I am 28 years old and have breast fed 2 children. I've lost 20 lbs in the past 4 months as well. I am currently 5'4 and 135lbs My consult Dr. informed me I was borderline in need of a lift. I am getting saline implants soon. Dr. stated that I can proceed with the implants and if a lift is needed in the future I can plan that in my future. Dr. stated he is pretty certain that I will not need a lift after implants, but it is possible. Not sure how I should go about this.
I Was Informed I Was Borderline in Need of a Lift What Do You Think? (photo)
Doctor Answers (13)
I Was Informed That I in Need a Lift. What Do U Think?
In my opinion you need both a lift and a new doctor! I would not waste your time and money, only to get a lift later on. Many doctors don't like to do them and many women would rather avoid them but it really looks like it is needed...Your nipples are the lowest part of your breast and they sit on your tummy...That spells lift....
Considerations For Breast Augmentation vs. Breast Augmentation And Breast Lift
Your photos are very helpful to answer your question. You have lost breast volume, your breasts droop, the nipples are currently positioned at the bottom of your breast, and this nipple position is probably a small distance below the level of your inframammary fold. All of these indicate that you need a breast lift.
If you were not getting an augmentation and wanted to improve your breast shape and nipple position, a breast lift would accomplish that. If you are happy with your current breast size then this is certainly an option. If you desire a larger breast then you will require an implant.
Given your current breast shape and skin envelope, an augmentation (without concurrent breast lift) will result in a ‘snoopy” deformity. The lax breast will hang off the front of the implant. Even a rather large implant will not alleviate the need for a lift; and personally, I disagree with the approach of trying to use large implants to avoid a breast lift. Inevitably there are problems related to skin stretching and thinning, a low hanging breast, implant rippling, etc that are sources of dissatisfaction for the patient causing them to seek additional surgery.
Using a two step (staged) approach to augmentation mastopexy is certainly acceptable. In that scenario, the lift is usually performed first, and the augmentation is done 6 – 12 months later. Since the pre-operative evaluation is not an exact science, we have all told borderline patients, at one time or another, that depending upon how the implant settles a small lift may be required. I do not think you are one of those patients, and believe that if you do not have a lift with your augmentation, you will be back later to have it done.
The consensus here is rather unanimous. Do you have a clear understanding of what size implant your surgeon plans to use? Do you have some understanding of what the expected breast shape is going to be without a concurrent lift? If you have concerns or questions, you should speak with your surgeon again.
Best wishes, Ken Dembny
Breast lift question
From looking at your picture I would say a lift is needed. Your nipples will be in a proper location with a lift and the areola will be made smaller which is a more youthful look. I agree with the otjer doctor that you could have just a lift and see how you like the results and then add an implant 4 months later if you decide you want larger fuller breasts. Good luck and please see a board certified plastic surgeon.
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I Was Informed I Was Borderline in Need of a Lift What Do You Think?
If you were to undergo breast augmentation surgery only I think that 2 types of “results” would be predictable:
1. You will end up with “big and low” breasts and unhappy with the aesthetic outcome etc.
2. You will end up with the breast implants sitting high on your chest wall with the breast tissue lower down, again creating an aesthetically unpleasant outcome. You will find that you will continue to have breast skin sitting on top of upper abdominal wall skin, unless you lift the breasts.
For some patients the necessity of additional scars is a “dealbreaker” ; for these patients it is better to avoid breast surgery altogether.
On the other hand, many patients (If properly selected and who are doing the operations at the right time of their lives psychosocially) accept the scars associated with breast augmentation/breast lifting surgery as long as they are happy with the improvement in contour, size, and symmetry. This acceptance of the scars is the essential “trade-off” associated with many of the procedures we do in the field of plastic surgery.
I hope this, and the attached link, helps.
Breast Lift Recommendation
Congratulations on your weight loss. With your nipple position, my recommendation is to generally perform a lift. However, a lift must be consistent with your objectives, lifestyle, and lifestage. Without knowing the details of your case, it would be unwise to vehemently state a position. Consult with 2 - 3 additional experienced and expert board certified plastic surgeons to review your options.
Do i need a lift?
I agree with the other surgeons, your nipple position points down and even with large implants you will need a lift to position your nipples above your breast fold. One way to go about it is to perform the augmentation first and if unhappy with the appearance opt for a lift. Good luck.
Breast lift needed for breast contouring
Your nipples point in a downward direction and your entire nipple and areola are below the level of the fold behind the breast. With this breast shape you more likely to need a breast lift as well as a breast lift.
I Was Informed I Was Borderline in Need of a Lift What Do You Think?
I'm afraid I would have to disagree with your doctor. With nipples at or below the lower breast fold, you definitely need a lift. Many of us feel it is wiser and safer to do the lift first, then the augment after the lift has healed.
To lift or not
I do think that you will need a lift. The nipples are low in relationship with the infra mammary fold. Although you can have implants only, you will most likely get a deformity that will require a breast lift. You can do it in two stages and see if you really need the lift.
Do I need a breast lift with my augmentation?
Thank-you for the photos. In what I can see your nipples sit lower than the fold under your breast which mandates a breast lift in my opinion. I personally don't think you are on the border and I would recommend a lift with or without implants. I hope this helps.
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