Would Vertical Lift Yield Perky Better Shaped Breast? (photo)

Stats: Donut lift, 350cc(R),400(L)silicone unders. Was adamant in stating I wanted perky breasts not larger & saggier breasts. Expressed concerns about(R)breast being lower & gave ok for more aggressive lift. PS opted for donut. Have stated dissatisfaction & PS recommends internal bra w/ larger implant. Not convinced this will give me more perky & youthful breasts. (R) breast is now my special "utility breast" as it sags on my upper ribs. Vertical lift the way to go? Vertical w/ saline overfill?

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11 Doctor Answers | Asked by RealSelf71

Doctor Answers (11)
Community Comments (0)

Breast Augmentation/Mastopexy Revision?

Thank you for the question and pictures. It is really not accurate to give you advice without a clear communication of your goals. You state that you want more “perky and youthful breasts'; unfortunately this description can mean different things to different people. If I were a meeting with you I would ask to see “goal” pictures of what you would like to achieve. From there a treatment plan could be designed. Best wishes.

Breast lift with vertical scar

I believe the short scar vertical lift would be the best procedure for you. It would improve the shape of the breast and the appearance of the nipple. The problem with the doughnut lift is that it creates a flat breast with this bread nipple. The vertical lift creates a better shape of the breast. The longer scar wise pattern lift makes a flatter breast. Another advantage is that the shorter the star the stronger the base the breast and the less problems with bottoming out, the breast... more

Bigger isn't better for you

If you go bigger, the weight of the implants plus gravity plus your poorer elasticity will almost certainly lead to a more matronly bottom heavy result. Also as you have substantially excess skin in the lower pole, I would recommend a full T mastopexy (central pedicle technique) because leaving the excess skin will also contribute to eventual sagging again. An in person exam is critical so these are not recommendations, just comments from your photos. It is important for... more

Vertical lift for perky breast shape

The sag you have with a long distance from nipple to breast fold on your 'utility' breast is caused in part to the large breast implants and D-cup size. A vertical lift might help combined with a smaller breast implant. The larger implant could be the wrong way to go unless you truly want to push up the cup size. Best of luck, peterejohnsonmd.com

Lift and augmentation

It would be nice to se your pre-op photos and know aht your preop bra size was. I think you may be better off with smaller implants and a lift, but without an exam I can not be sure.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Breast Lift to Improve Breasts

Hello Realself71, Based on your photographs I believe you have a tiny ribcage circumference, because your implants look so much bigger than stated. As for your implants being 'under', I'd hazard a guess that 80% to 90% of your implants have dropped below the lower edge of your remaining pectoralis muscle. Although many women might think your result nice, I do hear and agree with your issues and have concerns about the choices made prior to surgery by... more

Would a vertical lift help?

Thanks for the post op photos. It would be interesting to see your pre-op photos as well. I would also like to know what size bra you wore before the surgery. In looking at you now, without the ability to examine you personally I would recommend at least the vertical lift and smaller not bigger implants. The weight of the implants tends to drag the breast down and the doughnut or periareolar lift is good for smaller lifts only. I would seek several opinions... more

Breast Lift with implants

Thanks for posting pictures. While not as informative as seeing you in person, it allows us to give some general recommendations. My advice would be a smaller silicone implant placed under the muscle with a traditional lift/mastopexy. This will allow for a nice rejuvenation of the breast and correction of your asymmetry. Cutting corners and not doing a full lift, in my opinion, would limit your results. Good Luck.

What to do

It is hard to say without an exam or preoperative photos what to do. Going larger is not necessarily an answer. A more definitive lift will help in cases like this. When women have more existing breast tissue that is sagging, the results are not the same compared to small breasts that simply need enlarging. The problem here seems to be poor communication. A patient can be very sure of what they want but that does not mean it is possible. The obligation of the surgeon is to as best they can... more

Michael Hueneke, MD

6 reviews

Nashville Plastic Surgeon

Too big

I think your breasts are big and to add more volume will only make them sag more.even if you did a vertical lift,because of their size it won't last long.Ithink a lift means more scars and the smaller your breasts are when you do it the longer it will last.