I am 5'0" and right now weigh 143 lbs. My body fat % is 35. I lost quite a bit of weight two years ago, then gained some back. I definitely plan on losing weight before, but I really want to get a Breast reduction, Breast lift, then get Breast implants. Small ones of course. Is this possible? And how expensive do you think this could get? I am a 38 DD, and they sag quite a bit. They are heavy, and make it hard to work out and enjoy my life. I would like to be about a C cup. But NATURAL looking.
Breast Reduction, Lift and Implants to Get C Cups from DD Breasts?
Doctor Answers (24)
Breast reduction and breast Implants - OT Auto Augmentation mastopexy
Breast implants add volume (and weight) to the breasts while auto-augmentation really does not. Additionally, implants augment the entire breast, while auto-augmentation augments the upper pole only. So for many reasons auto-augmentation results tend to be less prone to recurrence of droopiness.
Other advantages of auto-augmentation mastopexy:
#1 - Zero need for implant surveillance and possible replacement
Zero risk of capsular contracture
Zero risk of implant migration / malposition
Zero risk of visible fold/ripples
Zero risk of implant infection
Auto-augmentation mastopexy is absolutely the procedure of choice for a patient who wants a breast lift, who will not have adequate upper pole fullness without an implant or auto-augmentation, and who is happy with the amount of breast issue that she is starting with. If a patient wants a lift AND fuller breasts (i.e. increase in true cup size), then an implant is required.
It is important to understand that there is no plastic surgery procedure for which the results do not change over time. Skin is elastic and stretchy and so is breast tissue, and that ‘stretchiness’ increases with age. The elasticity of skin and soft tissue is genetically determined, and it therefore varies widely from patient to patient. So it is impossible to predict for any one patient how long it will be, if ever, before they feel they need a secondary mastopexy – which in most cases is just a touch-up procedure and not nearly as extensive as the original mastopexy. Certainly if a patient has breast stretchmarks and thin breast skin from multiple pregnancies, then that patient is more likely to need a secondary mastopexy at an earlier date than a patient with thicker skin and better skin and breast tissue tone.
Implants for a DD breast not a good idea
With large (DD) breasts that are pendulous (droopy), I would recommend a small breast reduction with a vertical incision technique. I believe this will give a satisfactory result. If you are unhappy with the appearance of your breasts after this procedure, you can always come back and place implants in a second operation.
Breast reduction, breast lift and implants
It is possible to perform a breast reduction with implants. This is necessary when we not only want to remove the excess skin and tissue but want to create fullness and projection to the breast.
In all of breast surgery, this combination is the trickiest. For this reason it is essential that you work only with a board-certified plastic surgeon who has a great deal of experience in breast reduction, breast lift, and breast implant surgery area. Their expertise and depth of experience is crucial to help you achieve a good result.
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Experiencing significant drooping with larger breasts is very common. Reduction alone often isn’t enough to get the high, perky breasts that are the goal of most women who want breast reduction surgery, which is why we so often include a breast lift at the same time. If you have natural DD cups, I don’t think there’s any reason you would need additional implants after the reduction to end up with a final C cup. The breast lift reshapes and firms the breast tissue to meet your appearance goals. Bring in some photos of the look you want to achieve to share with your surgeon, and he or she should be able to get you there. As for expense, many health insurance companies will cover the cost of a reduction, so be sure to check with your provider and see if this is an option.
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Breast Reduction With or Without Breast Implants
When women with breast hypertrophy undergo breast reduction surgery they typically have multiple goals. These women are not only interested in reduction of their symptoms, but are also concerned about breast aesthetics.
In the vast majority of patients who undergo breast reduction the aesthetic results are excellent. The procedure reduces breast size, reduces areola size and lifts the breast into normal position. In most patients, this results in alleviation of symptoms and improved breast aesthetics.
Most patients are happy with their upper breast fullness following breast reduction surgery, but over the course of time some patients note loss of fullness in this area. Under these circumstances placement of a breast implant may be necessary to correct this problem.
Based on your history, I would recommend a breast reduction without breast implants. In most cases this would give an excellent aesthetic result with upper breast fullness. If inadequate upper breast fullness becomes a problem, a secondary breast augmentation can be performed at a later date.
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.