I am 36DD, 158 pounds after massive weight loss, 5'7" tall, 50yo. How would you create big beautiful breasts for me? (Photo)

Question

I've had total body contouring and facial rejuvenation. Lastly I'll get saline mod profile submuscular implants and then I'm done! I lack upper pole fullness and have oddly shaped breasts that are still ptotic, so I don't look like a DD cup w/o my bra. My surgeon will open the pocket to round out the breast and revise my lift. I am very desirous of big, sexy, beautiful breasts and want to be a little larger than I am now, a DDD or DDDD. How many cc do I need? What is your overall assessment?

Thomas Fiala, MD, FACS, FRCSC · Answer

One of the common problems for women in your situation is that the breast skin is very stretchy after major weight loss - moreso than normal - and stretches out quickly if you put in a big and heavy implant.  Even if you do a breast lift. Some surgeons will try to avoid this stretch-relaxation problem by doing the operation in two stages - a really good lift first, and then the implant later.  Others try to reinforce the lower tissue of the breast with an ADM or some sort of internal support.Currently, the best method is not yet known, but keeping the implant smaller will be less prone to revision surgery in the future.

Gary M. Horndeski, MD · Answer

The goal of breast surgery is to have beautiful
breasts.Since you are already a DD, I
do not think adding 200 cc implants to take you to a DDD will make much
difference.However, what will make a difference
is aligning the areola and breast tissue over the bony prominence of the chest
wall to maximize anterior projection.I
recommend a new technique called The Ultimate Breast LiftTM.Your breast tissue is reshaped creating upper
pole fullness, elevated higher on the chest wall and more medial to increase
your cleavage.You need to change the
shape and position of your breasts and nipples.Best Wishes,Gary Horndeski, M.D.

David Shifrin, MD · Answer

You need a lift and an implant for volume. The scars you have from a prior lift or reduction ( not sure which you had in the past) can be accessed for the implant placement and lift. You can choose your size with your surgeons guidance.good luck

Tom J. Pousti, MD · Answer

Thank you for the question and pictures. Congratulations on your significant weight loss; you should be very proud of this accomplishment!  Based on your photographs, it seems that you will benefit from additional breast lifting along with breast augmentation surgery. Generally speaking, the best online advice I can give to ladies who are considering  breast augmentation surgery (regarding breast implant size/profile selection) is:
 1. Concentrate on choosing your plastic surgeon carefully.  Concentrate on appropriate training, certification, and the ability of the plastic surgeon to achieve the results you're looking for. Ask to see lots of examples of his/her work.
2. Have a full discussion and communication regarding your   desired goals  with your plastic surgeon. This communication will be critical in determining which operation and/or breast implant size/type/profile will most likely help achieve your goals.
In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. I have found that the use of words such as “natural” or "DDD or DDDD" etc or "big, sexy, beautiful breasts” means different things to different people and therefore prove unhelpful.
 Also, as you know, cup size varies depending on who makes the bra; therefore, discussing desired cup  size may also be inaccurate.  The use of  in bra sizers and computer imaging may be very helpful during this communication phase.
3.  Once you feel you have communicated your goals clearly,  allow your plastic surgeon to use his/her years of experience/judgment to choose the breast implant size/profile that will best meet your goals.  Again, in my practice, this decision is usually made during surgery.  I find that the use of temporary  intraoperative sizers ( with the patient in the upright position)  allows for accurate selection of breast implant size/profile to achieve the patient's goals as precisely as possible.
I hope this, and the attached link, helps.

Darryl J. Blinski, MD · Answer

Appears as a very very conservative lift. I would re do the lift with fat grafting to improve the appearance...

I am 36DD, 158 pounds after massive weight loss, 5'7" tall, 50yo. How would you create big beautiful breasts for me? (Photo)

Answers (10)

Answer: I am 36DD, 158 pounds after massive weight loss, 5'7" tall, 50yo. How would you create big beautiful breasts for me?

Answer: I am 36DD, 158 pounds after massive weight loss, 5'7" tall, 50yo. How would you create big beautiful breasts for me?

Answer: I am 36DD, 158 pounds after massive weight loss, 5'7" tall, 50yo. How would you create big beautiful breasts for me?

Answer: I am 36DD, 158 pounds after massive weight loss, 5'7" tall, 50yo. How would you create big beautiful breasts for me?

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Everything you need to know about Breast Augmentation

Our mission is to create a world where every investment in modern beauty is Worth It.

I am 36DD, 158 pounds after massive weight loss, 5'7" tall, 50yo. How would you create big beautiful breasts for me? (Photo)

Answers (10)

Answer: I am 36DD, 158 pounds after massive weight loss, 5'7" tall, 50yo. How would you create big beautiful breasts for me?

Answer: I am 36DD, 158 pounds after massive weight loss, 5'7" tall, 50yo. How would you create big beautiful breasts for me?

Answer: I am 36DD, 158 pounds after massive weight loss, 5'7" tall, 50yo. How would you create big beautiful breasts for me?

Answer: I am 36DD, 158 pounds after massive weight loss, 5'7" tall, 50yo. How would you create big beautiful breasts for me?

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Recommended reading

Everything you need to know about Breast Augmentation

Our mission is to create a world where every investment in modern beauty is Worth It.