Breast Augmentation: Q&A
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To Lift or Not to Lift - That is the Question? (photo)
38 yo, mother of 4 - breastfed 3 of them. Going in for an augmentation with saline, under the muscle, in January. I am wondering if I am in need of a lift as well. I don't want upper pole, I am going for a very natural look (420cc) and as many women say, I would prefer not to have the scars from a lift. That being said, I do want to avoid going in for a revision anytime soon. So - I would love to hear opinions on whether or not you think I need a lift. Thank you.
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26 Doctor Answers |
Asked by
wannabme4me
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Lift or just implants?
Thank you for your question and photographs. Although, no substitute for a physical exam, your pictures would suggest that you do not need a breast lift. You appear to have significant skin laxity and deflation that will be improved with a breast implant. Given the very thin nature of your breast, you may wish to discuss the option of a silicone gel implant with your board certified plastic surgeon. With such a thin skin envelope, you will be much more likely to see and feel your...
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Lift not necessary
Since your nipples appear to be above the fold, you should have a better result with fewer scars if you simply fill out the breast skin with an implant. Let us know how your surgery goes!
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Lift
Your pictures show no ptosis and post partum involution of the breast. It does not appear that you would need alift at this time.
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Lift or No Lift in Deflated Breasts?
Any time a breast is extremely deflated and that is the only reason for the nipple areola complex to be low, breast implants alone are appropriate.
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To Lift or Not to Lift - That is the Question
Try with the implant, with this volume it is possible to minimize the ptosis, after one year, you can see if it is enough o you need mastopexy .
Argentina Plastic Surgeon
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Lift or no lift
I say go with a vertical lift with a lollipop scar. Don't go for the so called crescent or donut lifts. They do not provide much lift and will stretch out your areolae.
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Breast augmentation Lift or no lift?
From your photo it looks like you would not need a lift and really just need to be pumped up again with the breast implants. Silicone would probably be the best option for you since it seems you have relatively thin skin.
see video
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Wanting to avoid another surgery
Thank you for your question. Following pregnancy, whether to do a breast lift or not is something that can be difficult to diagnose, but the nipple position, the quality of the skin and breast tissue as well as the position and amount of breast glandular tissue are clues to help to determine the best procedure. Through breastfeeding three kids, your breast tissue has thinned out. You also appear to be a thin woman. Your breasts move out towards the side of your chest, indicating that you...
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No Lift Needed, However, Reassess Implant Choice.
Hello, and thank you for your question and photos.
I can tell you 100% that you do not need a lift. Your nipples are well above the breast crease and the extra skin will fill out nicely with the implants. However, do to your thin frame and low body fat, the saline implants will not be a good choice for you. I would have a frank discussion with your plastic surgeon regarding silicone implants. The Saline implants will feel unnatural since you have very little...
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Breast Lift not needed
Based on your photos, it would appear that breast implants alone will fill out your breast skin and raise the nipple area to an appropriate and pleasing position on the breast mound. Your plastic surgeon should be able to give you a reasonable idea of what to expect after examining you in person.
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Lift with Breast Augmentation
Hi,
Based on my experience, you do not "need" a breast lift procedure:
If the nipple/areolar complex does not hang below the breast crease, an uplift is generally not necessary.
Judging from the pictures, your nipple/areolar complex is above the crease.
Although you have a small amount of breast skin drooping below the crease, the implants should "lift" this up as they settle.
Thanks for your question and good luck!
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Breast lift with augmentation, natural looking
The decision of whether or not to perform a breast lift at the time of augmentation can be a challenging question, and the decision is based on the amount of skin between the nipple and the inframammry fold, the position of the nipple in relationship to the fold, and the amount of the breast tissue below the fold. From this picture, the nipple is well position above the fold, there is no breast tissue below the fold, and the skin laxity is moderate. Therefore a breast lift...
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Breast lift or just implants?
It looks solely based upon your photos that you will not need a lift. Of course an exam in person is key. Usually for thin patients it is best to place the implant under the muscle.
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Implants for breast lifting
You do not appear to have significant sagging. I would suggest implants only.
You are thin, and silicone may be a better choice than saline.
