Breast Augmentation: Q&A

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Im Confused Now? Do I Need a Lift? (photo)

I am 5.5, athletic 122pds. I had a consult online with a Dr from Mexico, he said I needed a periareolar skinset or donut lift with textured implants. Another PS from my city said, I didn't need a lift and saline. One told me saline implants. I really didn't want a lift, and I am now more confused. Do I really need the lift? If I don't get the lift will I eventually need ones anyway? Is a skinset ok? Textured, im a little worried about. Please provide your recommendations on what you think?

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5 ft 4 in to 5 ft 7 in 110-129 lbs second opinion without lift

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26 Doctor Answers | Asked by bella100 in Canada

Doctor Answers (26)
Community Comments (1)

Confused about breast augmentation #breastimplants

Thank you for your question. You present a very difficult set of pictures. You appear to have very borderline breasts for what I would consider performing a breast lift with implants. The only way for me to know would be to perform an in person examination. Though different surgeons have different opinions what really matters is what your goals are. There could be situations in patients like yourself where a patient would be perfectly happy with implants only. Other patients would only be... more

Lift confusion

I typically do not recommend a lift for patients whose nipple-areolar complex is above their breast fold. From the photos posted, it is difficult to determine absolutely – I would not recommend this procedure for you. If you are wanting more volume & fullness, an implant would help you achieve that goal. As far as saline vs. silicone, that would be up to you. Most of my patients over 22 prefer silicone. Good luck!

George John Alexander, MD

3 reviews

Las Vegas Plastic Surgeon

Lift

Your right nipple and areola look OK. The left one seems a little lower but there is no left lateral photograph. You may need a lift on the left side

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To lift or not to lift

I feel you are borderline as far as needing the lift. What is more important to you, having perky breasts or avoiding the scars? If you have implants in Mexico and later feel you should have had the lift, are you going to go back to Mexico. Better to have the surgery done close to home in case you need revisions.

Do I need a lift

Hello. The answer to your question depends on the look you are going for. If you want the implants to sit higher on the chest wall the a mastopexy would be needed. You could get an augmentation without a lift with the dual plain technique and get a good result. This would be good if you would like your breasts to remain in the same place and just replace lost volume. Jaime Perez, MD Breast Augmentation Specialist Plastic Surgery Center of Tampa

Is breast lift needed?

Judging from your pictures, I think you would be fine without a lift. Based on how thin you are, I would recommend smooth walled silicone gel implants to avoid rippling and the possibility of feeling the edge of the implants.

Breast Augmentation Alone

Due to the fullness you lost from fitness, augmentation alone will probably give you the result you want if you liked your breasts when they were fuller. As a bodybuilder, I operate on quite a few bodybuilders, trainers, fitness competitors, models, etc. Make sure the board certified plastic surgeon has ELITE credentials and performs hundreds of breast augmentations each year. Kenneth Hughes, MD Los Angeles, CA

The right surgery for you depends on what look you are going for

If you are comfortable with where your breasts are now, you do not need a lift - implants will just make them fuller. if you want them higher on your chest, you will need a lift to accomplish this - along with a submuscular implant, with the muscle attached to support your implant over time. I would ask your surgeon for pictures, especially of long term results - this is the best indication of the right surgeon for you.

Do I need a breast lift? #breastlift

I agree that you should try the implants first. From your pictures you would probably do well with dual plane implants, and long as you were ok being a fairly good size, meaning full C or Small D....If the implant is too small it will not be able to fill out your tissue enough...

Confused about breast surgery.

I agree with the other surgeon's on medical tourism. DO NOT do it. Try the implant alone with a dual plane technique. You can always have a lift later and may need to with further aging and drooping of the breasts. I prefer smooth saline implants under the muscle. They are less expensive, adjustable volumes, smaller incisions to place (3 cm), and you know if they leak and the saline to inflate them comes out of an IV bag, the same type that we drip directly into your blood stream... more

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Comments (1)

bella100
4 months ago

Thank you, I have two consults in the US next month. We have only one in my city who only does saline implants. I have thought about it though, and if there is a need for a lift, I wont' get the proceedure done. To me a scar and the risks would be worse then the actual sag. I was a DD, when I started training in fitness events, I lost fullness and am currently at a C cup

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