Breast Augmentation: Q&A

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How to Fix Asymmetry and Upper Volume Loss? (photo)

I BF for 8 months. I also pumped. The right breast was always more productive than the left, and now it is much smaller. I have also lost upper volume. I am 26 and 5'2 115 lbs. I want bigger, fuller, perkier breasts with cleavage. I do not know what type of implant, placement, incision or even if a lift would be beneficial for me to consider due to the extent of damage BFing did to me. Input would be appreciated so that I do not go into an initial consultation clueless about BA.

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14 Doctor Answers | Asked by iwpsn

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Regaining Full, Perky Breasts after Sagging related to Breast Feeding

There is no need to be depressed nor confused. IF you were happy with you breast volume and symmetry and just wanted to get your breasts perky again (NOT the case here...), all that would be required would have been a Breast Lift (Masyopexy). But when additional breast volume is needed in addition to a lift, the best way to approach your situation would be with a Breast Augmentation AND Lift. The issue of Saline VS. Slicone gel implants is a somewhat complex one and needs to be... more

There is hope.

You will need a lift (mastopexy) and an iimplant to get the best result. asymmetry of a woman's breast is very common. To get the best symmetry you will need a lift with removal of the amount of breast tissue to make the larger breast the same size as the smaller breast. Then you need an implant to give you some size since the lift will reduce you a half to a full cup size. An important question is whether you are going to have more children. If... more

Droopy asymmetric breasts after breast feeding.

From your photos, you will likely need both a lift and placement of different size implants to improve the breast volume symmetry. Your board certified plastic surgeon will be able to determine on examination whether both can be done together or if you will need a two stage approach to lift you and get the nipple position symmetric and then place different size implants to improve the volume symmetry.

Todd C. Case, MD

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Tucson Plastic Surgeon

Breast lift with implants as the top half of a mommy makeover and to correct asymmetry

Thank you for your question and the photos. A breast lift can give you a more uplifted and youthful appearing breast. The breast lift can also correct the asymmetry you have noticed. You may also add a breast implant which can be placed at the same time of the lift to restore the volume you have lost in the upper portion of your breasts. To specific details, see two or more board-certified plastic surgeons in your area for a full and complete evaluation to make sure you are a... more

Restoring Breast Shape after Breast Feeding

Hi there- It looks like a breast lift with implants would give you the best outcome, but remember that the only way to know for sure would be to visit a talented and experienced surgeon for a consultation. Also, be cautious of procedures not yet universally proven safe and effective... While I realize that some surgeons are grafting fat for breast enhancement, The American Society of Plastic Surgeons has recently cautioned against this practice for women with healthy normal breasts... more

Asymmetry and upper pole volume loss

I am not sure whether the photo got flipped around or the lighting has affected the appearance of the breasts. It appears to me that the LEFT breast is slightly smaller and more ptotic (sagging), and has lost some fullness in the upper pole. Whatever the case, it is my opinion that you can achieve your goals of "fuller, perkier, symmetrical" breasts with an asymmetric augmentation. I would recommend that the smaller more ptotic side be augmented with an implant that... more

IMPLANTS #1 and LIFT #2

In my many years of experience with mothers I would suggest filling out the upper pole with an implant or fat grafting and in your case, it is reasonable to seperate the two procedures. Wait at least a year and then see how much lifting you will need to get the nipples into the more youthful position. This is so much more accurate in attaining the appearance you want. You will be happy with how they look in a bra for the first year and then decide with your surgeon how much... more

Other options

Another option to consider depending on how large you want to go, is to consider a lift (mastopexy) with fat grafting to the upper poles and to restore symmetry. I now perform this procedure routinely for women who do not want to go much larger, or do not want implants but want better upper pole fullness and symmetry. Fat grafting is particularly helpful to create cleavage as well. For larger augmentations, implants as recommended by others will be needed. Options here include saline and... more

Breast shape and volume issues

Agree with Dr Pousti and DeMars. Lift plus implants the way to go. You will need a lift on both sides to get the optimal result. Some plastic surgeons are adding fat grafting to their surgeries to improve the upper pole and other areas.

Breast implants and breast lift

Pending an in person consultation, it appears all of your goals could be reached with an augmentation mastopexy. That means: breast implants and a breast lift. Correction of the asymmetry may necessitate a small reduction on the left (or a bigger implant on the right).

You have two issues to correct: Volume and Shape

To correct the shape asymmetry, you need a lift on the left side. To correct he volume issue, a round (not anatomic) implant would be helpful. A consultation in person with a board certified plastic surgeon is the best thing for you. You should bring with you pictures of breasts that you like and discuss your goals with the surgeon. Sincerely, Martin Jugenburg, MD, FRCSC

How to Fix Asymmetry and Upper Volume Loss

There are two problems you mention, shape differences and volume loss. It takes two procedures to correct those. The shape problem is fixed with a lift, the volume problem is corrected with breast implants. The two procedures can be done at the same time.

Best Option for Breast Surgery after Breast Feeding?

Thank you for the question and pictures. Please understand that the following recommendations cannot be as precise as those offered during in person consultation. Based on your pictures, I think you will benefit from breast augmentation and breast lifting. Exactly what I would recommend for you will depend on your goals; during in person consultation I prefer the use of goal pictures that help with the communication process. I have found that the use of... more

Breast Aug With Lift

Your situation is quite common, rest assured. Combining a lift with an augmentation will address both volume and sagging, and also the asymmetry can be addressed simultaneously. A consult with your board-certified will help define these options better for you. Best wishes!