Lift and Over? Asymmetry, Sagging.

I'm getting a bl and ba. The lift is due to VERY noticeable assymetry, and the the bigger one has a lot of sagging. (My left is about a B cup and the right an A cup) The ps told me that I have enough breast tissue to have implants over the muscle. Will having the lift now prevent me from having another later? I've heard that a disadvantage of having overs is that with time they produce sagging. I was leaning toward unders but now I'm confused. BTW, I am going for about 250-300cc.

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5 Doctor Answers | Asked by drmomof2

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Lift necessary

A lift is sometimes necessary for patients undergoing breast augmentation. As for needing a future revision it is dependent on multiple factors.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Breast Implants and Lift

In general, placing the implants under the muscle is usually the best option. As tissue thinning occurs and rippling, the muscle provides another layer of coverage. It also tends to create more camouflage for the implant. Kenneth Hughes, MD Los Angeles, CA

Breast Augmentation/Lifting and Positioning of Breast Implants?

Although it is not possible to provide you with specific advice online, I generally offer patients breast augmentation/lifting with the breast implants placed in the sub muscular ( dual plane) position. This positioning allows for more complete coverage of the breast implants leading to generally more natural feel/look of the implants in the long-term. This position will also decrease the potential for rippling and/or palpability of the implants (which may... more

Risky to place implants above the muscle at the time of breast lift.

In my opinion it is preferential to put rest implants below the pectoralis muscle when augmentation is done with a breast lift concurrently. This has to do with blood supply to the healing tissues.

Lift and Over? Asymmetry, Sagging.

It is difficult to give specific advice without at least photos. I find that for the overwhelming majority of patients the advantages of placing implants under the muscle outweighs the disadvantages. I don't necessarily agree that an A cup breast has enough volume to make over the muscle placement a reasonable alternative, but that is just one surgeon's opinion, based upon incomplete info. If you develop the need for another lift in the future, it can be done. On line opinions can... more