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Breast Lift with Implants

asked 2 years ago by kimwhite in syracuse, ny
Latest answer by Lawrence Foster, MD
Question viewed 24,418 times
Tags: combination, implant, lift, symmetrical

What type and size of breast implant should I get? Do I need to get a breast lift with my implants? My goal is to have similar looking symmetrical breast. I would like them to be higher and a little bit bigger. Symmetry and a youthful appearance are my main objective. I have had several consults but given different suggestions. I am not sure what is best for me. I am 5'9 and I weigh 197 lbs. I have broad shoulders and wide hips. My breasts have deflated after having children. I plan to have breast augmentation soon.

25 answers to Breast Lift with Implants

+5

Breast Asymmetry

Breast Implants of different volume may improve breast symmetry. If the goal is to improve perkiness, a breast lift may also be very much in order. The key is that during the consultation process that the board certified plastic surgeon understand the patient's needs, objectives, medical condition, medical history, and lifestyle in order to recommend surgical solutions that is most appropriate for the patient.
Kris M. Reddy, MD, FACS

West Palm Beach Plastic Surgeon
+4

Breast implants and lifting

In some respects you don't have an easy starting point. First of all, you need an implant to add volume. However at your height and weight, a proper implant will be wide enough and have enough volume that it won't make you just "a little bigger." Rather, it will add probably 2 cup sizes. If you go with too narrow an implant, with the wide separation you already have between your breasts, you will wind up looking like two tennis balls with a mile in between. The implants should... more
Richard P. Rand, MD, FACS

Seattle Plastic Surgeon
+3

Breast lift with augmenation- breast implants

You have lost breast volume and have breast ptosis. Altough breast augmentation with breast implants will help to replenish your lost breast volume, you would also need a breast lift. Unfortunately, from your pictures, without an examination it is not possible to tell you what type of breast lift you will need.
S. Sean Younai, MD

Beverly Hills Plastic Surgeon
+3

Breast Lift and Asymmetric Breasts

Hi Kim, You are correct to emphasize the asymmetry. The implant can improve symmetry if your surgeon uses different volume for either side. Lift improves the contour, shape and location of nipple. Implant gives you more fullness in the upper pole of the breast and also give you a fuller cleavage. Hope this was helpful
Ali Sajjadian, MD

Orange County Plastic Surgeon

www.DrSajjadian.com

+3

Breast lift with an implant

It looks like you're an excellent candidate for a lift and augmentation with silicone implants. I would place the scars around the areoalas and use about 200-300cc implants depending on how large you want to be. Talk with several plastic surgeons around your area to see what they would recommend and to see who you feel comfortable with. Good luck!
Jeffrey E. Schreiber, MD

Baltimore Plastic Surgeon
+3

Can't determine size and type of implant from a picture

Your picture is very useful. It tells us plastic surgeons many things. For example, one can tell that you will need some volume to fill in the breasts. Thus, you would benefit from having an implant. The other thing we can see is that you will probably need a lift. If you only have an implant, your breast will be bigger, but it will look droopy. What we are unable to tell without actually seeing you and talking to you is the type and size of implant you will need. This depends on many... more
John Diaz, MD

Beverly Hills Plastic Surgeon
+2

Breast Lift and Implants to Complete the Rejuvenation

Breast implants alone will make your breasts larger, but not improve the position. Using different size breast implants will partially correct your asymmetry. Your best result would come from breast lift with implants: The breast lift provides the opportunity to reshape the breasts and adjust the areola size and position for better symmetry. Reducing the larger breast to match the other breast, and then use the same size implants is your best chance for optimal... more
Paul C. Zwiebel, MD

Denver Plastic Surgeon

www.pzwiebel.com

+2

Breast lift + implant required for symmetry but augmentation alone will give good result

A breast augmentation with a breast implant combined with a breast lift will be required to achieve symmetry.However, your breast ptosis or sag is so minor that ypou could achieve a nice result--but not symmetry--with a breast augmentation alone. The benefit of course is that you will avoid the scars caused by a breast lift or dermal mastopexy, which are substantial.If you decide to have a breast augmentation with breast implant alone be sure to discuss with your surgeon the possibility of a... more
Brooke R. Seckel, MD

Boston Plastic Surgeon
+2

Knowing what an implant or a lift does

It is not possible to be sure of symmetry or degree of droop from a single picture taken at a slight angle. Judging from the photo available, it does not appear that a lift is needed in order for an implant to fill out the breast naturally and make it look lifted and more youthful. It is important to understand that an implant is only pillow volume and does not lift the breast. It will also not solve positional asymmetry. It can only improve volume asymmetry. A lift, regardless of how it is... more
Scott L. Replogle, MD

Denver Plastic Surgeon
+2

Implant + lift

Your picture shows breasts with slight asymmetry, deflation, and droop. In my opinion, you would benefit from both a lift and an augmentation. Both procedures could be done at the some time or separately (staged). The size of the implant is really up for grabs. That is a decision not easily made. It requires a few visits with your surgeon and a few measurements that will help to make that decision. Good luck.
Sirish Maddali, MD

Portland Plastic Surgeon
+2

You are a very easy case.

