Breast Augmentation: Q&A
Ask a Question
Lift & Augmentation or Augmentation Only?
Hello my name is Angela..i recently had a consult with a PS and he recommended that i have both a lift and an argumentation. However with some research of my own i saw that some women with similar breast types as mine had an augmentation (only)that looked well enough without the added scaring of a lift. Would an implant above the muscle be the best choice to add a little lift with fullest or do i certainly must have the lift as well? Thanks
Tags:
20 Doctor Answers |
Asked by
Angie_plano
in plano, tx
+2
Breast Lift/Augmentation or Just Augmentation
Based on your photos, the right breast seems to have a little more loose skin with sagging and the nipple is lower, an asymmetry that is not uncommon. I would recommend trying breast augmentation alone using a dual plane technique, which will accomodate small amounts of sagging. After 6 months, if you are happy then you are all set. If not then at most you would need a peri-areolar lift to reposition the nipples and take up any loose skin. If you take this approach, you have not "burned...
more
+1
Breast Lift?
If you don't mind the asymmetry of the breasts, then you do not need a lift. In truth, no woman's breast are symmetric and this is considered the norm. Also, with just an augmentation, your board-certified plastic surgeon can perform a "dual-plane type three" elevation on the left side and improve the difference quite a bit without a lift. Best wishes!
+1
To lift- or not to lift
Hi Angela! Depending on the amount of sag (ptosis) to the breasts and the size of the implant selected, some patients are candidates for breast augmentation alone. These patients usually have a minimal amount of drooping. Discuss your options with a board certified plastic surgeon and review their before and after photos to get an idea of their surgical results.
You might also like...
Real Stories
Saline Implants - Columbus, GA
I had my saline implants on top of muscle ive had two children one before op and have had...
+1
Lift & Augmentation or Augmentation Only?
This is a very common problem seen by plastic surgeons. In order to answer this question we really need one more piece of information, specifically the position of your nipple relative to the infra mammary crease. (the line formed where the breast meets the chest wall). If your nipple is below this line then an augmentation alone would leave you with a breast that looks like a "rock in a sock" and you would benefit from a lift (Mastopexy) as well as an...
more
+1
Lift?
I think that, if you are OK with an over-the-muscle augmentation then you can achieve a nice lift just with an implant and no lift. I would discuss with your doctor the advantages and disadvantages of this approach.
+1
Breast augmentation +/- lift
It looks like from your photos that you could benefit from a lift and augmentation. Sometimes a circumareola lift is all that is needed which would limit the incision around the border of the areola. Other cases may require more incisions. An exam is critical.
+1
Options with breast augmentation
Hello Angela: Your pictures show some breast asymmetry which I'm sure your plastic surgeon discussed with you; but a face to face exam is really needed to determine other important factors such as the thickness of your breast tissues, the elasticity of the skin, etc,; you may be happy with a well-performed dual-plane augmentation (different size implants or amount of fill may be needed) with the back-up plan as others have mentioned of a mastopexy done later if needed. ...
more
+1
A lift and implants for a natural looking result
Angie, the difference in the level of your areolas necessitates the performance of a periareolar lift on the right with the placement of the implants behind the muscle for a natural looking result of the upper pole of the breast mounds. Periareolar scars usually heal well with little to no long term unfavorable results. Your right breast also appears to be somewhat larger so you would probably need a larger implant on the left side. Hope this helps with your decision making process.
more
+1
Do i need a lift
I am not a fan of submammary implants. (above the muscle). I think you would do better with an proper sized implant and a lift, with the scar just around the areolar from the photos. if you go real big with the implant you will save the scar but have many more headaches.
+1
Lift or no lift
You have a borderline situation. You could have augmentatio only, with implants placed under the muscle. This may be all that you need. If you desire more symmetry, then a lift with an augmentation is the answer. A donut lift on the left and vertical on the right may all you need. You have to discuss you concerns with your plastic surgeon and see photos of patient without lift and those who have lift. This would make you decision much easier.
