Breast Augmentation: Q&A

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Lift or No? (photo)

I have met with doctors and have received different opinions. One said I need just a lift, another said a lift and implant, one said an implant under the muscle and another said an implant above the muscle. My surgery is scheduled for Thursday and went with the doctor for an under the muscle implant. I have been reviewing others images and have seen some patients where their implant is high at first and the breast tissue seems to hang off of the implant at first. Is that going to happen to me?

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17 Doctor Answers | Asked by klaa

Doctor Answers (17)
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Lift or No Lift?

Hello, Thank you for sharing your photo along with your post. Based on the information you provided, it is difficult to provide you with a solid advise since you did not mention what your goals are. Worrying about how your body will react to the submuscular implants is important but every patient will recover differently. The important point is to make sure you obtain the results you desire, otherwise you will not be happy with your surgery. Implants alone will not provide... more

Breast Augmentation and Lift

It appears from your photo that your nipples sit low and below the fold underneath the breast. In this case, an implant together with lift will give a much nicer position and shape of the breast.If you place the implants above the muscle without a lift your breasts will remain low and long. Most patients would rather have them higher and perky.

Lift or no?

You are borderline as far as needing a lift. It depends on what factors are important to you. If you want perky breasts you should get a lift. If your main goal is to minimize scars, an implant would be the better choice. Fortunately, if you go with the implant only, it can later be converted to a lift. My only admonition is not to go too large. 400 cc's would be about right.

Augmentation or lift or ?

Without an examination I am unable to give a definitive answer, however it appears that you would do best with a lift AND augmentation. The position of your nipples is important in deciding whether a lift is required. If your nipples are in an adequate position (above the infra-mammary fold), implants alone may suffice. No matter what approach is chosen, I believe that it is important that you discuss your expectations with your surgeon so that he/she can offer you the... more

Lift or no lift?

Hi. Based on a limited photo and no measurement, I cannot give you a precise recommendation. Just on your frontal view of your preop photo, you might have needed implant and lift. Implants are meant to give you fullness (to add volume); however, they do not change the shape of your breasts. Your implants will settle down for the next couple months. You should wait and see whether you would need lift at that time.

You may need to have lift later

It is hard to give a abustle recommendation without the physical examination and full views. The quality of the skin, nipple position and breast tissue position dictates the surgical option. If you breast augmentation and not happy with the result ,you can get lift later.

Kamran Khoobehi, MD

28 reviews

New Orleans Plastic Surgeon

Breast Lift

As other doctors have said, from 1 photo it is hard to know for sure. But from your photo I am pretty sure that my recomendation for you would be an augmentation mastopexy with the implant behind the muscle. I think if you do not do a mastopexy you will regret it and end up doing it later. The type of mastopexy I would recommend would the a verticle mastopexy. I prefer to do both proecedures at the same time. That way there is only one recovery and the cost is... more

Gary Hall, MD

8 reviews

Kansas City Plastic Surgeon

www.hallmd.com

Lift or No?

Based only on the one photo, I think you could get a more youthful shape if a lift is combined with the augmantation, but I would feel very comfortable with just a submuscular (but Dual Plane) technique to fill out the lower breast and give you a very nice natural look. The big advantage to the lift is getting more fullness in the upper breast. The implant must go where the breast is and if the breast is a little low, so must the implant be a little low. Without a lift, if you put the... more

Requirement for Breast Lift along with Breast Augmentation in Los Angeles

Many women in Los Angeles who get Breast Augmentation want to know if they can avoid getting a breast lift, when it is indicated. Through years of experience doing breast augmentation and breast lift surgery in Los Angeles, I have learned that women who are told by thier plastic surgeon that they need a breast lift, will regret not getting it, if they did not.

Lift Can Always Be Performed Later

Although a lateral photo would have been helpful, I think you may be pleased with submuscular implant only (it all depends on what you seek). A small vertical lift could always be performed later.

AUGMENTATION WITH OR WITHOUT LIFT

Usually breasts falling over the breast implants means the patient should have had a lift. For you based on limited photos and no measurements I would recommend a lift with small implants to fill out the upper pole of the breast. Usually for combined procedures I place the implants under the muscle (dual plane) but I do not oppose placing them on top. This is surgeon preference.

Breast Augmentation Only or Breast Lift As Well?

Thank you for the question and picture. Viewing the limited photographic view, I think you will be best off undergoing breast lifting surgery as well as breast augmentation surgery. Otherwise, I think you may be disappointed with the aesthetic results of the breast augmentation procedure and will likely continue to have significant lower breast skin sitting on the upper abdominal wall skin. Given that your surgery is coming up soon, I would suggest that you spend... more

I suspect you will need a lift

Hello Thank you for the question and photo. A side photo would also be helpful to determine the need for a breast lift. From the front view photo alone it does look like you will need a breast left. I think your best result will be to choose the implants that will give you the volume you need and a lollipop or circum-vertical breast left to reposition the breast tissue on top of the implant. All the best Dr. Remus Repta

Breast Lift

YOU ABSOLUTELY need a lift. If you do not , you will get the double bubble effect or at the very least have a nipple complex on the lower pole of the breast mound created by the implants. This is not the prettiest look for someone with so many other very attractive features. Your presentation is very usual for a mom who is now doing the procedure because she wants to do something for herself and has done it all for the family! You need a lift and implants to get the right result. A lift... more

Talk to your surgeon

Getting a different answer from each different surgeon is not surprising given your situation. Yes, you are at risk of having the problem you describe ("snoopy nose" deformity) or a "double-bubble" deformity. If your surgeon is American Board of Plastic Surgery certified and experienced, he or she is aware of these possibilities and will do a few things to minimize the risk. Be certain to ask your surgeon about this before surgery. If you are not comfortable and confident... more

Lift or No

It is awfully hard to give a definitive recommendation based on a single photo taken with your arms elevated (which makes the breasts look lifted). And always an in person exam is far superior to reviewing photos. It does look like you have done that and gotten four differing opinions. Based just on this photo, I feel you would be better with a lift and, assuming you wish to be larger, an augmentation. I do concur with your concern about the implants sirring... more

Lift or not?

Sounds like you have had a few consultations and many different opinions. The lateral photograph is most important for deciding on weather or not a lift is necessary. The implant will give you volume only.