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Breast augmentation without a lift should give you the result you are looking for
It is very difficult to say with absolute certainty whether you need a lift or not without doing an examination in person. However, judging from your photos alone, breast augmentation with either saline or silicone implants should give you the results that will make you happy. You do have very small amount of breast tissue, so saline implants may give you visible and palpable rippling.
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Augmentation with or without a lift
Thank you for your question and photos. You do not have sagging breasts, just "deflated" breasts. Sagginess of the breast is defined how low your nipple/areolar complex is in relation to the breast crease. You have pseudoptosis which is correctable with an augmentation. I would discourage saline implants for you, due to the thin breast tissues. Also, be advised that most likely you will not have a close cleavage due to your chest wall anatomy. It seems to me that your rib cage slopes toward...
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A lift not necessary, but consider implant options
Your choice of implant size should be more than sufficient to both elevate and project your nipple/areolar complex without a lift being necessary. Additionally, your areolar diameter certainly does not warrant a reduction. A moderate sized saline implant can be placed through any one of the three standard approaches with a small incision, however you may feel the implant and notice some lateral rippling due to your relative lack of breast tissue. A similar sized silicone implant will feel...
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Philadelphia Plastic Surgeon
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Aug. vs. Lift
The general rule of thumb is that if your nipples are below the crease under your breasts (the inframammary fold), then you should have an uplift as well as the aug. Your photos suggest that they are at or above the fold (without examination), and you may be augmented and lifted with implants alone. Hope this helps.
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To Lift or Not to Lift
You should be able to get a very nice result with the breast augmentation alone. We would not generally consider a lift for patients with your anatomy. Your tissues would be considered deflated more than droopy.
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Breast lift or no breast lift?
Thank you for the question and the inclusion of photos. Based on the photos you have provided, I feel that you would not need a breast lift to obtain very nice results. I do however recommend that you reconsider your implant choice and discuss the difference between saline and silicone with your plastic surgeon. I will generally recommend a silicone implant for someone with your body type. You have very little natural breast tissue which gives you a higher risk of seeing or feeling...
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To Lift or Not to Lift
Thank you for your question and for the attached photos. Based upon these, it appears to me that you should expect a nice result without the need for a lift.
I would add that given the large size of the implant and the relatively small amount of breast tissue that you would be a better candidate for silicone gel implants. They feel more natural, are less likely to have ripples--both palpable and visible. I would suggest that you revisit that issue with your surgeon.
Best wishes...
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Breast lift with augmentation
Just based on photos, it appears that you do not need a breast lift. Of course, a physical examination is more definitive. I would recommend a silicone gel implant instead of saline for your situation. You have a somewhat deflated breast with loss of breast volume and skin laxity. Saline implants tend to have higher likelihood of palpable and visible rippling, especially at lower and outer borders. It typically happens after 6-12 months of your surgery. If the rippling is significant, it may...
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Breast lift with augmentation in post partum involution
Measurements and a detailed history of the size of your breasts through your lifetime may help in determining what the underlying looseness of the skin actually is, and what the nipple position is.
Many patients benefit from a hybrid-type breast lift (i.e. periareolar or lollipop); this may a good compromise for you.
A 420 cc is large, and with a slightly loose skin envelope, a saline implant can ripple considerably, so please discuss this with your plastic surgeon.
Many patients...
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Breast Lifts and Breast Augmentation
From your pictures, it does not appear that a lift is necessary. If your breast appear the same with your arms at your side, breast augmenation alone should give you a nice result. If you want an more accurate answer, ask your plastic surgeon. They have all the information needed to explain it to you.
see video
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Breast Lift Needed?
Thank you for the question and pictures.
Although I cannot give you definitive advice without direct examination, based on your pictures I do not think that you need a breast lift. Breast augmentation alone should suffice to give you a very nice aesthetic result. In my practice, I generally recommend silicone gel breast implants for patients with your body type ( what appears to be low body fat percentage).
Best wishes with your upcoming procedure.
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Nobler in the mind to suffer - Lift or no lift?
Thanks for sharing and the photos - it looks like you are deflated and minimally saggy. In my clinic, I have created nice results in this scenario using only a breast implant to restore volume to the breast. Because your nipples are above the crease (and so is most of your breast tissue), I would prefer breast aug over lift. However, you should see a PS and note what they recommend. Ultimately, you need to decide the pros and cons of the operation offered by your PS. Good luck, Dr. Aldo
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