Opinion needed on getting a breast augmentation, and a possible lift. I have had four children, and I am 27 years old, 5'5", 125 lbs. I am very light-skinned, and I scar really badly so I am worried about scarring that will be pink, and very obvious on my skin tone. I want to look as natural as I can when I’m completely naked. I have added photos of my breast and upper body for a visual on exactly what my breast look like now. So lift or no lift? Augmentation, or not? Also any opinions on the Endoscopic-Assisted Breast Augmentation?
I belive you will need a lift, which will make the breasts slightly smaller. Add implants to increase size/volume, upper pole fullness, and improve shape. The endoscope will not contribute if a lift is done.
All wounds go through a period of redness starting several weeks after surgery, and usually fade in the months to come. Sometimes bad scars may form and require additional treatment.
I agree that you need to visit with a board certified plastic surgeon to make your plans.
sek
Hi,
Thanks for submitting the pictures - it makes answering your questions so much easier!
Looking at your pictures, you have ptosis (droopiness) of the breast gland, but not much droopiness of the nipple and areola. Most of this can be corrected with placement of a breast implant, which can add volume to the upper pole of your breast. Without examining the breast skin envelope, it's hard to know if an implant alone will allow the nipple-areola complex to settle in the perfect position. In all likelihood, though, if you need a breast lift, it'd be a relatively minor one, with an incision around the areola (circumareolar) alone.
Transaxillary endoscopic-assisted breast augmentation, in the right patient, can be a great operation. I particularly like the operation with placement of saline implants. In your case, though, because you may need s small lift, I think a better choice of incision would be periareolar (at the junction of pigmented areola and nonpigmented skin). The implant could be placed through this incision, and if your surgeon were to decide intraoperatively that you need a small lift, he or she could easily convert that incision to the one needed for the lift.
So to summarize: implants, yes; lift, maybe; endoscopic augmentation, no (in your particular case).
Best advice is to seek consultation with a board-certified plastic surgeon who can examine you in person. Best of luck.
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