Della C. Bennett, MD

Thank you for your question.  The size implant you are interested in will impact my answer to this question.  Adding a 200cc implant will be quite different then adding a 400cc implant to your breast.  By adding a larger implant, or a higher profile you will get more upward rotation of your nipple.  Also performing more of a dual plane augmentation technique can allow the nipple to be released/raised forward.  So be sure to discuss these three issues with your plastic surgeon as they might help decrease the need for a lift!  Best wishes, Dr. Della Bennett

Hello!  A breast lift and implant can be placed at the same time safely.  The larger the implant, the higher the risk of complications, but it can be done safely in one stage in a non-smoker.  When combining the two procedures there is a slightly increased risk of small asymmetries, but having two general anesthesia procedures is NOT a must!  Best wishes!  Dr. Della Bennett

Hello and thank you for your question.  It appears from the picture that your left breast is smaller than your right, and without compression you lack most of the breast volume in the lower pole of your breast.  This is likely what would be called a constricted breast.  So you are correct, the gland is tight along the lower and inner pole and you are seeing where the breast gland ends.  Augmentation can assist in improving size symmetry, but shape will likely always be slightly different.  The gland can be released in the lower pole on the left side to help take on more of the round shape of the implant.  There is a risk that the crease may still be slightly visible after surgery.  Consult with your plastic surgeon for further details.  Best wishes, Dr. Della Bennett

Thank you for your question.  If you do not have stretch marks, your skin can contract to some extent after liposuction.  However, if you have a "fold" of skin it is much less likely that this will disappear after liposuction.  The skin pinch or thickness of the area can be reduced, but the fold would likely still be there after liposuction.  Depending on how much excess skin, and if the excess is below the belly button you might be able to have a "mini" tummy tuck with liposuction.  A consultation would of course be best to get the answers you need!  Best wishes, Dr. Della Bennett

Hello and thank you for your question!   The before picture is very helpful but doesn't give enough information to answer your question.  The measurements taken during a consultation, and the tightness of your capsule would be helpful to know to make recommendations.  The space between your breasts can be caused by the pec muscle movement and/or by the natural amount of space you have between your breasts.  Sometimes the pocket can be opened or tightened to decrease the space between the breasts, but sometimes this area is skin adherent to chest bone and can't be improved.  A consultation in person would definitely be needed for you to receive more information!  Best wishes, Dr. Della Bennett

Hello and thank you for your question. HP silicone are much more natural in shape than HP saline.  (This is because a saline implant is narrower in diameter and is more of an "m'n'm" and a silicone implant is more of a gum drop.)  That is why this question can be so tricky!   The volume range you are interested in is still very reasonable for your size.  This helps to keep you from looking too fake. So are you considering saline or silicone implants?  Based on the size you mentioned - 295cc likely you are interested in silicone -  silicone 295 HP can give a very natural appearing result with nice upper pole fullness.  Of course an in person consultation is the best way to get the answers you need! Best wishes, Dr. Della Bennett

Hello! Thank you for your question!  The height and tightness of the breasts in your first two photos in your wish list likely are related to a push up bra and/or early post operative results.  That firmness visible in the upper pole and skin will often settle as the skin and breast tissue relax.  The final wish list photo is more realistic of a long term result.  Based on your pre photos you will have a nice round shape, and close cleavage when pushed together.  Remember post-operatively when you are naked you still have the same space between your breasts that you have pre-operatively.  The difference in 295 versus 325cc in the long run will relate more to the desired cup size you are aiming to achieve. Hope this helps!  Best wishes,  Dr. Della Bennett

Hello and thank you - this is a great question.  It is definitely helpful to have the hernia repaired prior to a tummy tuck, especially if it is a larger hernia.  However, smaller hernias at the belly button or along the central abdominal wall can often be repaired at the same time as the tummy tuck!  Make sure to bring to your consultation any radiographic reports if you have a hernia, or operative reports if you have had one repaired!  Best wishes, Dr. Della Bennett  

Thank you for your question!  Based on your height and weight I would guess you are a 32A.  If you buy a 32D bra and bring it to your consultation you may be pleasantly surprised that you don't need much more than 400cc to fill it out.  Do remember when sizing the larger the implant -- the more the breast will drop with time, and the less coverage you have to hide the implant.  Remember we are here to make recommendations to keep you safe!  Discuss your concerns with your plastic surgeon and best wishes for a speedy recover! Dr. Della Bennett

Hello! Thank you for you question.  As a plastic surgeon reduces and reconstructs the breasts to a more desired shape and size the breast is also lifted.  We are able to bring the nipples into a higher and more appropriate position as well as reduce the skin and tissue to greatly reduce back, neck, and shoulder pain.  There should not be separate charges for the reduction and the lift - the lift comes as part of the reduction! Best wishes for a speedy recover. Dr. Della Bennet