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Upper Pole Problem, Implant or Lift ?

asked 6 months ago by ells88
Latest answer by Braden Stridde, MD
Question viewed 326 times
Tags: droopy, comparison, options, upper pole

I feel that my breast is slightly droopy,so i consulted with doctor, and he said that instead of lift, i should have implant/fat injection for more upper pole fullness. Length between my nipple to sternal notch is 23.8cm Should i have lift or augmentation ? If augmentation,which one is better,implant or fat injection?

13 answers to Upper Pole Problem, Implant or Lift ?

Correction of upper pole - Implant or lift

For starters, you do not need a lift. A lift only provides temporary improvement in upper pole fullness, and once they "settle in" much of that fullness fades. An implant is generally required to achieve sustained upper pole fullness. Fat grafting is a potential option, but the results are not consistent and predictable. Your photos suggest that you have some assymetry with your right breast being slightly larger. If that is the case, then I think a modest... more

Braden Stridde, MD
Federal Way Plastic Surgeon

Options for upper pole fullness of the breast

In your case, implants are the best choice and a lift would not increase upper pole fullness, as you do not need one. I would not recommend fat grafting at this time until long term studies have proven safe. Best wishes, Dr. Horndeski

Gary M. Horndeski, MD
Houston Plastic Surgeon

Fat Injections And Breast Implants Do Not Create The Same Result

It is very clear based on your photos that you do not need a lift. You need volume to fill out the entire breast, of which the greatest change will be in the upper pole. Whether you should have an implant or fat injections to achieve that goal depends on many factors. The most significant factor is what breast size are you trying to get to and do you want just the upper pole volume increased or do you want the entire breast volume increased. Fat injections in the breast work best for focal... more

Barry L. Eppley, MD, DMD
Indianapolis Plastic Surgeon

www.eppleyplasticsurgery.com

Breast Implant or Lift?

A review of your photographs does not demonstrate any sagging (ptosis) of your breast so a breast lift is not necessary in your case. You would do well to have carefully performed breast augmentation. At this time I cannot recommend fat grafting for breast augmentation.

Michael Sundine, MD
Orange County Plastic Surgeon

No recommendation for fat transfer for breast augmentation

Thank you for your question. Based on your photos, you clearly do not need a lift. I would advise you to stay away from fat injections for breast augmentation; breast implants under the muscle are the standard of care for breast augmentation. Fat injections for augmentation are still very controversial and not widely accepted. To obtain the upper pole fullness that you are looking for, you would need a huge amount of fat injected and most of that will die and get absorbed. more

James McMahan, MD
Columbus Plastic Surgeon

Should I have a breast lift or augmentation ?

Personally, i think a breast augmentation done well with a carefully chosen breast implant would greatly improve your appearance. although fat grafting is a possibility it would require 6-8 weeks before and after grafting of 8-12 hours daily of breast expansion and 2-3 sessions of fat grafting.

Peter A. Aldea, MD
Memphis Plastic Surgeon

Breast augmentation

I think that a breast augmentation will probaly give you a more consistent results. Using fat for primary breast augmentation is still controversial.

Steven Wallach, MD
Manhattan Plastic Surgeon

No need for a breast lift

Breast lift is more about nipple position than upper pole fullness, and your breast is normal and natural in every way. You do not need a breast lift. Other than slight volume issues, your breast is quite perfect. An implant will give the upper pole fullness you are looking for, and a submuscular breast implant is safe and straight forward and would be our choice over fat grafting. Best of luck, peterejohnsonmd.com

Peter E. Johnson, MD
Chicago Plastic Surgeon

www.peterejohnsonmd.com

Breast Lifting Candidate?

Thank you for the question and pictures. A breast lift is not indicated in your case. Breast implants will most likely help achieve your goals. In planning your breast augmentation procedure it will be very important to communicate your size goals with your surgeon. in my practice I find the use of goal pictures to be very helpful. in your case you could use your own before breast-feeding pictures as the goal. I have found that the use of words such as... more

Tom J. Pousti, MD
San Diego Plastic Surgeon

Implant or lift

You do not need a lift. An implant of appropriate size and dimension will give you the improvement you need.

John P. Stratis, MD
Harrisburg Plastic Surgeon

Lift or Implant

I don't see any reason that you would need a lift based on your photographs. In my opinion, a breast augmentation will achieve your results.

Donald Griffin, MD
Nashville Plastic Surgeon

Breast Implant or Lift?

Based on your pictures, a breast lift will not fill the upper pole. You may consider fat injections to gain a little more upper pole fullness or an implant to gain an overall larger breast.

Karol A. Gutowski, MD
Chicago Plastic Surgeon

No lift needed

From your photos you do not require a lift and implant/fat transfer would be good options to give you a fuller cleavage in your upper pole of your breast. Consult with a board certified plastic surgeon who is comfortable and has plenty of experience with either procedures