Breast Lift with Implants, Want to Have As Natural Look As Possible. What Do You Recommend?
Doctor Answers (10)
Natural looking Breast Implants with Lift
Augmentation mastopexy is also commonly performed for major weight loss patients, including those who have had bariatric surgery including gastric banding and gastric bypass. Obesity followed by major weight loss usually produces breast changes that are very similar to those seen after successive pregnancies, and often the effect on breast skin is quite severe. Additionally, as a North Carolina breast implants surgeon, I regularly see patients with significant breast ptosis (the medical term for 'droopiness', pronounced TOE-sis) in young adulthood, without any history of pregnancy or major weight loss. Some breasts are just naturally droopy, and I have performed mastopexy and augmentation mastopexy for patients as young as 21 years.
This surgery is a potentially challenging one which requires thoughtful preoperative evaluation and planning, and careful attention to detail in the operating room. Many surgeons have traditionally performed breast augmentation and mastopexy surgery in stages, usually mastopexy first followed by augmentation at a later date. In the recent past more and more surgeons have adopted a non-staged, single surgery approach to augmentation and mastopexy, and that is what I propose for the vast majority of patients who I see in consultation that need both procedures. I believe that the results of simultaneous augmentation mastopexy are as good or better than a staged approach in most cases, and of course patients quite naturally prefer a single trip to the operating room if at all possible.
Some patients I see in consultation are primarily interested in a breast lift procedure. For those with a significant amount of existing breast tissue, a breast lift alone may produce an aesthetically ideal breast appearance. However, it can difficult to achieve significant fullness in the upper poles of the breasts (the upper aspect of the breasts, above the nipple-areola area) in many patients by means of a breast lift alone. I ask patients who are considering a breast lift procedure how important it is for them to have the appearance of some fullness in the upper part of the breasts, and to thereby achieve a significantly more youthful breast profile. For patients who confirm that this appearance is important to them, and who do not have enough natural upper pole breast tissue to achieve this appearance with a mastopexy alone, I recommend an augmentation mastopexy.
Other patients are primarily interested in increasing their breast volume, but have enough breast ptosis to make the appearance of breast augmentation alone odd and unappealing. Placing implants behind breasts with significant ptosis creates the appearance of breasts hanging off of a pair of implants, which looks distinctly unnatural and aesthetically unappealing. These patients are also best served by augmentation mastopexy, which in addition to increasing breast volume restores the position of the nipple-areola complex to the top of the breast mound, tightens the lower pole and lifts the breast.
Web reference: http://www.michaellawmd.com
Implants will help fill out the upper pole flatness. Silicone implants under the muscle will probably give you the most natural look. See a Board certified Plastic Surgeon for evaluation. Donald R. Nunn MD Atlanta Plastic Surgeon.
Implants give a bit of a lift by themselves
I understand that you want the most natural look. Without photos, it is hard to say, but it sounds if you are only a B cup now, that just putting in an implant will give some "lift" like a swing, by putting something behind your existing breast. If your sternal notch to nipple distance is above 23-24 cm you may not need a lift, but you should seek out a Board Certified Plastic Surgeon that is a member of ASAPS to see you for a physical exam.
The lower the profile of the implant, the more cleavage you will get, and the less roundness on top that seems to look a bit more fake. But that is a generalization, and needs to be evaluated with measurements of the base of your breast. A good new technology to visualize the different implants is to have a 3D photo with the Vectra System to show the different types of implants and sizes on your own body. Good luck.
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Natural look with breast lift plus implants
An augmented breast looks different than a breast without implant, especially if the tissues are very thin. Without the benefit of photos, by your description, you are flat on top (requires submuscular placement) and I assume that you do not have a close cleavage. Depending on the anatomy of your chest and rib cage, you may look natural or somewhat "fake". you need to consult a board certified plastic surgeon to see if what you wish is possible surgically. Good luck.
Web reference: http://www.bellevueplasticsurgeons.com
You need a breast lift plus implants.
By your description, you presently are a B-C cup in breast volume and want to be a full C. Thus, you require implants to add volume, since a breast lift removes about 1/2 to 1 ounce of skin in order to tighten your skin brassiere. The exact type of breast lift (full Wise pattern vs. some sort of modified lift) will be determined by your exact measurements and anatomy, and the size and profile of your implants.
