Will My Complete Unders Be Too High? Saline. B to D/DD (photo)

As you can see by my photos I have low nipples due to breastfeeding.I do not want a lift, even though my PS recommended one.He wants to do fully under the muscle and I am worried my implants will be too high.Can I ask him to make the pocket low to help center the implant around my nipples?I dont want to look awful.And he seems content that I will just get the lift later only this is not an option for me.Will I look good after the surgery as planned? Will the larger implant saline drop enough?

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8 Doctor Answers | Asked by minkygurl

Doctor Answers (8)
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Will My Complete Unders Be Too High?

Thank you for your question. In the photos it appears that your arms are not at your sides, and the nipples and breasts may have more ptosis (sag) than is apparent on the posted pictures. If your surgeon really placed the implants to be centered on the nipples, you would probably have a "double bubble" from compression of the implant by the old breast crease, and the implants might well wind up high anyway. The appearance in that setting would be quite unsatisfying, the the natural... more

Implant position with borderline ptotic breasts

Breast lift scars can be concerning but if your nipples are above a pencil placed in the crease under your breast, you should be able to get a good result without a lift. Lowering implants can eventually lead to excessive bottoming out or just low appearing breasts on your chest so I advise my patients to avoid that. Also, since I prefer partial muscle coverage over full coverage, the implant could settle enough so it is no longer covered by muscle. You should discuss your... more

Curtis Wong, MD

7 reviews

Redding Plastic Surgeon

Breast Augmentation after Breastfeeding

It is rather common for the breast tissue to atrophy/melt away after breast feeding, which can result in a deflated and saggy appearance. Depending on the amount of breast skin that remains and the position of the nipple, a pleasing and youthful appearance can be achieved with breast augmentation alone, without resorting to the breast lift. In your particular case, judged by the pictures, you can achieve a nice result with breast augmentation alone. Of course a thorough examination in person... more

To lift or not?

I agree with your surgeon that you need a lift and to do the lift at a second procedure is a good option if you are not happy with the implants alone. You may be okay with just the implants, but I think you should have the lift to get the best results. The scars usually heal nicely when done by an experienced surgeon.

It's all in the pocket creation

There are certainly consequences to increasing your size to a D/DD and not addressing your extra skin. In general, the bigger the breast, the lower the nipple. If your current breast was filled up with something, your nipple would be in the "right place" for that size of a breast. Filling it up with an implant (I certainly prefer submuscular implants) would involve a dual-plane technique that allows the bottom portion of the implant to fill out the skin on the lower portion... more

Breast Implant Position

In many breast augmentation patients, the inframammary fold needs to be lowered in order to allow the implant to rest at a level that appears natural relative to the position of the nipple and areola. Ideally the implant should be centered directly behind the nipple-areola complex (NAC). In profile, the natural-appearing breast is not convex in the upper pole, and an excessively convex and overly full upper pole is a dead giveaway that a breast implant sits below the skin. In addition,... more

Michael Law, MD

17 reviews

Raleigh-Durham Plastic Surgeon

michaellawmd.com

Breast Implants and Lift

I would have to agree that you need a lift and implants. The alternative is to create a lower fold to make the implant sit lower. However, this will likely create a double bubble.