Breast Reduction Q&A
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Upper fullness with minor breast reduction and lift?
asked 1 year ago by LA1234 in Baton Rouge, LA
Latest answer by Tom J. Pousti, MD
Question viewed 427 times
Tags: combination, fuller, shape
I'm in the consult stage of breast lift & minor reduction - 36DD down to Full C. I was told by one Dr. that I would not need implants for reshaping. Can I get a great shape & upper fullness with just the minor reduction and lift?
15 answers to Upper fullness with minor breast reduction and lift?
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Breast Reduction and Breast Lift
Thank you for the question.
A breast reduction and lift will achieve what you are desiring: Both a volume reduction in the breast along with a lifting and re-shaping of the breast mound producing a more youthful, balanced breast. In my practice, I perform an auto-augmentation which will create greater upper pole fullness than that seen in traditional breast reduction/lifts. My recommendation is to consult with a board certified plastic surgeon in your region and discuss your...
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Breast Shape/Fullness after Breast Reduction?
Thank you for the question. It is difficult to give you good advice without direct examination.
Generally, it is difficult to achieve much superior pole fullness/volume after breast reduction or breast lifting alone. Often, breast implants are necessary to achieve these goals. Sometimes these procedures can be done in one stage; sometimes it is safer to do them in a 2 staged fashion.
I would suggest continued consultations with well experienced board-certified plastic surgeons...
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Breast Reduction - Do I Need Implants, too?
Hi LA1234 in Baton Rouge, LA,
It is, of course, not possible to give you a precise answer without being able to examine you in person.
However, in general, if you're the size you are pre-op, I would think that you can get a very nice result with just a breast reduction. Implants do, in fact, usually give a better result in terms of superior fullness than just breast tissue, but it's not practical to remove breast tissue - and then replace it right away as an implant...
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Breast reduction together with breast implants
A breast can frequently be shaped during a breast reduction to give more upper fullness. The vertical incision (lolly-pop) techniques tend to accomplish this better. The result depends on your skin quality and overall breast shape. The addition of an implant may help but also adds more complexity and risk to your surgery. Posting your picture may help with recommendations.
Karol A. Gutowski, MD
Chicago Plastic Surgeon
Chicago Plastic Surgeon
+1
Breast reduction and need for implant to achieve upper breast fullness
Generally speaking if you have upper fullness prior to the reduction you will have it after the reduction. However, if you lack it now, the reduction will not accomplish fullness. This is best achieved with an implant or fat grafting to the upper poritons of the breast.
Otto Joseph Placik, MD
Chicago Plastic Surgeon
Chicago Plastic Surgeon
+1
Can I get a great shape & upper fullness with just the minor reduction and lift?
Regarding: "Breast Reduction and Implants
I'm in the consult stage of breast lift & minor reduction - 36DD down to Full C. I was told by one Dr. that I would not need implants for reshaping. Can I get a great shape & upper fullness with just the minor reduction and lift?"
Both Breast Reduction and Breast lift operations result in a lifting of the breasts and making them perkier. The difference is the AMOUNT of breast tissue removed. While a Breast lift can be...
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Breast reduction
If you require a breast reduction and you want a better shape this can often be achieved with just a reduction.
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Medial pedicle breast reduction/lift is recommended
From your description, I think a small breast reduction/ breast lift would be recommended. The "internal" part, and as to which "pedicle" is chosen by the plastic surgeon, really leads to the best long-term shaping and projection of the breast. Many plastic surgeons still perform inferior pedicle techniques, which remove tissue from the upper aspect of the breast (as well as lower outer and lower inner areas) while leaving the lower central area behind...
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Vertical breast reduction will give you good shape without implants.
Hi.
It's all about how the breast reduction and lift are done. The techniques that give the best long term shape are the Lejour and Hall-Findlay operations (lollipop scars).
see video
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Breast Reduction and Implants
Best to post photo so I could review to determine oif an implant is what you need. I doubt it but there is always a chance. From MIAMI
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Breast Reduction and Implants
Without seeing pictures or examining you in person, it is impossible to give you specific advice. However, in come cases, I use an implant during breast reduction/lift to obtain more upper pole fullness. However, in other cases, it is possible to use your own tissue as a kind of auto-augmentation to obtain more upper pole fullness.
Good luck.
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Breast reduction should not require breast implants
Breast reduction should reduce the breast size, lift and shape the breast, all without breast implants. A breast reduction from a 36 DD down to a C-cup is not a small reduction. The suggestion that you will need a breast implant should cause you to keep looking for another surgeon.
Best of luck,
peterejohnsonmd
Peter E. Johnson, MD
Chicago Plastic Surgeon
Chicago Plastic Surgeon
+1
Breast reduction
Without photos it is difficult to give any recommendations; however, I will tend to agree with your plastic surgeon. If there is nothing wrong with your implants, there is no need to change them and a breast lift should be all that you need.
Shahin Javaheri, MD
San Francisco Plastic Surgeon
San Francisco Plastic Surgeon
+1
Is it a Lift or a Reduction?
Most of the time you can get improvement of the upper pole of the breast with a Mastopexy , however to assure that there will be upper pole fullness some cases will benefit from implants. The only way to tell which is best is to be examined , preferable by a Board Certified Plastic Surgeon.
Walter D. Gracia, MD
Arlington Plastic Surgeon
Arlington Plastic Surgeon
+1
Breast reduction and implants for shaping
Breast reduction is a procedure to decrease breast size and placement of implants is for increasing breast size. I personally do not see a reason to place implants during a breast reduction. I can shape the breast with a short scar breast reduction/lift to give you more superior pole fullness and projection. The only time I see a need for an implant is when a woman has excess skin and the breasts are deflated. In that case a lift/augmentation is possible. I don't prefer to do this...
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