Dear Livylive, Of course, I haven't examined you, but based on your picture, I think I know what you need. You need a lift on both sides, but you are right to stress the asymmetry. You need more of a lift on your left breast (right in the photograph) than on your right. This can be done with circular scars around your nipples, and the areolas should be made a little smaller and symmetrical. You don't need any other scars. Then I would use round, smooth walled, MemoryGel silicone... more
George J. Beraka, MD

Manhattan Plastic Surgeon
+2

Implants and a lift

A combination procedure using a breast implant and a lift will give you the result you are looking for. Either operation alone would be suboptimal. The implant is necessary to restore lost volume but also to add volume to the upper pole of the breast to restore the youthful appearance you mentioned. The breast lift will place the nipple areola over the most projecting point of the breast and elevate the lower pole off your chest wall. As far as the asymmetry is concerned, this operation will... more
Robert W. Kessler, MD

Orange County Plastic Surgeon
+2

Breast asymmetry

Livy, In most respects you don't have an easy starting point. Your breasts are very differently shaped and very differently positioned. On a realistic level you should not expect complete symmetry, rather two slightly different, but nice breasts. Of course, the goal is symmetry, but in your case I would not guarantee it. You definitely need a lift and the use of implants may minimize your scar requirements. Pick the two surgeon opinions that are most alike, then chose the surgeon that... more
Kenneth R. Francis, MD

Manhattan Plastic Surgeon
+2

Breast augmentation and lift

You have a very common problem that many postpartum women experience--loss of volume and ptosis (droopiness of the breast). It's hard to tell from just one picture but you most likely need an implant for volume enhancement and some sort of lift procedure for nipple repositioning. It may be possible to do a "doughnut" mastopexy but this requires a physical exam. As far as what kind of implant--this is best discussed with your plastic surgeon as there is a lot of material to go over.... more
Elan B. Singer, MD

Manhattan Plastic Surgeon
+1

Breast Lift with Implants?

You don't need a lift at all. For your height & weight you can take 7 or 800 cc sub-muscular implants and stll be a full C cup. That'll give you all the lift you need. Total cost is $4400 at my practice. Dr Foster
Lawrence Foster, MD

Sacramento Plastic Surgeon
+1

Breast Implant Size

Yes, it looks like you may need a lift. Much of the final “look” achieved after breast augmentation 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... more
Tom J. Pousti, MD

San Diego Plastic Surgeon
+1

Mastopexy Augmentation

Although your photo is appreciated, it does not allow a complete analysis.  In general, post partum changes can give the breast a deflated appearance with a nipple areolar complex below the fold.  Given your body habitus, you would likely benefit from a vertical (lollipop incision) augmentation-mastopexy.  This involves both repositioning the nipple areolar complex and the breast higher on the chest wall and using an implant to increase volume and enhance shape... more
Richard J. Wassermann, MD, MPH

Columbia Plastic Surgeon
+1

Breast lift with implants

I agree with the others. The photo is marginally helpful because you arms are up. I would like to see front and side photos with the arms down. Many times, using a dual plane technique, the need for a lift can be eliminated. Knowing how far you can push the technique to achieve this without being disappointed later and needing to do a lift anyway requires a great deal of experience with the technique.
Mark D. Epstein, MD

Stony Brook Plastic Surgeon
+1

Breast lift and implants

Thanks for the photo.  With the arms up in the air, this can falsely lift the breasts so it is hard to say from the photo. I combine breast augmentation all the time with lift techniques and have been very ahppy with the results.
Steven Wallach, MD

Manhattan Plastic Surgeon
+1

Breast lift with an implant = augmentation mastopexy

It is always best to trust the judgment of the physician that is able to perform an exam, but it looks like you may need a lift along with an implant. Make sure you see a doctor that performs a high volume of this type of surgery because the combination of the two is one of the hardest operations to get right.
Richard H. Fryer, MD

Salt Lake City Plastic Surgeon
+1

Breast Lift and Augmentation

An increasingly attractive and popular option for breast enhancement, particularly in women who have been through pregnancy and lactation, is the combination of a vertical mastopexy (breast lift) with breast augmentation. This is the ideal breast surgery procedure for women seeking breast enhancement who have experienced breast volume 'deflation' following pregnancy and lactation (and for those with 'deflated' appearing breasts who have never been pregnant), and who have the... more
Michael Law, MD

Raleigh-Durham Plastic Surgeon

michaellawmd.com

+1

Breast implants and breast lift: putting it all together

You have three options: 1. Breast implants alone: these will provide increased size and increased upper breast fullness.  Breast augmentation will not address sagging of the breasts or asymmetry of breast positions.  Differences in breast size can be addressed better with saline implants (variable volumes) than silicone gel implants (fixed volumes). 2. Breast lift alone: this will improve your breast shape and asymmetry but will not increase breast size or provide a... more
Ronald Friedman, MD

Dallas Plastic Surgeon
+1

Breast lift and breast implant combination with a mommy makeover

Breast augmentation and breast lift would provide a perfect complement to increase the size of your breasts and add perkiness to the areola and nipple positions.  The size of the implants really depends on your personal preference and what stage in life you are. 
Raffy Karamanoukian, MD

Los Angeles Plastic Surgeon
+1

Breast lift with implants

  Many patients who receive a breast lift are also interested in additional volume in the upper portion of the breast and improved cleavage. This may be accomplished by adding an implant to the breast lift. An implant may also help camouflage differences between the two breasts. Your best bet is to obtain a consultation with a board-certified plastic surgeon who is well experienced in breast lift and breast augmentation techniques. They can review with you the pros and cons of... more
B. Pat Pazmino, MD

Miami Plastic Surgeon
+1

Treatment for sagging breasts

Mothers may find that pregnancy and breastfeeding contribute to loss of volume and firmness. If you're 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 one to several inches and excess skin is removed. If you just want to go bigger, the only way to do that is with implants. The great thing about these techniques is that they can now be down with minimal scarring and performed as an outpatient procedure... more
Michelle Copeland, MD, DMD

New York Plastic Surgeon

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