Frank J. Ferraro, MD

A full discussion with my patients regarding doing a breast lift at the time of breast implants is a topic where we spend a lot of time. First I ask the patients their goals, second we discuss the scars and third I measure the location of the nipple areola complex. From their we decide together. 

When I meet with my patients prior to surgery we discuss implant size in detail. WE talk about the patient goals, I measure the base width and use implant sizers during surgery to allow the patient to meet her goals and use an implant that fits appropriately.

A preop examination and sound advice is what most patients need. I ask my to define their goals specifically and I explain the best way to proceed or if its even possible. To restore volume can accomplish most of necessary augmentation. I use smooth wall high profile implants to achieve this goal.

Patients with a tuberous breast deformity should follow a certain procedure approach to get the best results. I have corrected this deformity by placing a highly cohesive silicone implant below the breast and above the muscle. Also an areolar incision and crease lowered is also a part of the necessary components. 

A great deal of time is spent discussing if an implant alone or adding a lift will create the best shape for my patients. Many considerations like incisions, breast ptosis and your goals are all important and all should be considered when deciding on how to proceed. 

When I discuss size with my patients I listen carefully to the patient's goals, measure and use implant sizers during surgery. This approach has worked well to allow patients to receive the size they want but to keep it natural.

Most importantly I let my patients know they will never be perfectly symmetrical. A breast augmentation with or without a lift will add proper shape and size but some differences may persist. Understand what you can achieve and tell your plastic surgeon your goals. That will benefit you most

Tuberous breast deformity takes an approach that can increase volume and correct the shape. This can be done by placing a form stable or highly cohesive implant (gummy bear) in the pocket above the muscle. The crease has to be released fully. Patients need to understand the limitations on shape and size. Overall the look and appearance will improve 

Breast and the the tuberous qualities can vary. It appears most patients are overly concerned about this particular abnormality. The approach I take in my practice is to obtain the best possible shape and size for my patients. How each patient gets there is individualized.

When patients present to me with asymmetries I generally will treat each differently to optimize the balance and eventual symmetry. A breast lift with an implant and implant alone is one way to proceed with the understanding that no patient is perfectly symmetrical before or after the surgery.