it to offer vertical lifts to anybody with glandular ptosis. A peri-areolar lift just has no ability to correct this problem.

Scott Sattler, MD
Bellevue Plastic Surgeon

Breast lift and augmentation

Choosing sizes for breast augmentation is not an exact science and even more complex when doing and augmentation/lift together. Preoperative sizing exercises may be helpful and eliminate some sizes, however, intraoperative sizing may also be important to finalize the size at the time of surgery. It is difficult to make recommendations on types of lift without photos and assessing the quality of your tissues on physical exam. These are judgment calls as... more

Stephen Delia, M.D.
Boston Plastic Surgeon

Breast lift options

This is what makes it so interesting. Three surgeons, and three different opinions. You can get a nice result with each one. It is all a matter of personal taste. Remember all artists are different.

Steven Wallach, MD
Manhattan Plastic Surgeon

Breast Lift and Augmentation for a 40yr Old, 5'4 and 130lbs

GREAT posting but you forgot the most important post = "the frontal photo"! Very hard to advise but I think "DOOR #2" is a good option. Please post a photo for better input. From MIAMI

Darryl J. Blinski, MD
Miami Plastic Surgeon

Breast lift options

Its difficult to determine the appropriate lift for you without pictures or a physical exam. In short, you can look at lifts as follows 1. Implants alone will lift the nipple 1-2 cm (depending on the size of the implant) 2. A circumareolar lift with implants will lift the nipple and breast 2-3 cm 3. A vertical lift (short scar) with implants will lift the breast more than the previous options 4. A full anchor lift (wise pattern)... more

Jason R. Hess, MD
San Diego Plastic Surgeon

Breast augmentation lift and implant size

It is difficult to determine the range of sizes best for you without examining and measuring you. However, in general, when combining a breast lift with and augmentation in the same procedure, it is better to go with the smaller range so that you don't put excessive tension your incisions. It's important to communicate your desires to your board certified plastic surgeon and that you are comfortable with the plan before proceeding. If you desire a slightly... more

Adam Hamawy, MD
Westchester Plastic Surgeon

Breast Augmentation

There is no way I could tell a patient a specific size until I am there doing the surgery. There are many factors involved in my decision. The way I have found to give my patients consistent results is to use intra-operative sizers. I actually place a breast implant inside the pocket and sit the patient up and take a look. That way I am confident the breast implant will fit and look great. Does your plastic surgeon use sizers. I do.