Hi, I'm wanting to end up in the 34f range. Ive breast fed 2 children so I'm pretty saggy/deflated/very sad looking. Is there a way to avoid the lift using a large implant or does that not matter? Also is it customary for the surgeon to place the implants first then do the lift? I think I'm just paranoid my nipples will end up in some strange position. thanks!
Photos Added 12/14/11
Answer: Large Implants to Avoid Breast Lifting?
Thank you for the question.
It is is not possible to give you precise advice without direct examination.
However, based on your description of “saggie/deflated” breasts, it sounds like breast lifting will be your best option. Trying to avoid breast lifting with larger implants generally does not work well.
Given that you do want to achieve a larger breasts look, it will probably be in your best interest to undergo breast lifting first, followed by the breast augmentation at a later date. This staging of the procedures will help prevent some of the complications associated with combination breast augmentation/mastopexy surgery.
Please make sure you are working with a well experienced board-certified plastic surgeon.
I hope this helps.
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CONTACT NOW Answer: Large Implants to Avoid Breast Lifting?
Thank you for the question.
It is is not possible to give you precise advice without direct examination.
However, based on your description of “saggie/deflated” breasts, it sounds like breast lifting will be your best option. Trying to avoid breast lifting with larger implants generally does not work well.
Given that you do want to achieve a larger breasts look, it will probably be in your best interest to undergo breast lifting first, followed by the breast augmentation at a later date. This staging of the procedures will help prevent some of the complications associated with combination breast augmentation/mastopexy surgery.
Please make sure you are working with a well experienced board-certified plastic surgeon.
I hope this helps.
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CONTACT NOW Answer: Lift with implants alone This is what I do to maximize lift with a breast implant 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 cmPlease see an experienced board certified plastic surgeon to find out whether you are a suitable candidate. Best of luck.
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CONTACT NOW Answer: Lift with implants alone This is what I do to maximize lift with a breast implant 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 cmPlease see an experienced board certified plastic surgeon to find out whether you are a suitable candidate. Best of luck.
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February 8, 2012
Answer: Breast Implants to avoid lift.
There are different classes of droopy breasts. Class I can be addressed with implants. Usually with other classes you will need a lift, no matter how large of an implant you are considering. The shape of an aesthetic breast relies on amount of skin, position of the nipple/ areola and volume. Depending on the amount of the droop, large implants can not address the position of the nipple/areola complex. Be weary of surgeons out there, many of whom are not plastic surgeons and do not have specific training or experience with breast lifts, who will attempt to place an overly large breast implant into your breast rather than perform a breast lift. Not only can this give you larger breasts than you wished for, but it can cause long-term negative consequences on the breast tissue and breast-supporting ligaments. It is in these situations that long-term complications such as implant mal position (the implant sliding down too far) are more likely to happen.
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CONTACT NOW February 8, 2012
Answer: Breast Implants to avoid lift.
There are different classes of droopy breasts. Class I can be addressed with implants. Usually with other classes you will need a lift, no matter how large of an implant you are considering. The shape of an aesthetic breast relies on amount of skin, position of the nipple/ areola and volume. Depending on the amount of the droop, large implants can not address the position of the nipple/areola complex. Be weary of surgeons out there, many of whom are not plastic surgeons and do not have specific training or experience with breast lifts, who will attempt to place an overly large breast implant into your breast rather than perform a breast lift. Not only can this give you larger breasts than you wished for, but it can cause long-term negative consequences on the breast tissue and breast-supporting ligaments. It is in these situations that long-term complications such as implant mal position (the implant sliding down too far) are more likely to happen.
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December 29, 2011
Answer: Large implants make the breasts large but do not lift
Large implants make the breasts large but do not lift the breast. It is very likely that if your skin and tissues are thinned and deflated, that you will not be able to support such a large implant without some type of additional procedure such as a lift or acellular hammock. Large implants can cause thinning and problems down the road. Consider carefully before proceeding and discuss these issues in detail with your plastic surgeon. Best of luck.
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CONTACT NOW December 29, 2011
Answer: Large implants make the breasts large but do not lift
Large implants make the breasts large but do not lift the breast. It is very likely that if your skin and tissues are thinned and deflated, that you will not be able to support such a large implant without some type of additional procedure such as a lift or acellular hammock. Large implants can cause thinning and problems down the road. Consider carefully before proceeding and discuss these issues in detail with your plastic surgeon. Best of luck.
