Is Breast Lift Necessary for Deflated C Cups?
- Asked by Luna1975 in California
- 3 years ago
I am 34 year old and briefly breastfed my two sons (ages: 7y/o & 5 mo.) I have consulted with three different PS about Breast augmentation to regain fullness in my breasts.
First one said I needed a full Breast Lift, second said just Breast implants needed, and third said a Benelli lift. I used to be a 34D before pregnancy and stayed a 36C after. Now, I'm a deflated 36C.
While breastfeeding I was a nice full 36C not much growth just plump. I am hoping to have a 36D, would that be too big? With lift or not? Thank you.
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Do I need a breast lift?
Thank you for your question and for your photograph. Unfortunately, the photograph is a little bit limited but I will share some thinking with you nonetheless. I agree with one of the other doctors listed below that you are in the grey zone with respect to needing a lift. From the photograph you appear to have a generous amount of natural breast tissue. Natural breast tissue will always respond to gravity with or without an implant, even with a breast lift. But I actually think that a little bit of droop gives a more natural look. In a patient such as yourself in the grey zone for a lift I will usually ask that patient to allow me the option of a lift if I feel it is necessary. I place the implants first focusing on the symmetry of the upper pole of the breast. Filling out the upper pole will certainly give some degree of elevation. If the patient has given me the option I will then proceed with either a full lift, crescent, vertical, or a Periareolar lift if I feel that the implant has not given enough elevation. If you are uncomfortable with your plastic surgeon having the option of making the decision for you can place the implants, allow them to drop and settle and decide upon a lift together in the future. Both are reasonable options. Again, because of the volume of your natural breast tissue you will still have some degree of droop but I actually think it will make you look more natural. Best wishes.
Web reference: http://www.atcosmetics.com/blog/category/breast-lift/
Small breast implants and Benelli breast lift great combination.
What we would do for you in Manhattan is a Benelli breast lift with circular scar around the nipples along with maybe 200 cc breast implants. A lot of happy patients with this approach. For breast augmentation alone, you would need excessively large implants to minimize sagging.
No good answer for your deflated C cup breasts
As you see from all surgeon and your consultation, there are many different options. This means that there is no good option for you. Your breast falls in the gray zone of Breast lift, Breast Augmentation, or combination.
The main things are your goals and your expectations. Your breasts still have some volume from pregnancy (5 months post pregnancy) and I would wait till you get back to pre-pregnancy weight. If your breasts do not change much, I would not do any surgery. Breast Lift has own risks and scar.
Recent Breast Lift Reviews
Breast Lift Photos
To lift or not lift,
Breast lifts are generally needed when the nipples are at or below your breast crease and it is tough to say from the picture you posted. Putting a small implant on top of the muscle may give you a temporary fix but may increase the likelihood of needing a lift down the line.
A modified form of breast augmentation with a more aggressive release of the pectoralis muscle might work but without seeing you in person it is difficult to say. In some cases it is more predictable and precise to do the surgery in two stages, first the implant than secondarily the lift.
The indications for a breast lift
Based on your photos, I would say a lift is recommended for both breasts. Remember, once an implant is placed, the nipple has to be at the center of the implant, otherwise the result will look unnatural. I need to examine you to determine which type of lift would be the best option for you.
Looks like Breast Lift with the Augmentation will help you
It looks to me like you would benefit from a breast lift in addition to the augmentation. I personally hate the Benelli (donut) mastopexy/lift, because I have too many times seen the areola stretched, and no lift.
In any event, there are some variables that may change my opinion, but I don't have benefit of exam. You might want to consider getting implants, see how they look, and if needed, get a lift in a year.
Breast lift for deflated c cups
You are that patient who is on the border of all the choices given to you. Hard to tell which would satisfy you over the internet. My guess is to first try a Benelli lift with a small implant high profile. You can always convert to a L- shaped lift, or repeat the Benelli, or go to a full lift as a secondary operation. This is just my personal input. Regards.
Vertical Scar Breast Lift is the answer
A breast lift is NOT the answer. Placing a breast implant in a sagging breast INSTEAD of doing a Breast lift is the Plastic surgery equivalent of kicking the can down the road / not facing up to the truth / running around your backhand in tennis etc. You will result in larger more sagging breasts in little time.
A Benelli lift works on minimally saggy B cup Europeans. It works poorly on C or D cup American women. It will flatten the breasts AND result in "Sun-burst " Scars around the nipple complex. Do NOT do it.
IF you want to go larger - have and AUGMENTATION -MASTOPEXY. If you are happy with your breast size and just want them lifted, have a Hall-Findlay vertical scar Breast Lift. The breasts will remain sexy and perky for years.
Dr. P. Aldea
Breast lift with implants
If you use implants only, you will be larger but you will definitely have a more matronly look as your nipples are low.
In my practice, I would suggest you lift the nipples to a more centralized position and do a vertical scar to decrease the envelope of the breasts. This would compress the breast tissue. If you would not accept the vertical scar, then a benelli would be an alternative but the bottoming of your breasts would NOT be improved with the benelli.
One of the problems with implants only can be the double bubble effect. The implants stay higher and the breast tissue comes off the implants. Therefore, the UNIT of the breast tissue and implants is not achieve as it would be with a mastopexy with implants.
Talk to your surgeon and come to some conclusion that will achieve your goals and realistic results.
Breast lifting and cup size?
Thank you for the question and picture.
In person examination and careful communication will be a critical step towards achieving your goals. However, a few general words of advice may be helpful.
Based on experience, I would suggest that your 1st concern should be obtaining the best results possible (scarring concerns should be secondary). Most patients undergoing this procedure will accept scarring as long as their overall goals in regards to size, shape, contour and symmetry are met.
In other words, if you select your surgeon based on the offer of a “limited scar” procedure you may be disappointed with the results.
It will be very important to communicate your overall goals with your surgeon. In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. I have found that the use of words such as “natural” or “C cup” or "fake looking" or "top heavy" 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.
If you decide to use implants ( for example to achieve more superior breast pole volume) 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 . By the way, the most common regret after this operation, is “I wish I was bigger”.
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.