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Opinion on Dfferent Consultations, I Would Like to Another Opinion, Do I Need A Lift? (photo)

asked 5 months ago by dsan19 in Calgary, AB
Latest answer by Gary M. Horndeski, MD
Question viewed 280 times
Tags: silicone implant, high profile, lift, recommendation

I had two consultations today, I am 55 140. I want large dd round silicone implants plced under the muscle high and wide profile done through a insision in my breast fold. I used to be a d but due to children I am a deflated small c. One doctor completly agreed with what I am looking for, I dont want lift scars and feel that I can always have a lift down the road,I want to look my best and I also raelly like the done look and knwo the sizewill balnce me out, another doct feels a lift is necessar

17 answers to Opinion on Dfferent Consultations, I Would Like to Another Opinion, Do I Need A Lift? (photo)

You need a lift!

Please don't be fooled! Do your research! I'm not sure if you can see pictures of women who have had implants alone (no lift) with your dimensions or similar. It just doesn't work and it doesn't look pretty! If you are afraid of the vertical scar, then it may behoove you to research the Ultimate Breast Lift. It is a new technique that achieves upper pole fullness without the need for an implant and without a vertical scar. A patient's... more

Gary M. Horndeski, MD
Houston Plastic Surgeon

Breast Augmentation with or without Breast Lift

Hello dsan19, Look at what's different between your photos and the photo of the person you want to look like. Do you see that there is no visible breast skin below your areola? In fact, we can't even see the lower edge of your areola because of where your nipple areolar complex is located on your ptotic breast (sagging breast ). BTW, you have grade III ptosis, not grade I. Look at the photo of your ideal breast appearance. You can see... more

Gerald Minniti, MD, FACS
Beverly Hills Plastic Surgeon

Lift vs Augmentation alone

The decision to have a breastlift is reached between the surgeon and the patient. There are definitely women who do not need a lift and women who definitely do need a lift. There is a large group of women, however, who may look better with a breast lift, but they will look pretty good with a breast augmentation alone also. Those women need to choose how much improvement they want or need and they need to decide on the trade off of more visible scarring with the lift... more

Ralph R. Garramone, MD
Fort Myers Plastic Surgeon

To lift or not to lift, that is the question.

Answer: It really depends on how badly you want to be high and perky versus the price you would pay to have a scar that goes all the way around the nipple. The implants themselves won't lift you and your areola will likely widen from the stretch of the implants. If you like the high look, then you will likely be unhappy if your implants fall into a sagging breast skin envelop. It is also hard to say for sure from the pictures you included. To be sure, see two or more... more

J. Jason Wendel, MD
Nashville Plastic Surgeon

www.mc.vanderbilt.edu

Breast lift and augmentation

As a general rule of thumb if your nipples are at or above the breast crease, then most individuals will do fine with just the breast augmentation. If, howevwer, the nipples sit below the inframammary crease, then a breast lift with the augment would generally be the best option. I think that you are correct in assuming that an augment alone would give you the results you seek and you can always come back later and do the lift if you are unhappy. more

Robert M. Jensen, MD
Medford Plastic Surgeon

Do you need a lift? Only if you insist on the results you are desiring!

This is a very common question and certainly Plastic Surgeons what you to be happy and to only add scars if absolutely necessary. An augmentation alone will not produce an ideal breast shape. The nipple will remain lower on the breast even with larger than recommended implants. Your breast skin envelope has stretched in addition to you losing some of your volume. Adding more volume will make your breast larger, give the appearance of lifting your breast by partially filling in the upper... more

Mathew C. Mosher, MD
Vancouver Plastic Surgeon

www.drmosher.com

To lift or not

You certainly can just put breast implants in and decide later to have a small areola lift or a more involved procedure. Normally with breasts that look like yours, I use a circumareola approach and raise the areola while doing the augmentation, but this certainly coudl be staged if that is what you want.

Steven Wallach, MD
Manhattan Plastic Surgeon

Is breast lift needed?

You can get a very attractive result with augmentation alone. However, it will not likely be the result you are looking to achieve. To get a breast shape like the one in you example, a lift will need to be done. You are correct that a breast lift can be done at a later date if you do not like the result with augmantation alone.

Michael S. Hopkins, MD
Albuquerque Plastic Surgeon

www.hopkinsplasticsurgery.com

You do not need breast lift as long as implants are placed over the muscle.

HI. The position of breast implants has to be individualized. Placing implants under muscle provides volume, but does not help correct sagging. Implants over the muscle fill out the skin envelope. You have plenty of soft tissue and will do well with smooth walled moderate PLUS profile silicone implants over the muscle. see video

George J. Beraka, MD
Manhattan Plastic Surgeon

Breast Lift or Not with an Augmentation

With the statements you have made, I would feel comfortable doing the augmentation without a lift and I think you would be very happyy with it as long as the lower edge of the muscle is well released to allow the implant to settle low in your breast. I doubt you would need a lift although you may not get quite as much upper fullness as the picture with the look you desire.

Ronald V. DeMars, MD
Portland Plastic Surgeon

Breast Implant or Lift with Implant - That is the Question

This is one of the most common questions we get as plastic surgeons, and no patient wants the scars associated with a lift. That being said, very few patients even end up being concerned with the scars when we are done. You will likely get as many opinions as people you ask regarding this issue. However, I don't think there is much of a choice in your matter. You stated "I want to look my best and I also raelly like the done look" - to achieve this there... more

Vincent P. Marin, MD
San Diego Plastic Surgeon

www.marinaesthetics.com

Lift versus augment

I think that you are a borderline case. WIthout a physical examination it is impossible to assess properly but I suspect that although you will be able to avoid the lift initially, implantation to a DD will ultimately result in sagging of the breasts and the need for revision at a later date.

Robert L. Kraft, MD
New York Plastic Surgeon

Opinion on Dfferent Consultations, I Would Like to Another Opinion, Do I Need A Lift? (photo)

In agreement with Dr Rand's posting. Either now or some time later. You can do the implants first than heal over 3 to 6 months before having a lift is a very conservative approach.

Darryl J. Blinski, MD
Miami Plastic Surgeon

Breast lift now or later??

The doctor who said you need a lift is RIGHT. With just implants you will NOT look like your desired photo ever. The other doctor who said you could do a lift later is ALSO RIGHT. Just don't think that without the lift you will completely get your goal.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon

TO LIFT OR NOT TO LIFT

Your photos are most helpful. Currently you have a very natural mature breast. A large slicone gel implant placed in dual plane approach should achieve your goals. I agree a lift is not necessary. You should try on different size implants to see what you like. You will be very happy with this approach.

Todd B. Koch, MD
Buffalo Plastic Surgeon

www.toddbkochmd.com

Breast Augmentation Candidate?

Thank you for your question and pictures. As always, it would be best to give you advice after direct examination.... Based on your goals described, your pictures and your “goal” picture, I think you will be best off undergoing breast augmentation surgery only. I agree with the surgeon who recommended a breast lift at a later date if necessary. If you decide to undergo breast augmentation surgery only, you should be aware that the nipple/areola... more

Tom J. Pousti, MD
San Diego Plastic Surgeon

www.poustiplasticsurgery.com

Lift vs. Augment

Thank you for the question and photos. There is one operation that is correct for each person. From your photos, it appears that you have Grade 1 breast ptosis meaning your nipples are at but not below the inframammary fold. In your situation you have 3 options. 1. Place subpectoral implants that are large enough to give the illusion that the nipple is higher. This is the simplest operation but may make your areolas look larger and there is the possibility that the nipples may be... more