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What Do You Recommend to Gain Fullness in my Breasts?

asked 1 year ago by Casey622 in MN
Latest answer by Scott W. Mosser, MD
Question viewed 1,088 times
Tags: B cup, full, implant size, perky

Currently I am a sagging, deflated 36B. I am not after large breasts but more fullness and perk. Will implants alone help me? A breast lift scares me because of scarring. Ive already had a tummy tuck and ended up with some hypertrophic scarring along various sections of the scar. If a lift is recommended what type would I need? Essentially would you recommend implants alone, lift alone, or both? I would be happy with a small B cup and the largest I would want is C cup.

14 answers to What Do You Recommend to Gain Fullness in my Breasts?

There are two issues that need to be addressed

There are usually two issues with breasts that look like they have aged – skin excess (which manifests itself as breast droop) and a loss of fullness in the upper breasts. Both need to be considered for optimal breast aesthetics. In order to regain fullness of the upper breast, an implant will be necessary. Implants will serve to increase the volume of the breast and also create more of a perky look. That may well be the only procedure needed, provided there is minimal droopiness... more

Scott W. Mosser, MD
San Francisco Plastic Surgeon

www.drmosser.com

Breast implants and lifts

It is unfortunately not possible to judge the need for a lift or implant alone from the single front view as it is not possible to be certain where the nipple sits in relation to the inframammary crease behind it. If the nipple is 2 cm or less below the level of the inframammary crease in the upright position then an implant alone is feasible and likely to give you what you're looking for although the minimum size increase with a low profile implant is one cup size increase... more

Scott L. Replogle, MD
Denver Plastic Surgeon

Dual-plane breast augmentation will give some internal lift and give you volume

I would recommend breast augmentation with saline or silicone gel (preferably silicone gel) using a dual-plane technique. In early degrees of breast ptosis (or sagginess) which it seems you have from the photo, this technique of placing the implant utilizing a "dual plane" pocket will provide some "internal lift" or lift effect to the breast without adding appreciable scars. The only incision you would have would be about the width of a quarter in the IMF... more

James F. Boynton, MD
Houston Plastic Surgeon

Breast Life and/or Implants

Based on your pictures, I would recommend a submuscular silicone breast implant and a traditional lollipop-type breast lift. I see too many patients in my office who have had periareolar lifts which misshape the breast and have stretched scarring. With more pictures or an in-person consult, we could likely give you more individualized advice. Good luck.

David Shafer, MD
New York Plastic Surgeon

Implants vs. list or both?

Based upon the single photo, you may be a candidate for implants and a periareola lift which would limit the scars to just the border of the areola. But a full exam would be necessary to determine this.

Steven Wallach, MD
Manhattan Plastic Surgeon

Lift vs Augmentation for Breast Fullness

For someone like you without significant droop and not wanting to be much larger or have scars, there are a number of options. You need to decide what you really want and rank the alternatives. You then need to discuss all this with a plastic surgeon after a thorough examination. He/she should be able to give you several choices. Are your breasts the size you wish in a bra now? If you filled them some, but the breasts still were not perky, would this bother you? If you made them larger,... more

Robert T. Buchanan, MD
Highlands Plastic Surgeon

Breast implants to increase fulllness

There can be doubts between a breast lift with implants, and a go with implants alone. Your nipple is certainly above the fold, and at the 'mid-humeral' line, the middle of your upper arm. Looking at the 'ideal' an implant with a small elevation of the nipple (breast lift) could look best, but at what cost. I would recommend you start with a breast implant to increase volume to a C-cup, not too big. This should have a lift effect on the nipple and greatly improve the... more

Peter E. Johnson, MD
Chicago Plastic Surgeon

www.peterejohnsonmd.com

What Do You Recommend to Gain Fullness in my Breasts?

Thanks for the photo. I recommendation is a full lift with small implant like a 250 cc HP. But you will have scars by your own admission. Best of luck from MIAMI Dr. Darryl j. Blinski

Darryl J. Blinski, MD
Miami Plastic Surgeon

Breast lift procedures improve breast shape

You need both a breast lift and a small augmentation. Based on the footprint of your breast, I don't think a large implant would look good on you. I would favor a vertical breast lift with a very small amount of reduction on both sides (right more than left), and a small sub-muscular implant. You don't need a big lift, just enough to get the nipple centered over the implant foot print.

Scott Sattler, MD
Bellevue Plastic Surgeon

Implant, lift or both

For the size you are trying to achieve and the amount of drooping that you have your best bet is to have a lift +/- small implant. In order to fill out the amount of excess skin you have you would need very large implants and they would cause drooping in the future.

John P. Stratis, MD
Harrisburg Plastic Surgeon

Regaining fullness to your breasts may require a lift in addition to implants

If you just go with implants, you may still be left with sagginess to your breasts. The scarring for your lift will most likely go around the areolae and straight down, aka vertical mastopexy. Since you don't want to be too big, both procedures may be able to be done simultaneously...it's difficult to tell you exactly yes or no without examining you. Also, since you have a history of hypertrophic scarring, you'll need to keep this in mind after any further proced more

Jeffrey E. Schreiber, MD
Baltimore Plastic Surgeon

www.BaltimorePlasticSurgery.com

Breast Augmentation and Breast Lift

From your photos you would need to do a lift as well as an implant if you are looking to obtain a bit more fullness. Having a natural result with a breast augmentation is best achieved when the width of the implant matches the width of your breast. Most women are just like yourself and are concerned with scarring, however doing an implant without a lift would look awful because the implant would be seated higher than your breast tissue. You stated that you had an abdominoplasty... more

Bernard Shuster, MD
Hollywood Plastic Surgeon

You need a lift and an implant

Your breasts are too low for an implant alone to give you a beautiful result. Depending on whether your nipples are at or below the inframammary crease below the breast, you might be able to get away with a periareolar lift but with only a small implant you would get a better shape with a full lift/

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon

Breast lift with implants for a better breast shape.

A lift with a small implant will achieve a better overall profile and shape. However, the tradeoff will be the scars and the likelihood of recurrent sagging with weight gain/loss, pregnancy, aging, and hormonal changes. see video