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Cresent Lift and 410/445cc Cohesive Gel Teardrops, over Muscle. Opinions? Comments? (photo)
5"4, 140lbs. I am 39 yrs, and I wear a 38b. I have droopy, deflated breasts due to breast feeding.
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10 Doctor Answers |
Asked by
jensy73
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Subglandular Placement versus Submuscular Placement and Lift
Subglandular placement is argued by some to give more lift to the breast than submuscular placement. Crescent lift is appropriate for very few patients, and most plastic surgeons prefer a circumareolar lift in most situations. Some plastic surgeons may argue that if you need a crescent lift, you do not need a lift at all.
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You need more than just a crescent lift
Crescent lifts offer very little in terms of actually lifting the nipple position. You will likely need a peri-areolar lift, or possible even a vertical lift, depending on what size implant you eventually choose. My preference for implant placement is either sub-muscular or dual plane. These procedures can be done during the same operation...you do not need to stage them.
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Lift and augmentation for these breasts?
How big do you want your breasts to be? From your photos it seams as though your skin envelopes are normal but you lack enough volume to fill them. I would recommend augmentation alone to start with and then, in 6-12 months, if you feel that your are not perky enough (I bet you are!), you can always opt for mastopexy.
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Cresent Lift and 410/445cc Cohesive Gel Teardrops, over Muscle. Opinions? Comments?
Based upon the posted photos I would recommend a l-shaped lift first than as a second operation implants of UHP.
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Crescent Lift with Subglandular Cohesive Gel Implants...Interesting!
Thank you very much for sharing your photo and question. This seems like a really interesting combinations of solutions to your anatomical findings. While there are some minor asymmetries and findings shown in your photos, you are not very far off from normal. Your photos show only minimal breat ptosis and are unlikely to benefit significantly from a crescent lift. You will get alteration of the areolar shape, little change in nipple position and poor quality scarring...
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Crescent Lift with Cohesive Gel Implants?
That is an interesting experiment, but I don't think I would try it.
For starters, I believe the so-called crescent lift is worthless. It achieves very little in terms of changing the position of the nipple, it does nothing to reposition your breast tissue, and it only tends to elongate your areola while producing irregular, unnatural scarring. So I would avoid it.
The question then is what about that subglandular (over muscle), shaped cohesive gel implant. As a general...
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Impalnt and lift for you
I amnot a big fan of textured impalnts, tearfrop, and I do not think that cohesive gels offer any significant advantage. A submuscular implant with perhaps an areola lift may be reasonable and an exam is essential.
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Purse string lift or circumvertical lift
Hello,
Thank you for the question and the photos. The best result will be provided by the combination of an implant and a lift. The implant type will not be as important of a decision as the lift type. I have never really liked the crescent lift. A breast either needs a purse-string lift to move and reshape the areola or a circumvertical lift to shape and lift the breast. A crescent lift does not do either except just shifts the upper border of the areola...
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Implant type and crescent lift.
I prefer the implants under the muscle for the same reasons Dr. Pousti has so nicely documented.
Tear drop implants have been know to shift or rotate even years after placement. A round implant "behaves" more like a natural breast in that it is round when you are lying flat and takes a natural tear drop shape when you are upright. A "tear drop" implant is always shaped like a tear drop in any position.
I also agree that a crescent lift does little to lift the breast tissue and causes...
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Best Option for Breast Augmentation/Lifting?
Thank you for the question and pictures.
In my practice, I would offer you a breast augmentation with the breast implants placed in the sub muscular (dual plane) position. I think the advantages of placing the breast implants in this position are far greater than placing the breast implants in the sub glandular position.
This positioning allows for more complete coverage of the breast implants leading to generally more natural feel/look of the implants in the long-term. This...
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