A: You appear to be a standard Abdominoplasty candidate. You may or may not want to have liposuction added with your abdominoplasty. In my clinic, any elective surgical patient needs to be at a BMI (a calculation based on your height and weight) of 32 or less for safe surgery.
A: Hello, you are a good candidate for breast augmentation alone. Your nipple areolar complexes are close to the maximally projecting point on the breast. You have a little more sagging/ptosis on the right side, but augmentation alone will be great if you are wanting more volume and upper pole fullness.
A: Thank you for providing photos. You do indeed need a lift. You hesitations about a lift are common, but it is a very high satisfactory procedure. Please visit my website and see our compilation of before and after photos of mastopexy or breast lift.
A: The most important part of the decision making process when considering breast augmentation is feeling in control of the size being placed and feeling confident that it is the appropriate size for you. I encourage all of my patients to take their time trying on sizers in my office until they find the volume they they believe will help them achieve their goals. From there, breast measurements and anatomy is taken into consideration to assure appropriate and safe fit of the implant. After discussing volume goals and measurements, profiles will be chosen appropriately as well. I would not recommend having a moderate implant placed. They are very flat and most patients want more fullness and projection than a moderate can provide. It is also widely standard to place implants though an inframammary fold incision as is is the safest approach and hides very well. The most bacterial load on the breast resides on the nipple areolar complex which you want to avoid while placing implants. It is also a very visible scar on the nipple with more chance of sensation and breast feeding changes.
Good luck on your journey!
A: Great question. This is a very personal choice. In order to have elective surgery, a BMI of 32 or less is mandatory in my office. Your current BMI is 37. Weighing around 200 lbs will put you at a BMI of 32 for safe surgery. Some weight loss for safe surgery is in your future. Other than that, we always recommend you being at your goal weight before surgery and remain stable there for at least 6 months.