Breast Augmentation: Q&A

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Am I a Candidate For Implants Without a Lift? Photos Attached.

I want to know whether or not I can get bigger breasts without a lift. I dont like the scarring from a full mastopexy because I am african american and my skin would keloid from the scar. If I need a lift to achieve the look I would want , is there a type of lift that can minimize the scarring????

28 Doctor Answers | Asked by Sallypoo in Brooklyn, NY
+3

Implants alone will not work. You need a full lift (with or without implants).

Scarring is always an issue, more so with some dark-skin races, but not necessarily so with every patient of color. For an example of a full lift in one of my African-American patients click on the link below. Implants (even large ones) do not "lift" breasts; they CAN fill the skin brassiere out, but will not decrease the clavicle-nipple distance! Only skin removal (tailoring the breast skin in the appropriate pattern), called mastopexy, will give you the improved symmetry in... more
+1

Am I a Candidate For Implants Without a Lift?

Unfortunately, from your pictures, you are not a candidate for an augmentation alone. I would recommend a two stage procedure with a Anchor Mastopexy followed a few months later by an implant placement. Now, I know this is exactly what you did not want to hear, but it is what is needed to give you the best result. In my practice I have had very few hypertrophic scars to the breasts in my AA patients. Good luck!
+1

Lift + Implants, Implants alone or lift alone? Dont throw away beautiful breast tissue for a foriegn body!

You certainly cannot have implants without a lift, but you can have a hidden scar lift without implants and attain the look you are going for. In your pictures it appears that you would qualify for a procedure that I call the FEMMA-S in which I create an augmented look using your own breast tissue without using an implant. this creates the lift, minimizes the scar and saves you from potential implant complications. If later down the road you want to you can certainly... more

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+1

Lift?

Looking at your photos it's hard to imagine that you'd be happy with your shape without a breast lift. I have performed surgery on many African American patients- all of whom are concerned about scarring. For this surgery, the scarring is rarely an issue- although there are cases where it has been. In your case I would think the dramatic improvement in your shape would be worth the outside risk that your scars will heal poorly. Just my opinion. more
+1

You might sample implant surgery alone and later commit to a lift if the desired result is not achieved.

Generally, with the amount of droop your breasts demonstrate a lollipop lift with or without an implant would be advisable. But your concern about the scarring is well founded particularly for your skin type. The patient is always rolling the dice when it comes to scarring. The photo of your desired result makes me think that you can possibly achieve your goals with an implant alone because her implanted breasts do have an element of droop. However, your breasts do droop more then hers and... more
+1

Breast Lift or Implant Alone

Looking at your pictures, I think you will probably need a lift as well as an implant. It appears your breasts have a fair amount of droop and are a little asymmetric. By doing a lift and implant, you have the best chance of making things even and getting the uplifted result you are looking for. Though scarring is always and issue, that can sometimes be controlled or possibly improved upon if it occurs, but remember a larger droopy breast doesn't necessarily look better than a perky... more
+1

No, to breast lift!

Your breasts are large and you appear to have a small torso. Because of the amount of sagging you currently have, a breast lift would entail the placement of a vertical scar from the areola to the crease under your breast. Although you could end up with a favorable scar, no one could guarantee the outcome. Placement of an implant would lead to even more sagging in a short period of time. I vote to leave well enough alone.
+1

Beautiful breasts without implants

Hi, Judging from your pictures you would need a full lift. You also have enough breast tissue that you really wouldn't need an implant. There is a new technique that takes your existing breast tissue, reshapes it and is permanently attached to your chest muscles to lift and give you upper pole fullness, much like that of a breast implant. Women that have had this procedure are very pleased. Most of my breast lift and breast reduction patients are African American; I can... more
+1

Large sagging breasts need breast lift and contouring of existing breast tissue.

You already have large amount of breast tissue. I will never use implants in someone with your size. A lift and reduction with reshaping of your own tissue would give you a large D-cup. You do not need implants. You have to accept scars as trade off for pretty new breasts. There is no other way to achieve the look that you want. Keloids is another risk. If you don't want to take a risk of scar or keloids, you should not have any surgery.
+1

Do i need a lift

I do not think you need implants. A well done mastopexy should give you the lift you want and attractive looking breasts
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These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.

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