Gregory A. Buford, MD, FACS

Given your body frame and low body fat, fat grafting is not going to be an option. However, you could consider using alloClae instead (100 gm/side) to create a nice overall shape. If you are considering using implants, I would go with a low to mid-200 cc implant placed beneath the muscle (over the muscle is going to show and increase risk for rippling). Most importantly, research a volume relationship that you like with 2-3 inspiration photos that you can bring in to your Plastic Surgeon. The more prepared you are before your consultation, the smoother the overall process. I hope that helps and wish you the very best in your surgical journey.

From the photos you provided, it appears that you do not need a lift. You may require a dual-plan approach to help gently lift the nipple position but I don't think you will require a full lift. But it also depends on the size of implant you are looking at. A larger implant may help fill out the soft tissue envelope but will also be heavier and may cause more sagging with time. Best to consult with a Board Certified Plastic Surgeon who specializes not only in primary but also secondary breast surgeries. I hope that helps and I wish you the very best in your surgical journey.

I would strongly recommend a breast lift over a breast reduction and most specifically the Conserve and Restore Breast Lift. You have lost a good amount of volume and a simple breast reduction will not help restore upper pole volume like the Conserve and Restore Breast Lift will. This lift accomplishes the following: -A highly cohesive silicone gel implant is placed beneath your muscle to create upper pole fullness -The Nipple/Areola are reduced in diameter and gently raised to a more optimal position -Some excess tissue is removed but a majority of your breast tissue is repurposed at the base to create an autograft and add to your breast projection -Lower pole support is created by developing a buttress at the base of your breast This combination of procedures is the culmination of over 2 decades of performing breast lifts and identifying what works and what doesn't. I hope this helps and I wish you the very best in your surgical journey.

To even up your breasts and potentially bring your nipples down a bit, I would look at a bilateral base wedge excision. This would also reduce and even up the distance from the nipples to the fold and potentially create a nicer and more symmetric look overall. I hope that helps!

While it can be challenging to tell from photos alone, from the ones that you submitted, it does not appear that you would need a lift on either side as you are going with relatively larger breast implants. I would suggest a dual-plane approach to help achieve a small amount of nipple lifting. But otherwise, a straightforward submuscular dual plane approach should work nicely. I hope that helps and wish you the very best in your surgical journey.

Hands-down, I prefer silicone gel breast implants. They look, feel, and move more naturally than their saline counterparts and have been proven safe and effective for breast augmentation. While the dual-plan result is currently getting a lot of press, I usually utilize it for patients who need a small lift which is not the case for you. I would recommend a highly-cohesive silicone gel implant placed behind the muscle and in a range that is appropriate for you. For monitoring, ultrasound exams are frequently used as an alternative to MRI's to examine implant integrity. I am confident that this approach will give you a very nice result that is balanced with your overall frame. I hope that helps and wish you the very best in your surgical journey.

From the photos you provided, you do not need a breast lift. I think a range of 350-400 cc Motiva implants below the muscle with Ergo for less upper pole and Round for more pronounced upper pole volume. This should give you a very nice result. I hope that helps and wish you the very best in your surgical journey.

Yes. Electrolysis to your breasts should be fine. By now, the fat is integrated into the surrounding tissue and will behave just like it was the native fat to begin with. So no problem. I hope that helps

This is really hard to tell without an in person examination. You could have early CC but this usually doesn't develop in 3 days. I would strongly suggest seeing your Plastic Surgeon in person to determine potential cause. I hope that helps and wish you the very best!

You are a great candidate for the Conserve and Restore Breast Lift. This lift accomplishes the following: -A highly cohesive silicone gel implant is placed beneath your muscle to create upper pole fullness -The Nipple/Areola are reduced in diameter and gently raised to a more optimal position -Some excess tissue is removed but a majority of your breast tissue is repurposed at the base to create an autograft and add to your breast projection -Lower pole support is created by developing a buttress at the base of your breast This combination of procedures is the culmination of over 2 decades of performing breast lifts and identifying what works and what doesn't. I hope that helps and I wish you the very best in your surgical journey!