Breast Augmentation: Q&A
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Do I Really Need a Lift First Before Implants? (photo)
I'm 28 years old with a breast size of 34b and desire a full C cup. I do not have any children but do not plan to for another 4 or 5 years. At my consultation, the surgeon advised against an augmentation due to my nipple placement. He said I have more skin above my nipple and that if I were to get an implant, my nipple may seem to point downward. He suggested a breast lift would help however I don't feel my breast are saggy.
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14 Doctor Answers |
Asked by
Bella80001
+2
Breast Augmentation and Lift
I always offer a breast augmentation first in those patients who believe they will be happy with an augmentation only. I give them my opinion that their breasts will look better with a lift and augmentation, but I let them make the decision. Just make sure you seek a board certified plastic surgeon with ELITE credentials who performs hundreds of breast augmentations each year. Kenneth Hughes, MD Los Angeles, CA
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Do I need a breast lift?
I am in the camp that believes you do not necessarily need a lift. Once the implants have settled into their final position, the lower part of the breast (skin, breast tissue, and muscle) will stretch to some degree. This can at times give the illusion of a small lift even though the nipples have not actually moved. As long as you do not pick an implant that is too big and the implant pocket is kept above the breast fold, you should not get a double bubble effect. If nipple position is not...
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Do I Really Need a Lift First Before Implants?
With your already low areolas, I think you would have a better outcome with a lift done at the time same time. However, it does not seem unreasonable to just do the augmentation, and then you can decide if the outcome is not satisfactory, and you can do the lift at a time of your choosing.
Your areolas would be low to my eyes, but perhaps completely OK to yours, and that is what matters.
Thanks for your question, all the best.
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+2
Augment first
First do the augmentation -- then have a life and have kids. When all is done and your breasts have sagged more, you may need a lift.
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Breast Lift Or Implants
Your nipples do seem to be situated a bit low, but if you are not unhappy with their position. I would suggest first having an augmentation. If you do not like your nipple position post-op, you can always have a secondary breast lift.
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Breast lift
Hello. You may need a lift with your augmentation but it is hard to decide for sure without a proper consultation with measurements. What I can determine from these pictures is that your nipples do seem low. It is ultimately your decision to decide if this bothers you or not however and you could always get the augmentation now and get the lift later if you are unhappy with your outcome.
Jaime Perez, MD
Breast Augmentation Specialist
Plastic Surgery Center of Tampa
+1
Breast implants
I agree with your surgeon. Using only your photos to judge, it does appear that you need a lift only, or lift with implants, but not implants only.
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Do I Really Need a Lift First Before Implants?
I agree with the doctor. BUT, there is ALWAYS a but, I might consider implant with donut lift + fat grafting in the inferior poles.
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Breast Lift Before Breast Augmentation
The first question you have to ask yourself is are you happy with the size of your breasts? If not then an augmentation will be necessary. As to the breast lift, yes it's necessary. Breast implants enhance any deviation from normal. Your nipple areolar complexes are too low and implants will only enhance this. A subpectoral augmentation and a periareolar breast lift will give you a fantastic result.
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Breast lift vs. only implants
In my opinion, implants alone would give you a nice result. While the position of your nipples and areolae are a bit low, breast augmentation alone should be enough to lift them. If they are still too low for your liking, a small procedure under local anesthetic may be enough to lift them to the position you want.
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Mastopexy
When I am not sure about nipple position, before the augmentation I get approval for a conservative mastopexy in order to get the best result. I think the scars of a mastopexy are more acceptable then nipple-aerolar malposition. I agree that in many cases the augmentation will correct minimal ptosis adeouately.
Lafayette Plastic Surgeon
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Breast Lift or Not?
Dear Bella80001, Thanks for re-sending your question with photos. The distance from your sternal notch(the notch between your collarbones) to your nipples appears to be a bit long so the ideal treatment would be to lift the nipples upward at the same time you are having your implants placed. That being said, you can also just have the augmentation performed and then decide if the "look" is something you are happy with or not. A small lift such as the type you...
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Do I really need a lift
My opinion is a strong yes. You have what we refer to as ptosis or drooping of the nipple complex. Ideally the nipple complex should be above the "equator" of the implant. The nipple complex does not come off, it just gets lifted with removal of skin above it. It is a much more attractive look and prevents the "double bubble" that you could get with implant giving one bubble and your breast tissue under it giving a second bubble. I agree with the surgeon you referred to.
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Breast issue and nipples
Thanks for the photos. It certainly seems reasonable to place the implants in the pocket and sit you up during the procedure to see if you need the nipples to be raised. This can then be performed at the same time.
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