SInce you only want a modest increase in breast size, and will be tightening the skin as well, you will almost certainly be best served by a moderate profile implant (widest width for a smaller implant) that will minimize the cleavage distance and keep the breastbone area from being too flat and wide. Lots of plastic surgeons seem to prefer higher profile implants (moderate plus or high profile) for their patients, but these can give an unnaturally high, round, "Baywatch" look. (of course, some women actually ASK for this), but it is decidedly NOT natural, IMHO.
Below the muscle generally gives a more natural sloping upper pole of the breast, as well as reducing ductal bacteria contamination of the implant surface (reducing biofilm formation) that can lead to capsular contracture. Also, implants above the muscle may have very little of your own tissue coverage, leading to visible implant edges, ripples (much higher likelihood with saline than with silicone), and a less homogeneous, natural feel.
Silicone or saline is "easy." Saline implants are good implants, but can leak (requiring surgery to replace them), and have a higher likelihood of visible rippling (which is why most plastic surgeons went below the muscle when the FDA required saline implants between 1991 and 2006 for cosmetic augmentation). Saline does not feel as natural and soft, and can either be rounder and harder (if overfilled), or unnaturally soft with a higher likelhood of rippling if underfilled.
The present generation of silicone gel implants (either manufacturer) features cohesive implants that connot leak, rarely rupture, and "hold together" (cohesive) should the extremely durable implant shell ever be damaged. Most of my patients choose silicone implants for these reasons, but some of my colleagues still favor saline (they are less expensive, and require a slightly smaller incision to place). Most of my saline patients from years ago switch to silicone if they ever leak or rupture, and all of my nurses that have had saline have switched to silicone as well. So save yourself a step and go for silicone! They do NOT cause autoimmune illness of ANY kind, and do NOT require MRI scans every 2-3 years.
See several ABPS-certified plastic surgeons, ask for lots of before and after photos, and decide whose discussion makes the most sense to you. For more information, click on the link below. Best wishes!
Web reference: http://www.mpsmn.com/breast-procedures/breast-augmentation
Breast Lift and Implants
Silicone implants placed using a dual plane technique often have a very nice natural look and feel for patients after babies. A lift is sometimes necessary. Without photgraphs it's hard to say much more. See a board certified plastic surgeon and they will answer your questions appropriately.
Breast lift with augmentation
Thanks for your question, without pictures it is hard to completely answer your question. In general I tell patients that silicone implants look and feel more natural, that is they fill the lower part of the breast more than the upper part. If you are trying to regain the volume "the top part" of your breast, I find that a submuscular saline implants achieve that fullness much better. Good luck
Web reference: http://www.tarrantplasticsurgery.com
Breast lift and implants
It is certainly very common to place implants while doing a lift especially if you want more fullness. A full exam is essential to discuss with you your options.
Breast lift with implants can look very natural.
1) For many women, a lift with a circular scar around the nipples (Benelli breast lift) together with round, smooth walled, moderate PLUS profile, silicone gel implants placed over the muscle (not too big) works very well. The lift and the implants are done at the same time. The details depend on your anatomy.
2) Finding the right surgeon is the most important thing. Get three consultations,and ask to see a lot of before and after pictures. The right surgeon is much more important than which implant. Good luck!
Breast Implant/Lift and "Natural" Results?
Thank you for the question.
The first step would be to make sure the surgeon is a well experienced board-certified plastic surgeon who can demonstrate significant experience achieving the results you are looking for.
Prior to proceeding with the surgery it will be very important to communicate your goals with your surgeon. In my practice I find the use of goal pictures to be very helpful. I have found that the use of words such as “natural” or “C cup” 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 cup size may also be inaccurate.
I use intraoperative sizers and place the patient in the upright position to evaluate breast size. Use of these sizers also allow me to select the breast implant profile (low, moderate, moderate plus, high-profile) that would most likely achieve the patient's goals. The patient's goal pictures are hanging on the wall, and allow for direct comparison. I have found that this system is very helpful in improving the chances of achieving the patient's goals as consistently as possible.
I hope this helps.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.
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