Specialist Plastic Surgeon
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Dr Philip Richardson is an experienced plastic and reconstructive surgeon, specialising in breast augmentation, breast revision, breast reduction, and more. With 12 years surgical training, and an additional 20 years experience as a fully-qualified plastic sur
Asked By: Hepburnn
ANSWER
As a patient with significant existing breast tissue and breast ptosis (droop), a breast implant will simply give you a slightly bigger version of what you have. This is because your breast implant is placed underneath the breast tissue you already have. As you can imagine, your natural breasts will be on top of whatever implant is inserted, so the change in size and shape will be very limited. The actual aesthetics of your breasts will only change very slightly if you have just an implant without a lift. If you are wanting to address any aspects relating to shape, symmetry, cleavage, or upper pole, you will not be able to achieve this without a breast lift as your natural breast tissue will always sit on top of your implants. It is likely that any surgeon who has consulted with you is declining to perform a standalone breast augmentation as they do not believe the aesthetic changes are worth the risks involved with invasive surgery.
Asked By: abercrombie1
ANSWER
It's important to obtain an understanding of how breast implant sizing and bra sizing works. There are two issues with asking a question like this. The first issue is that without actually measuring your breasts, seeing the amount of existing tissue you have, and discussing your aesthetic goals, there is no way to determine which implant size is best suited to you, or what kind of size a certain implant type will produce. 315cc on one patient can be very subtle, and on another patient can be very enhanced, it is all dependent on their anatomy. The second issue is that bra sizing is extremely variable. A D cup in one bra brand can be a C or a DD in another brand. As such, we never recommend speaking in terms of cup sizes. A better approach is to bring in inspiration photos to your plastic surgeon. Photos of results you like can help communicate your expectations to your plastic surgeon more clearly. This also provides a more specific view of which aspects you prefer whether it be cleavage, upper-pole fullness etc.
Asked By: AnnieBails
ANSWER
A breast lift is required to address the shape of your breasts and the asymmetry as you have stated that these are two of your concerns. To understand what "full" means to you it's important to communicate your expectations clearly with your plastic surgeon. You should bring in images of results that you like and are aiming for to help your surgeon understand the size that you deem to be "full". Once you have done this, your plastic surgeon will be able to recommend the implant size for you, or may not even suggest an implant at all - depending on your goals.
Asked By: Jcrzy83
ANSWER
If you have a desired size then you and your surgeon should choose the implant with a goal to achieve this size. Fat transfer is unpredictable and often requires multiple treatments. Generally, fat transfer in tandem with breast implants is used as a way to create closer cleavage or soften the look of implants to be more "natural". It is not a reliable way to increase size for most patients, unless they have abundant financial and time resources to have multiple procedures. Of course, this is a generalised answer and there would be many questions your plastic surgeon would want to ask you to determine the best plan for you.
Asked By: tiffantlevan
ANSWER
Scarring after breast augmentation surgery will ultimately be dictated by genetics and skin type, but there are measures you can take before and after surgery to improve the outlook. Feel free to read the blog post to find out more about your skin type and how to prevent and manage scarring.
Asked By: thisisausernamelol
ANSWER
Your natural breast tissue will always sit on top of an implant - that is something that cannot be changed with a standard breast augmentation. If we place an implant in the pocket of a breast with significant overlying tissue, you will generally end up with a larger version of the breasts you already have. Changing breast shape is easy when a patient has very little breast tissue to begin with, but much more challenging when a patient has significant overlying breast tissue. For this reason, it is recommended that you have a breast lift and implants so as to excise excess skin and some tissue, and reposition the nipple to a more medial position. This will rectify the "pointy" appearance and with an implant can create a rounded breast. Of course, there is no guarantee with any surgical procedure and you should take into account the additional risks associated with the lift aspect.
Asked By: JupitaMoon06
ANSWER
The gold standard of patient care after plastic surgery is to tailor the patient experience to the individual. It goes without saying that a blanket approach for any aspect of breast surgery is not going to be optimal for every patient. Some patients are going to need massage due to their anatomy and how we see their breasts progressing during recovery. Other patients may need to avoid massage as settling may be on track and the patient may be at higher risk of the implant dropping too low or bottoming-out. There is no one-size-fits-all answer and you should always listen to the advice of your plastic surgeon as this is tailored to you, your surgical history, your goals, and your anatomy.
Asked By: pangeaa
ANSWER
The answer to this question will depend on what you deem a "favourable result", however upon review of your images you are a suitable candidate for a breast augmentation. The use of a wide implant and proper pocket dissection can help bring the cleavage in closer. You may not achieve super close cleavage however it can certainly be improved through the correct surgical approaches. All the best.
Asked By: Mariah402949p
ANSWER
It appears from the photos that you have tuberous breast deformity and your breast procedure would be medical. A breast augmentation and lift may be a suitable option to address your concerns but a consultation with a plastic surgeon face-to-face is the best way to determine the right procedure for you.
Asked By: Sociable716939
ANSWER
The best way to determine whether your expectations can be met is to show these inspiration photos to your surgeon at your initial consultation. Your plastic surgeon will be able to provide you with their recommendations and likelihood of you achieving that goal with your current anatomy. You should be prepared to understand the limitations surrounding breast surgery as this patient appears to have a significant amount of natural breast tissue covering her implants. This can all be discussed during your consultation.
mr. philip richardson has received positive reviews for his and procedures. patients have praised his professionalism, the positive outcomes of the surgeries, and his supportive approach. his patients have reported high satisfaction with the results, and many have expressed their love for the final outcomes. his calm demeanor and helpful team have also been highlighted.
