Should I have work done to my breasts? (photo)
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Breast reduction only
Thanks for submitting your pictures. It is my impression from your pictures that you are more DD than G, but that can be easily confirmed by measurements of your chest and breasts circumference. You have severe breasts ptosis ( droopiness ) and if you like them to be perky , breast implants will not do it, moreover they most likely will aggrevate it. The only option to achieve that goal is a lift procedure. There are different techniques and my prefered one is the key hole method. In your case, because of the large size, I would recommend also breasts reduction for better and more durable result. As far as the scars, for those of my patients who had the surgery it is not an issue. For those of my patients who refused the scars the result was less than optimal in my opinion. With time the scars mature and become much less noticable while the beatiful breast remain with you for a long time. Always, consult with board certified plastic surgeons and check their before and after pictures to make sure that you like the results.
Best of luck,
What to do about your breasts?
The answer to you query as to which surgery is the correct one for you can be found by answering the following: When you're wearing a bra, are you happy with the size of your breasts and the appearance of your silhouette? Do you wish your breasts were larger? If you're pleased with your breasts when they are supported by a bra, then your an excellent candidate for a breast lift (aka....mastopexy). If you'd like to have somewhat larger breasts, then an augmentation and a lift would be the right choice for you (aka....augmentation-mastopexy).
You're correct in noting that augmented breasts do not look the same as natural breasts. Implants provide distinct upper-breast fullness that cannot be achieved in any other fashion....not even a natural breast that has been lifted can appear this way.
You're also correct in that any breast surgery will leave scars, however, some surgeons like myself perform "verticle-scar mastopexy" which minimizes incisions and scarring, leaving only the so-called "lollipop scar". These scars are extremely well camouflaged and largely imperceptible after the scars mature.
In regards to pregnancy post-operatively, there is no adverse effect from an implant or a lift other than the potential for slightly decreased breast milk production (any surgery of the breast that cuts breast tissue will leave scarring in the breasts that can render those areas of the breast less effective at milk production). This doesn't mean that you are unable to breast feed.
A few more pieces of advice worth noting:
Choose your surgeon wisely! Locate a Plastic Surgeon, Board Certified by the American Board of Plastic Surgery and schedule a consultation. Bring photos with you that show breasts that you find most attractive (I always ask my breast consultation patients to do this). This will help you clearly communicate to your surgeon exactly what aesthetic goal you're trying to achieve. He or she can then discuss realistic options to help you obtain that goal.
Remember....you're decisions about your body are ultimately up to you and you alone. The decision to seek plastic surgery is entirely about you.....the happiness and self-confidence that you feel with your body and it's image. We all want the support and acceptance of our friends and significant others, but ultimately your the one who lives in your skin. Do what's right for you. Your boyfriend may come to understand that if you're happy with the way you look, that pays dividends all around. I'd also argue that the result of a well performed breast surgery is far more attractive than the pre-operative appearance every time.
Best of luck!
Breast Surgery Is Something You Should Decide
However, if you are unhappy with the appearance of your breasts and want to do something about it, you may want to consider a breast lift to address the sagging that has resulted from weight loss. However, any breast surgery will be affected by subsequent pregnancy. You may want to consider waiting until after you have children to pursue any breast surgery.
The surgery should be a decision you make. Your boyfriend's opinion is important, but it is your body and you should make the decision to undergo surgery for yourself.
While scarring is inevitable, with proper care they usually become thin, silvery lines that are barely noticeable. Products are available to help minimize their appearance as well. Certain types of breast implants are available that provide a bit of a lift, which means you may not have to undergo a breast lift.
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Should I have work done to my breasts? (photo)
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Should I have work done to my breasts?
For the lift, I typically start with the smallest incision and custom tailor each breast lift to the shortest scar possible.
Find a board certified plastic surgeon who performs hundreds of breast augmentations and breast lifts each year. Then look at the plastic surgeon's website before and after photo galleries to get a sense of who can deliver the results.
Kenneth Hughes, MD
Los Angeles, CA
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.