Breast Augmentation: Q&A

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Is Mastopexy or Augmentation the Best Solution? (photo)

I’m a 28 year old and I have always hated my breasts. As you can see they are asymmetrical and quite saggy. I am trying to narrow down my options for a procedure that will provide me with a lift as well as provide me with evenness. If possible I would like to avoid implants, but I do understand that it’s something that I may have to do to get the look that I desire. I think that Mastopexy may be my best option. Would you suggest this procedure? Or are there better options for me?

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22 Doctor Answers | Asked by mahogany_dream

Doctor Answers (22)
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Mastopexy or Augmentation

A mastopexy, or breast lift, should give you a nice improvement in breast appearance and symmetry. If you feel the size is inadequate, addition of breast implants would be appropriate, but there certainly seems to be enough breast tissue to work with. If there is a size difference, that could be addressed by removing some from the larger breast, fat grafting the smaller breast, or using different sized implants. You seem ready for an in person consultation. RealSelf has... more

Breast lift can correct asymmetry also.

Hi. In your case the asymmetry is more of shape than of size. The lift is done a little differently on each side (vertical Lejour lift with lollipop scar is best), and a little tissue can be removed from larger breast. You do not need implants.

Mastopexy is a good option for you!

Thank you for the question and the photos. You appear to be an excellent candidate for a breast lift (Mastopexy). Implants are not necessary if you do not want become bigger. A technique I prefer to use lifts your own breast tissue higher up on your chest in addition to tightening the skin. This results in fullness in the upper poles of your breasts without losing a lot of volume. It can also help you achieve symmetry. Best of luck

Mastopexy...breast lift ...augmentation

Hi, You need a bilateral asymmetric breast lift with or without implants. If you want to maintain the fullness above the nipples in their new position, (past several months), then you will need a breast implant to provide it. With a breast lift (absolutely necessary) alone, you will be happy while the fullness above the nipples stays. However, it will slope as time goes by above the nipples and this is something that some patients do not like... more

Mastopexy or Augmentation

Just from what I can see in your photos (bearing in mind please, that I would really need to examine you to make a definitive determination), I would say that you are a good candidate for mastopexy. Jonathan Ross Berman, M.D. , F.A.C.S.

Jonathan Berman, MD

Palm Beach Plastic Surgeon

www.drberman.com

Mastopexy improves symmetry AND shape

Hi there- You do not need implants unless you want your breasts to be significantly larger. I believe an excellent improvement in shape and symmetry could be achieved through a well-done breast lift. The key is going to be choosing your surgeon carefully and for the right reasons. Do your homework and look at lots of photos.

Lift, Aug or Both

A Mastopexy is a great procedure to give you even lifted breasts. If you want to increase the size of your breast and achieve upper pole fullness, you would be a candidate for a bilateral mastopexy and breast augmentation with implants. So ultimately you need to decide whether you want to just change the evenness and shape or also size.

Best Type of Breast Surgery for Me?

Thank you for the question and pictures. Although in person consultation and a full communication of your goals would be necessary to give you accurate/specific advice, I think you will do well with breast lifting surgery. Again, whether or not you choose to have breast implants placed will depend on your specific goals, in regards to size, volume, superior pole fullness… For some patients contemplating breast lifting surgery, the presence of scars may... more

Lift vs augmentation

I would definitely suggest a lift from your photos, but seek a board certified plastic surgeon to give you all the options available to you. An augmentation can improve the volume and shape of the breasts, but will not lift them adequately. The asymmetry can be accommodated for during the lift. An augmentation can always be done at a later date to increase the volume of the breasts.

Breast lift alone should be all that you would need

Hello, Thank you for the photos. If do not want your breast size any bigger than they are currently then a breast lift alone would be all that you would need to reshape both breasts, improve their position, and correct the size and position of the areola asymmetry. Personally, I think you have the beginning of a very good result. I have included a before and after photo link from one of my patients that underwent a breast lift alone. All the best, Dr Remus Repta more

Mastopexy or Aug?

I just had this discussion with several of my colleagues about your exact situation. First it is very important that you speak to a board certified Plastic Surgeon about your goals and desires. Only then can you get the best advice. You need a surgeon who can physically see you and assess the quality of your tissue. Being that said, from the looks of your pictures the only way you will have youthful looking breasts that rest higher on your chest is with an implant and a lift. There are... more

Is Mastopexy or Augmentation the Best Solution?

From your photos it appears that you would benefit greatly from a lift (mastopexy). You would need to discuss your desires with a BCPS in order to determine whether or not a lift alone will help you achieve your desired breast size. If you would like to be larger then you should discuss the option of having an implant at the time of surgery, you can combine the mastopexy with an augmentation, that is a reasonable combination.

Breast lift and breast implants

Your posted photos show sagging breasts with the right larger and sagging more than the left. Neither lifting alone or implants alone will make you symmetric. Lifting with removal of some tissue from the right could make you symmetric but may not give you sufficient filling of the upper half of the breasts. The best procedure(s) would depend on the end result you are looking for. If you just want them symmetric and lifted that should suffice. If you do decide on implants placing them above... more

Mastopexy and small reduction will work

If you don't want to be any bigger, then don't. A mastopexy on the left and either a mastopexy or a lift on the right (depends on whether there is a significant size difference) should do the trick. You don't need implants to be lifted, tightened, and to have more fullness in the upper part of the breast.

Is Mastopexy or Augmentation the Best Solution?

At the least, you would need a breast lift. Augmentation alone would not be appropriate. You look like there is plenty of natural volume so I would counsel you to have a lift alone for now because you very likely would not need implants.

Is Mastopexy or Augmentation the Best Solution?

Thanks for the question. Yes you can have a full lift, mastopexy. Think about fat grafts also to enhance the look instead of an implant.

Breast Lift and Implants

Based on your picture, it appears that you would benefit from both a lift and an augmentation. However, it really depends on what you are looking to accomplish. Just implants will not look good in my opinion. Just a lift will look nice buy may make your breasts look a little smaller. That is why I feel it would be best to add an implant and a lift at the same time. Good Luck..

You are a good candidate for mastopexy

Thank you for the question. Given your nipple heights and sagging, you need a mastopexy. Implants are optional and you have enough breast tissue to pass on that. The breasts can be made more asymmetrical during the lift and the nipple heights more in conformity, along with smaller areolae.

Mastopexy

From your pictures, I believe you are a great candidate for a breast lift (mastopexy). You seem to have an adequate volume of breast tissue, and as long as you don't want to be larger, a lift will improve your shape dramatically.

Donald Griffin, MD

7 reviews

Nashville Plastic Surgeon

Mastopexy or augmentation

From your photos, a vertical mastopexy could provide symmetry and a better shape with smaller areolas...if you also want more fullness, an implant could be added. However, an implant alone would not be the answer.

You need a mastopexy

A mastopexy will lift your breasts. From the photos it appears as if you may have enough breast tissue that you do not need to have an augmentation at the same time; however, you need to be seen and examined in person to be sure.

Lift

You could do a lift and improve position and not increase size. Alot depends on your goals. You need to sit down with a board certified plastic surgeon and discuss them and look at pictures.