Is It Possible to Get a Slight Reduction and Add a Small Implant to Get Upper Pole Fullness?

I'm a saggy 36DD and would like to be a full C/small D, but I really love the fake look that implants give, so I want implants for upper pole fullness. Is this possible?

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10 Doctor Answers | Asked by FutureMILF

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Breast lift procedures improve breast shape

The combination you describe is exactly what I do for a lot of patients with breast tissue sagging below the infra-mammary fold. We do a small 'inferior' breast reduction, a vertical breast lift and a small submuscular implant. This combo yields a great result that will last for years.

Breast reduction augmentation

At first this might sound contradictory, adding an implant to somebody who is large already. But you can't make that "fake" look by a lift alone. So, you can reduce/lift the breast so it holds up better over time and add the upper pole fullness from a large HP implant. This is easier said than done though and has lots of potential complications. Finally, depending on how big an implant you need, it may need to be staged by 4 months between or so to let the... more

Breast implants after breast reduction

In order to go from a DD-cup to a small D or a C-cup the reduction would not be a slight one, though it is possible to have a breast reduction or lift, and add a breast implant for upper fullness. It may be wise to begin with a breast lift and reduction, and add an implant later if you still feel that you need the extra fullness. Best of luck, peterejohnsonmd

Options for superior fullness at time of a breast reduction.

There are breast reduction procedures that can improve superior fullness of the breasts. Vertical breast reductions can utilize the superior breast tissue and allow for a rounder, fuller breasts. Poor skin elasticity such as is seen with patients with numerous stretch marks can limit post-operative superior breast fullness because of lack of support. After the procedure, if your breasts don't have enough superior fullness, it is possible to augment them later. ... more

Breast lift with implants?

Thank you for the good question. I think what you are describing is an excellent operation for many patients who want more volume superiorly and less loose skin/tissue inferiorly. This is not, however an answer agreed-upon by all plastic surgeons. There are good plastic surgeons who will insist on doing the procedures separately and there are good plastic surgeons who can produce excellent outcomes in a single stage. The combination breast augmentation / mastopexy surgery... more

Reduction and an implant

It is certainly possible to provide a good projection by combining a reduction/lift and a small implant. You will of course accept the risks of both procedures, but a skillful operator can provide you with the look that you want.

Anindya Lahiri, MBBS

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Birmingham Plastic Surgeon

Breast lift, small reduction, small implants?

Yes, it is possible to get a small reduction at the time of a breast lift and to insert a small implant for better upper pole fullness. I would advise a full evaluation and consultation by a board certified plastic surgeon so that they can determine whether your anatomy is appropriate for this combination of procedures and can fully discuss the particular pros and cons in doing these procedures all at the same stage versus in two separate stages.

Be careful what you ask for!

You can certainly have enough tissue removed so that you can add Implants and go from a DD to full C or small D, but if you want a full, high, round look and hope to achieve this with implants, you could end up with more than a "look" you like! You could end up with capsular contracture, which is what causes the "look" of high, tight, and round. What you may NOT realize is that you also get breasts that "feel" like croquet balls in your vest pockets,... more

Breast implants for upper pole fullness with reduction

Dear Kokomo , To achieve your goals, I would suggest a mastopexy utilizing a superior medial pedicle technique with excision of inferior breast tissue and placement of an implant

Implants with mastopexy are reasonable choice for the smaller breast

Implants with mastopexy are reasonable with smaller ptotic breasts with upper pole flatness. While this tehnique can be used with large breasts, the heavy weight of a large breast makes a recurrent deformity or "waterfall" deformity from descent of the breast tissue over the implant a potential long-term problem. In the large breast with flat upper pole, I recommend a superior pedicle breast reduction similar to that of the vertical mammaplasty as described by... more