Do I need a minor breast lift with augmentation?

I have met with a PS and at first he suggested a fat transfer to my smaller breast to help match it to my larger breast. When I asked my other options he also suggested using a shaped implant in my smaller breast to give more fullness at the bottom and less rounding at the top while using a round in my larger breast. (Both HC silicone). He did mention lifting my nipple a little on my larger side to even them out if I felt it necessary. What would you do in my case? Lift +BA or different implants

Doctor Answers (6)

Breast Augmentation with Mini Ultimate Breast Lift(TM)

+2
Your breasts show asymmetrical volume, shape and position. I recommend a new technique called Breast Augmentation with Mini Ultimate Breast LiftTM. Using only a circumareola incision it is possible to reshape your breast tissue creating upper pole fullness, elevate them higher on the chest wall and more medial to increase your cleavage. Through the same incision, implants can be placed. Aligning the areola, breast tissue and implant over the bony prominence of the chest wall maximizes anterior projection with a minimal size implant. Small round textured silicone gel implants placed retro-pectoral look and feel more natural, are more stable, less likely to ripple or have complications needing revision. Implant profile is irrelevant in the retro-pectoral position since the muscle compresses it.

Best Wishes,

Gary Horndeski, M.D.


Texas Plastic Surgeon
5.0 out of 5 stars 120 reviews

Breast lift needed?

+1

The general rule of thumb is that if the nipples sit below the inframammary fold (the crease under the breast), then a lift is recommended.  However, there are several other anatomic factors of the breast as well as the patient's desires and expectations that further determine whether a lift is performed or not with or without an implant.  In general it is always best to fit the implant with the patients breast anatomic dimensions thus minimizing immediate as well as long term complications.  In a case with your asymmetry, I typically reduce (and lift) the larger side to match the smaller side.  This allows me to use the same size implants in both sides and thus a produces a more symmetric end result.   Glad to help. 

Ryan Stanton, MD
Beverly Hills Plastic Surgeon
4.5 out of 5 stars 16 reviews

One sided breast lift plus implants was necessary for symmetry

+1
Thank you for your question and photogtaph.Your right breast perfectly normal and pretty.  Your breast on the left side is also very normal and pretty however it is larger and lower than the right side.

If you want symmetrical breasts that look like then you will need a minor breast lift on the left side and bilateral breast augmentation.  If you choose a surgeon who is very experienced you should have a beautiful result.  Please consult the plastic surgeon who is certified by the American Board of Plastic Surgery, very experienced and breast surgery, and who has an excellent reputation in York community.

Brooke R. Seckel, MD, FACS
Boston Plastic Surgeon
5.0 out of 5 stars 26 reviews

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Do I need a minor breast lift with augmentation?

+1
   I think that if you want better symmetry for the breasts, different sized implants or differential fat grafting amounts along with differing lifts may be appropriate.

Kenneth Hughes, MD

Los Angeles, CA

Kenneth B. Hughes, MD
Los Angeles Plastic Surgeon
5.0 out of 5 stars 180 reviews

I think you need an augmentation mastopexy

+1
HI southernboobies.  What are your goals?  Is your left breast just longer than your right, or is the volume larger also?  I think you would do well with bilateral submuscular breast augmentation, with bilateral periareolar mastopexies (the amount of lift would need to be greater on the left, of course).  From your picture,  I am not sure how fat grafting will improve your nipple asymmetry, but If I examined you, I probably would agree with your plastic surgeon.

Lewis Ladocsi, MD, FACS
Richmond Plastic Surgeon
5.0 out of 5 stars 23 reviews

There are few different options

+1
You have uneven breast shape and size. You did not state your expectations.If you desire more even breast shape and size, I would recommend fat grafting to even out the size(more fat to the right breast) and left breast lift to even out the shape. If you desire much larger breast I would do the lift and fat first and implants or fat grafting 3 months later.

Kamran Khoobehi, MD
New Orleans Plastic Surgeon
5.0 out of 5 stars 52 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.