Can I get the results I want? (photo)
Doctor Answers (9)
Implant Exchange with Mini Ultimate Breast Lift(TM)
Gary Horndeski, M.D.
I believe that the result wasn't that good, the areolas still seem large and stretched in which some stretching of the skin is expected after time and mostly because of the weight of the implants, I would suggest to have another anchor incision breast lift how ever the ending result might be good but then your skin will definitely stretch once again.
Internal bra procedure for mastopexy + implants
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Desired Breast Shape
Can I get the results I want?
If you desired large appearing breasts than you were successful. The only issue I see is the difference in areolae diameter that can be reduced or even out by a minor local anesthesia surgery...
Breast lift and augmentation
A combined mastopexy augmentation brings together two procedures with opposing goals. The mastopexy aims to decrease the skin envelope, while the augmentation aims to increase the skin envelope. The result is often stretching of the skin, widening of incisions and enlargement nipple areolar complex as the implant fights against the breast skin.
The results shown in the first photo are from the early postoperative period; the second photo is that of a breast augmentation alone. In the last photo there has been time for the implants to settle and the skin to stretch. The final result you have is a great result, and natural mature breast appearance; I would be reluctant to revise this result. For a "perkier" breast appearance, a repeat mastopexy would need to be performed in order to remove additional breast skin, decrease the size of the areolae, and resecure the breast gland.
Breast Lift with Augmentation Results
Now in reviewing the "goal" photos, there are two things that should be considered. The first photo seems to be a fairly early result (as determined from the scars) and it's not uncommon that newly placed breast implants sit higher for the first few weeks to months. The second photo shows what appears to be breast implants that are being lifted by a tightly tied bathing suit. It is, however, possible that the implants used in the goal photo(s) could be high profile or super high profile, or even overly filled saline implants, which all provide the superior pole fullness that is present. It's hard to know without reviewing a surgical report or notes.
My recommendation for your case would be to discuss the option of different implant types with your surgeon, but as far as lifts are concerned, your lift is actually very good.