Should smaller implants be used with a lollipop lift? (photo)
Doctor Answers 20
Smaller is safer
So yes, the smaller the implant you choose the less the weight of the implant and the less stress the implant will cause your tissues.
In addtion to implant size you may wish to discuss with your surgeon the pros and cons of placing mesh of collagen support in the breast to potentially increas the longevity of the lift.
Possible lift with implants alone
- use silicone cohesive gel implants. The more cohesive the better. I am not sure if these are available yet in the US, but the Allergan Inspira Truform 2 implants are ideal
- use high profile implants. The more projection you have, the more lift you will get
- have the implants placed in the submammary pocket (under the breast itself). You should have a pinch thickness at the top of your breast of at least 2 cm
Please see an experienced board certified plastic surgeon to find out whether you are a suitable candidate. Best of luck.
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Avoid lollipop lift
Gary Horndeski, M.D.
Breast Implant Sizing and Mastopexy
Breast implants with lift
I place the implants first - and then do the lift for the very reason you ask about. Skin may be too tight if the lift if done first.
I do not believe it is possible to tell you from photographs the best implant for you.
It requires a face-to-face examination with a Board Certified Plastic Surgeon. The implant depends on your chest measurements, your goals, height and weight, skin looseness and proportions.
All of that said, when combining a lift with an implant, choose the smallest implant that will meet your goals. It will give you your most natural result and place less tension on the lift. I would not suggest anything larger than a 350 and that may be too large for the look you want. Best wishes
I would recommend a 350-375 cc high profile implant. This will enhance your breast with a natural look.
Implant Size Selection Accompanying Breast Lift
Breast Augmentation and Breast Lift
Breast implants should be considered to only give additional volume and/or more upper pole fullness. The choice to use implants at all or what size implant would be appropriate should not be based on any other issue like breast sagging. Similarly, the type of breast lift to use on a patient should be based on how much vertical and horizontal skin excess is present, and an implant should not be considered to supplement the desired outcome of a lift: to reposition the breast mound and nipple areolar complex. The greater the skin excess in one or both directions, the more likely a 'bigger' lift will be necessary, going from a periareolar to a lollypop to an anchor type breast lift to address this excess. Although it is true that one does affect the other, consideration of implants and lifts should be made separately and not contingent upon one another.
To use you as an example, you desire a modest enhancement in volume, a more youthful breast shape, and you have an active lifestyle. I usually begin with the decision to use implants, and in your case that seems reasonable. A relatively small, low or intermediate profile implant will give you a modest boost in volume and excellent upper pole fullness. Next, I would assess your natural breast tissue envelope. One breast has significantly more vertical and horizontal excess than the other, and that difference may or may not affect my decision to use a particular type of breast lift pattern. In general, I prefer not to rely too much on circumareolar gathering of skin to address skin excess, as it has a detrimental outcome on breast shape and scar appearance. Instead, I would rather use the lollypop or anchor for breasts with too much skin excess.
Augmentation Mastopexy is a complex surgery that has a higher rate of complications than either mastopexy or augmentation alone, at least by national averages. However, surgeons specializing in cosmetic breast surgery do this operation frequently, and get complications no greater than performing the two surgeries separately. Please visit only a few highly qualified surgeons that have great reputations for this surgery, not just implants alone. There credentials should include certification from the ABPS and membership with the ASAPS.
Best of luck!
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.