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December 21, 2011
Answer: Breast Lift vs. Implant
Thank you for the photos. Based on the photos, it looks like you have grade 1 ptosis, meaning your nipple is at your inframammary fold or a very slight grade 2 ptosis. That puts you at the border between mastopexy or augmentation. It is a decision you should make with your plastic surgeon once you have all of the facts. A lift will cause more scars but the shape and the location of the nipple will be improved. An implant will improve your projection but with ptosis, you will need a larger implant and your nipples may lie slightly lower on the implant. I have performed both procedures in patients who have grade 1 or 2 ptosis and as long as the patients understood the outcome beforehand, they were happy. If you couldn't decide, I think augmentaiton alone is a great option for you.
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CONTACT NOW December 21, 2011
Answer: Breast Lift vs. Implant
Thank you for the photos. Based on the photos, it looks like you have grade 1 ptosis, meaning your nipple is at your inframammary fold or a very slight grade 2 ptosis. That puts you at the border between mastopexy or augmentation. It is a decision you should make with your plastic surgeon once you have all of the facts. A lift will cause more scars but the shape and the location of the nipple will be improved. An implant will improve your projection but with ptosis, you will need a larger implant and your nipples may lie slightly lower on the implant. I have performed both procedures in patients who have grade 1 or 2 ptosis and as long as the patients understood the outcome beforehand, they were happy. If you couldn't decide, I think augmentaiton alone is a great option for you.
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December 19, 2011
Answer: I want to end up in the 34F range
Based on your photos it does not appear to me that you need a lift.
• A breast implant of any volume will not compensate for a breastlift. If you need a breastlift and your board certified plastic surgeon will be able to tell you this after examining you, a breast augmentation alone will not be satisfactory. Placing a larger breast implant to compensate for not performing the breastlift will make you larger than you may want to be. A larger implant will accelerate the stretching of the skin and put you in the situation where you are in greater need of a breastlift because the sagging will be increased. I have seen many patients who have gone down this road to avoid the breastlift and they are unhappy for a number of reasons and they end up having the lift anyway.
• In my practice, most patients would rather have one operation than two. I tend to perform the augmentation with the breastlift at the same time. Having said that there are many plastic surgeons who, for a variety of reasons, separate the procedures and that is personal preference and comfort level of the surgeon with the procedure. Having the result you are looking for, safely is the goal for the surgeon and it should be for the patient as well.
• You should ask to see before and after photographic results at the office where you are having a consultation. This will give you a good idea about the personal results of your plastic surgeon. Take into account size, shape, nipple position and scar quality. Do not expect your breasts to be perfect after this or any operation. Especially with the augmentation/breastlift a number of issues are being addressed; namely, size, shape and position and size of the nipple and areola. With all those changes there will always be some differences. It is a good idea to ask your surgeon how often a revision is performed to address these differences. The breasts, remember, are naturally different from each other and they will most likely have some differences after surgery as well.
Thank you very much for this question.
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CONTACT NOW December 19, 2011
Answer: I want to end up in the 34F range
Based on your photos it does not appear to me that you need a lift.
• A breast implant of any volume will not compensate for a breastlift. If you need a breastlift and your board certified plastic surgeon will be able to tell you this after examining you, a breast augmentation alone will not be satisfactory. Placing a larger breast implant to compensate for not performing the breastlift will make you larger than you may want to be. A larger implant will accelerate the stretching of the skin and put you in the situation where you are in greater need of a breastlift because the sagging will be increased. I have seen many patients who have gone down this road to avoid the breastlift and they are unhappy for a number of reasons and they end up having the lift anyway.
• In my practice, most patients would rather have one operation than two. I tend to perform the augmentation with the breastlift at the same time. Having said that there are many plastic surgeons who, for a variety of reasons, separate the procedures and that is personal preference and comfort level of the surgeon with the procedure. Having the result you are looking for, safely is the goal for the surgeon and it should be for the patient as well.
• You should ask to see before and after photographic results at the office where you are having a consultation. This will give you a good idea about the personal results of your plastic surgeon. Take into account size, shape, nipple position and scar quality. Do not expect your breasts to be perfect after this or any operation. Especially with the augmentation/breastlift a number of issues are being addressed; namely, size, shape and position and size of the nipple and areola. With all those changes there will always be some differences. It is a good idea to ask your surgeon how often a revision is performed to address these differences. The breasts, remember, are naturally different from each other and they will most likely have some differences after surgery as well.
Thank you very much for this question.
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