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Breast Lift for Upper Breast Roundness?

Can a breast lift create upper breast roundness, and if not, is there a way to also have an implant without augmenting breast size? I want a round, full appearance for my existing B cup.

Asked 32 months ago by newstart in Miami, Fl.

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breasts

Round fullness for the breast

If you do not want more fill then a breast lift would be the best answer for you provided that your breasts are sagging. If you want more fill and roundness, then an implant is the way to go.

Steven Wallach, MD

Manhattan Plastic Surgeon

ASAPS ASPS

Mastopexy/breast augmentation to achieve upper fullness in breasts

An implant may be used to achieve more volume and roundness without augmenting or enhancing the overall size of the breasts. Still maintaining your "B" cup look and achieving perkiness with the mastopexy (breast lift) procedure. It is difficult to achieve fullness with a mastopexy alone. I recommend consulting with a board certified plastic surgeon to discuss all possible options for you. During your consultation, bring in pictures of what you like and what you would like to... more

Tom J. Pousti, MD

San Diego Plastic Surgeon

ASAPS ASPS

You may consider a breast lift with implants for this result

A breast lift may alter the shape and position of your breasts. However, it is difficult to create fullness in the upper portion of the breast and in the cleavage area with a breast lift alone. Be very specific with your board-certified plastic surgeon about your aesthetic goals. If re-creating this fullness is a priority for you, you may be well served by using an implant at the time of your breast lift. Discuss with your plastic surgeon the appropriate size of his implant... more

B. Pat Pazmino, MD

Miami Plastic Surgeon

ASAPS ASPS

Breast lift with Implant without Increase in Size

Hi there- It sounds like your goal is to have breasts which have a more youthful shape, with fulness in the upper pole, but that are not significantly larger than their current size... This can be achieved in most women, but requires a very sophisticated approach, the success of which is highly dependent on the level of experience a surgeon has doing these complicated procedures. I do think that you will be most happy with an implant, but probably also will need a reduction of your breast tissue more

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Armando Soto, MD

Orlando Plastic Surgeon

ASAPS ASPS

A Very Different Opinion

I have a very differrent opinion about your question. You asked quite specifically if you can have an implant without increasing size. The answer to that is "no." An implant augments your breasts, plain and simple. Any implant small enough to not noticeably augment your breasts will not be enough to add upper pole fill. If you do not want to be larger, you should not have an implant. As for whether a lift will give you substnatial upper pole fullness, I believe it depends... more

Steven Teitelbaum, MD

Los Angeles Plastic Surgeon

ASAPS

Breast implant is your best bet

The upper pole can be filled best with an implant. Auto-augmentation procedures can be done, but are difficult to do and may not be properly done in all surgeons hands. You should seek out someone who does that regularly. However, upper pole fullness is possible with a smaller implant along with a lift. That combination will likely increase your breast size by a small amount. You may still stay within the same cup size depending on how you fill out your bra currently. Good luck in your... more

Sirish Maddali, MD

Portland Plastic Surgeon

Sizes and shapes of implants will be important

In this setting, you will likely need an implant to create the upper pole fullness that you desire. It is very important that you be very specific as to what you are trying to accomplish with the surgeon you choose. In other words, if you want a round look, or cleavage which is present in bathing suits, tank tops, etc., the surgery will need to be done differntly than if you want a more natural look. You also need to pick an implant which has a base diameter which is similar to the width... more

W. Tracy Hankins, MD

Las Vegas Plastic Surgeon

An implant will be helpful

Especially in a smaller B cup breast, it will difficult to create the upper breast fullness with a breast lift alone. You do not necessariliy need a large implant to get the fullness if that is a concern. Dr Edwards

Michael C. Edwards, MD

Las Vegas Plastic Surgeon

ASAPS ASPS

Implants can help with upper pole fullness

Yes, implants are often used to augment upper pole fullness during breast lift surgery. Usually, a large implant is not necessary and make a nice difference. The other option is auto-augmentation, by using the tissue that is normally removed during a lift to augment the upper portion of the breast. Good luck with your surgery.

David Shafer, MD

New York Plastic Surgeon

ASPS

Upper breast fullness can be achieved with properly performed breast lift.

Hi! 1) In New York City, we do a breast lift INTERNALLY, raising the breast tissue up and not relying on pulling the skin. This gives you good long term upper fullness. 2) If you want EXTRA (really not natural) upper roundness, then we do a "plus/minus" operation, where some lower breast tissue is removed and a breast implant is used to keep you at the same size. 3) Look at my breast lift video on my web site (link below).

George J. Beraka, MD

Manhattan Plastic Surgeon

ASAPS ASPS

Lift eith implants

There are mastopexy techniques which manipulate your breast tissue to add volume to the upper pole of the breast but these techniques do not create long lasting upper pole fullness like an implant does. A small implant at the time of the lift can give reliable fullness to the upper pole of the breast without altering the breast size dramatically. The breast will be larger as you are adding volume but it is distributed differently. If you do not currently fill your B cup breast, you may find... more

Robert W. Kessler, MD

Orange County Plastic Surgeon

ASAPS ASPS

Roundness not natural

In general, roundness in the upper part of the breast is not natural; it ia usually created by a push-up type bra, body positioning, or by an implant. Depending on your anatomy, there are lifts that can shift tissue to the upper position of the breast but usually not the degree an implant can. In order to do that, your overall volume and size in usually smaller post-op because the breast tissues are being compressed. To fill out the upper pole and the keep the overall size the same is... more

Robin T.W. Yuan, MD

Beverly Hills Plastic Surgeon

ASPS

Sounds like you need an implant

In general, a breast lift will elevate the nipple areola, tighten the skin and occasionally fill the upper pole. A full round look in the upper pole almost always requires an implant and this will necessarily make your breast size bigger.

Richard P. Rand, MD, FACS

Seattle Plastic Surgeon

ASAPS ASPS

Implant is typically the best way to achieve upper breast fullness

Occasionally a breast lift will create upper breast fullness but this is not consistent and has a tendency to drop after surgery. In order to achieve cosistent upper breast fullness, an implant is the most reliable method. If you do not want to change your cup size, this can sometimes be accomplished by a simultaneous reduction of the lower redundant portions of the breast while and the volume and upper breast fullness created by placment of a small implant