I recently underwent a mastopexy and breast augmentation with Dr Ali Arnaout at Iqonic Aesthetics. My experience was great from start to finish. I had a few consultations with Ali to decide on the procedure that was best suited for me as well as choosing the correct size implants. I felt in safe hands from the beginning and throughout. My surgery went smoothly and my recovery has been easy and fairly painless. So far the aftercare that I have received from Ali has been faultless. I’m over the moon with my new breasts and can’t wait to see how they’ll look after a full recovery. I would highly recommend Ali and his team!
Your nipple position is at the level of the breast crease, which is an ideal and natural position. If you’re looking to achieve a naturally enhanced breast volume, breast implants can be an excellent option. I generally recommend Motiva Ergo2 implants because they offer a soft, natural feel with a dynamic gel, which allows for a more natural look and movement. Alternatively, I also use MIA implants for patients who prefer to avoid visible scars on the breast and wish to avoid general anaesthesia, as this implant option can be placed through minimal incisions with local anaesthetic techniques. Both options are designed to provide a subtle, balanced enhancement that complements your natural breast contours.
Saline implants do have a higher risk of rippling, especially in patients with minimal breast tissue, like yourself. This is because the saline inside is more fluid and can create visible folds, particularly when there is little natural tissue to cover the implant. However, implant fill can influence this: underfilled saline implants are more prone to rippling, whereas fully filled or slightly overfilled saline implants reduce this risk. At our clinic, we use Motiva implants (FDA approved) , which are silicone-based and known for their 100% fill ratio. They offer a very low risk of rippling, capsular contracture, and low rupture due to their advanced design and cohesive gel structure. However, since you’ve had concerns about a previous silicone implant rupture that went unnoticed, I understand why saline implants are being recommended for peace of mind. With very little breast tissue and opting for a small 200cc saline implant, rippling is a possibility, especially if the implant is placed above the muscle. To minimize this risk, placing the implant under the muscle (submuscular) or choosing a different implant type may be options to consider. Your surgeon can discuss which placement or technique would work best for you to reduce visible rippling.
Hi That’s a conservative size, that should give a more subtle enchantment. The other option to consider is the MIA implants which are Motiva ergo2 diamonds that give more of a natural appearance considering their unique gel properties
When evaluating whether a breast lift (mastopexy) is needed, several factors come into play, and photos alone aren't the best basis for deciding. The key element we assess is nipple placement. If your nipples point downward or are at the bottom of the breast, a lift might be necessary. However, based on your description, your nipples seem well-positioned. We also measure the nipple-to-crease distance under the breast. If this exceeds 10 cm, a lift may be recommended. Since you’re considering implants for increased fullness, this could help improve any mild asymmetry or slight sagging without the need for a lift. Additionally, you might want to consider the MIA implants. These innovative implants offer fuller results using a smaller volume and incision in the armpit. For example, a 195cc MIA implant can provide the equivalent look of a 260cc traditional implant, giving you the enhanced appearance you want on the top part of the breast while maintaining a natural look. With your current nipple position, MIA implants may give you the best results without requiring a lift. Ultimately, a consultation with your surgeon will clarify the best approach for your body and desired outcome.
When deciding whether a breast lift (mastopexy) is needed, there are several key factors to consider. While photos may offer some insights, they aren't the most reliable way to make a decision. One of the primary factors we look at is nipple placement from the fold under the breast. If your nipples are pointing downward or are positioned at the very bottom of the breast, that could indicate a need for a lift. However, from what you’ve described, your nipples seem to be positioned in a good position We also measure the distance from the nipple to the crease beneath the breast, and if this measurement exceeds about 10 cm, a lift might be recommended. Based on your concern about your nipples being far from your collarbone, but if they remain centered on your breasts, you’re likely not a strong candidate for a lift. In your case, if you’re considering implants for size enhancement, they might provide enough fullness to address any mild asymmetry or perceived sagging.