+1
Augmentation with or Without Lift
Your photos indicate that you like many women are "in the gray area' as far as whether you will obtain a satisfactory result with an augmentation alone or whether you also need a breast lift or mastopexy. you will never "burn a bridge" by having only an augmentation initially. You can always undergo a mastopexy or breast lift as a secondary procedure if you feel that you would benefit from it. This usually involves little, if any, increase in expenditures...
more
+1
Augmentation alone or with a lift?
Based on the photos you provided, you appear to be a good candidate for a breast augmentation with a limited lift (mastopexy). A limited lift would probably involve an incision around the areola only and would help improve your asymmetry. Breast implants placed sub-muscularly would provide fullness and volume and improve the overall shape and appearance of the breasts. Placing the implants under the muscle would help prevent encapsulation and provide more support. Communicate your goals with...
more
+1
Fixing breast asymmetry
The surgeon you saw had the advantage of a face to face examination while we are working from photos which may not reveal the same things one would see face to face. Your posted photos show asymmetry with the nipples at different relative positions and the right breast larger than the left. On a side view the nipples are at the level of the folds so I am not sure why you would need a lift. You will however need slightly different sized implants and a minor skin procedure to balance out the...
more
Los Angeles Plastic Surgeon
+1
Lift and augmentation versus augmentation alone
This is a situation when I often discuss different options with patients - I would recommend that you visit with a couple plastic surgeons to find someone that you are really comfortable with, since there are a few reasonable ways to address the problem. I personally think that the best result would be with a lift and augmentation. The scars tend to fade over time, and I feel that contour, shape, size...
more
+1
Breast augmentation with or without a lift
When I look at your pictures I see asymmetry, with the right breast being more ptotic (saggy) and larger than the left. Your areolae are both a little big and lower than they should be, especially on the right. I believe you need a lift on both sides, probably a little more extensively on the right. The lift will give your breasts a rounder, perkier shape. The implants, which will give you volume and projection, should always be placed under the muscle...
more
Chicago Plastic Surgeon
+1
Breast augmentation vs augmentation and lift
Angela: That is a common question. The ptosis (breast sagging) on your left side is mild, but it is a little greater on your right side. If you were my patient, I would give you two options.
1. Do the dual plane augmentation now. Dual plane means that most of the implant is under the muscle. If you are bothered by the asymmetry or sagging, then a breast lift could be done in a few months once the implants have settled and the tissues have healed...
more
+1
Do I need a Lift or Augmentation only?
Angie, this is a very common question I hear often from my female patients. The concern is always about the added scarring and cost of the surgery if a lift is needed. This is an understandable concern, but I always council my patients that an augmentation performed for the wrong reasons when a lift is truly needed will result in a poor cosmetic outcome and possibly require additional surgery that could end up costing even more.
To correct your breast size mismatch and...
more
+1
Implant vs implant/lift
Going above the muscle puts you at risk for a rock in a sock deformity and you may see rippling in the superior pole due to your thin tissue. An extended dual plane augmentation may give you what you want so I would hold off on the lift. If would wind up wanting/needing one the result will be far more predictable and have less chance for complications. Hope this helps! Good luck!
+1
Breast augmentation with or without lift
You have mild ptosis on the left where the nipple app eras to be just below the fold but on the right side you have moderate ptosis. There is some breast asymmetry. You might do fine on the left side with augmentation only, either submuscular or subglandular but on the right side you will have a better outcome if you get a lift. You will need different size implants to correct the asymmetry
+1
Mastopexy with implants is needed anytime nipple is below the level of breast crease
Angela, Your breasts need to be positioned as they are in your last photo (arms raised), before putting silicone implants in front of your muscle to give you a full breasted natural and youthfull look. All "MADE BY GOD" breasts EXIST In front of muscle.
Why augmented breasts should be different.
Your right breast will need more lift than your left breast. There is no way around it unless you want a compromised result. However you will regret compromise...
more
Comments (0)