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Do I Need a Breast Lift with my Augmentation?

asked 1 year ago by plasticchick
Latest answer by Joe Gryskiewicz, MD
Question viewed 1,168 times
Tags: age 18-24, asymmetry, lift

im 20. im currently 7 months pregnant. i plan on getting breast implants about 3/4 months after pregnancy. my breast are a little bigger than what they usually are (of course because im pregnant) but they are still the same shape as what they were pre pregnancy. i know the only way to know for sure is to wait until after i have my baby but i just wanted a GUESS of what i might need. i have asymmetry. does it cost extra to fix that? and do i need a lift or just the implants?

18 answers to Do I Need a Breast Lift with my Augmentation?

+2

Breast Asymmetry and Constriction

Your breasts have a shape that requires reshaping to release the relatively narrow base (the area where the breast connects to the chest). Implants will help with the volume and shape, but the results will not look right without a Mastopexy (breast lift) to reshape the breast gland and skin.
Paul C. Zwiebel, MD

Denver Plastic Surgeon
+2

Lift (mastopexy) vs. no lift with breast augmentation

You appear to have a tight lower pole and large areolae.  It may be best to perform a specialized type of lift to minimize the lower breast tightness but reduce areolar size while doing the breast augmentation. Breast augmentation / lift surgery is tricky surgery, particularly when both the lift and the augmentation are performed at the same time, so experience is a must.
Brent Moelleken, MD

Beverly Hills Plastic Surgeon
+1

Breast Lift

You have a variant of a Type II Tuberous breast, but the truth will be told once you have delivered and the tissue settles back to normal. I see from your post you asked 14 months ago, so if you are not breast feeding and things have settled down, and you are not planning on having more children, then this would be a good time to reevaluate the situation. Your left nipple is well above the crease, and so is your right. If they both stay elevated, you might be a good... more
Joe Gryskiewicz, MD

Minneapolis Plastic Surgeon
+1

Breast Implants and Breast Lifting?

Thank you for the question and pictures. It is very likely that, after pregnancy and/or weight loss, you will benefit from breast augmentation and mastopexy surgery. Your breasts do demonstrate characteristics of constricted/tuberous breasts and some degree of experience will be helpful to achieve the best results possible in your case. The combination of breast augmentation and breast lifting will serve to raise the breasts, improve the symmetry of the breasts and... more
Tom J. Pousti, MD

San Diego Plastic Surgeon

www.poustiplasticsurgery.com

+1

Breast lift with implants can result in excellent correction of severe assymetries

Your breasts have significant asymmetry due to a tight, or constricted inframammary fold, so it will be necessary to perform a lift, as well as placing different size implants. The implants may be placed above or below the muscle, depending on your surgeon’s experience and comfort level with each of these
W. Tracy Hankins, MD

Las Vegas Plastic Surgeon
+1

Breast Aymmetry during pregnancy may become worse after pregnancy

The simple answer to your question is that it probably will cost more than just implants because implants alone are not likely to treat the asymmetry. IT is impossible to predict the amount of change you will experience with lactation as well. Depending on how different they are after pregnancy measurements (of the degree of volume discrepancy, nipple and inframammary fold dystopia, nipple to crese distance, sternal notch to nipple distance, etc) will determine the best procedure for... more
Otto Joseph Placik, MD

Chicago Plastic Surgeon
+1

Breast lift with augmentation

I agree with the answers that indicate you have a constricted type breast (not tuberous) with volume and possibly positional asymmetry. I also agree that this could change through pregnancy and breast feeding. At the current level you do not need a lift (mastopexy) and if the volume difference can be handled by different volume implants, then the procedure is still a breast augmentation and shouldn't cost more. However, with a constricted base breast and possible nipple-areola... more
Scott L. Replogle, MD

Denver Plastic Surgeon
+1

Breast asymetry

Your picture suggest that you have tuberous breast but the picture is not that good. Measurements would help as would an exam. If you were to have surgery now this is not a routine augmentation and in this case it would cost more , a Mastopexy type procedure may be needed. After pregnancy the breast will change but it will not make the breast enhancement easier. You should probable enjoy your new baby and worry about the breast a few months after the birth or if breast feeding a few... more
Walter D. Gracia, MD

Arlington Plastic Surgeon
+1

Breast Enhancement after Pregnancy

Hi Daisy- In regards to your question:  im 20. im currently 7 months pregnant. i plan on getting breast implants about 3/4 months after pregnancy. my breast are a little bigger than what they usually are (of course because im pregnant) but they are still the same shape as what they were pre pregnancy. i know the only way to know for sure is to wait until after i have my baby but i just wanted a GUESS of what i might need. i have asymmetry. does it cost extra to fix that? and... more
Armando Soto, MD

Orlando Plastic Surgeon
+1

Breast Lift with or without Augmentation?

Regarding:  "im 20. im currently 7 months pregnant. i plan on getting breast implants about 3/4 months after pregnancy. my breast are a little bigger than what they usually are (of course because im pregnant) but they are still the same shape as what they were pre pregnancy. i know the only way to know for sure is to wait until after i have my baby but i just wanted a GUESS of what i might need. i have asymmetry. does it cost extra to fix that? and do i need a lift or just the... more
Peter A. Aldea, MD

Memphis Plastic Surgeon
+1

Why are you worrying about this now

Dear Daisy, why are you worrying about this now.  Your breast size and shape may change completely after childbirth and possibly breastfeeding.  I would not even attepmt to make an assessment at this time.  Come back to us 3 months after you give birth and have stopped breast feeding.  Then we can talk.  Congratulations and enjoy the new baby.
Steven Schuster, MD

Boca Raton Plastic Surgeon
+1

Breast Lift with Augmentation

Without examining you, it is difficult to know if you will need a lift.  You will definitely need different size implants to help improve your symmetry.  Good luck with your procedure.
David Shafer, MD

New York Plastic Surgeon

www.ShaferPlasticSurgery.com

+1

Breast augmnetation and lift for constricted breast patients

Based on the photo you included- I believe you'll need a bit more than a straight-forward breast augmentation. You have a moderately constricted breast and some volume and breast position asymmetry. Seek out a plastic surgeon with the confidence and case numbers to do this complex case- In these cases, I recommend a peri-areolar concentric mastopexy with Goretex suture, dual plane silicone breast augmentation, and expansion and lowering of the infra-mammary fold. Check the attached... more
Scott Sattler, MD

Bellevue Plastic Surgeon
+1

Beast lift with augmentation

It is quite clear from your photographs that you have a complicated surgical case. You appear to have a smaller, constricted type breast as well as asymmetry and a wide distance between your breasts.  You would need a small lift, reduction in the size of your areolae, adjustment in the shape of your breasts, adjustments in the fold, likely different implants and you will need a final opinion after the completion of your pregnancy and breast feeding.  Choose a board certified... more
Vincent P. Marin, MD

San Diego Plastic Surgeon

www.marinaesthetics.com

+1

Breast implants after pregnancy

As you seem to already know your case is not simple or straightforward. You currently have assymmetric breasts without cleavage and may have inframammary creases at different levels (I can't tell this from this photo). What can definitely be said from this photo is that: you will need a different sized implant in each breast to achieve better right left symmetry you will not have cleavage after breast augmentation because you do not have it before breast... more
Aaron Stone, MD

Los Angeles Plastic Surgeon
+1

Breast lift and augmentation

First, I would wait to be evaluated after pregnancy and after the weight from pregnancy has been lost.  I would also wait a few months after the breasts have involuted.  You  may need a lift with an implant, and then again you may not.
Steven Wallach, MD

Manhattan Plastic Surgeon
+1

Breast Lift with Augmentation

To perk up a drooping breast, your surgeon will remove excess skin, reposition the nipple, and redrape and tighten the remaining skin to support the breast. The areola may also be reduced in size. A mastopexy (breast lift) raises droopy breasts from one to several inches and excess skin is removed. If you're sagging or asymmetrical, and are looking for perkiness, you'll need a lift--or, if you also want more volume, a lift and implants. A breast lift raises droopy breasts from... more
Michelle Copeland, MD, DMD

New York Plastic Surgeon
+1

Breast Asymmetry

MissDaisyShay- Thanks for the photo...pictures are worth a thousand words! Obviously you have a lot going on right now, congratulations! You will notice changes, as you have, as your pregnancy progresses, and when the baby is born...volume expansion with engorgement, skin stretching, changes with breast feeding, hopefully no issues with mastitis, and finally retraction and deflation afterward. As such, you are right, it is best to wait for these changes to subside in the 3-6 moths after... more
John Philip Connors III, MD

Atlanta Plastic Surgeon

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