Do I need a BL if I just want a BA? (Photo)

Question

My left boob has a dip and my nipple is slightly lower than the right. The shape is still there but a a little deflated from Breastfeeding and a small loss in electricity I was told I need a lift, ergonomic dual plain implants size 300 or 350 as I want a DD size. I’ve read reviews that the company add extra costs that are not from the surgeon and when they meet it’s fine. I’m worried as I don’t want the scar on one side.

John L. Burns Jr., MD · Answer

If you have mild droopiness or grade I ptosis you just need the augmentation without a lift.  For these cases I use a Dual Plane Technique

Steven J. White, MD · Answer

Breast augmentation is the #1 surgeries that involves the specific placement of a silicone or saline breast implant beneath or over the chest muscle to increase breast size.

Irena Karanetz, MD · Answer

Hello,

Thank you for the question.

Based on your photos, you appear to be a great candidate for breast augmentation.  Breast implants will add upper pole fulness and create a fuller cleavage.

Implant size discussion and implant selection is one of the most important steps during your consultation with plastic surgeon. The decision-making process depends on patient’s desires, as well as breast and soft tissue dimensions.

I would encourage you to seek a consultation with a Board-Certified Plastic Surgeon to further discuss your options, specific techniques, concerns and expectations.

I hope this helps.
Best regards, Dr. Karanetz

Dr. Irena Karanetz
Breast Fellowship-Trained
Board Certified Plastic Surgeon

Daniel Barrett, MD · Answer

Dear Izzy009,
determining whether you need simply a breast augmentation versus a breast lift can be somewhat complicated. It depends on a number of factors including skin laxity and current nipple position. Generally speaking, if the nipples are lower than the inframammary line the patient will most likely need a breast lift. If the nipples are at or above the inframammary line we can generally get by with just a breast augmentation depending on the size of the implant the patient wants. I often still using implant when I perform a breast lift because it provides more upper breast fullness after the lift. To be sure a consultation with a board-certified plastic surgeon will help determine what the patient actually needs.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Stefan Mark Szczerba, MD · Answer

Well I think what I would recommend, just put in the implants and let things heal and settle.  A small lift later may be needed, but depending on the size, it may round out enough and additional scars could be avoided.  An alternative is a device call InMode BodyTite that actually can be used to elevate breast tissue and nipple position to the degree that a lift could be avoided completely.  Best Wishes!!

Ted Eisenberg, DO, FACOS, FAACS · Answer

After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size breast implants. They also get to see what they would look like when the breasts have fully dropped and fluffed and in clothes. You get to see actual results and the surgeon' s experience and not a virtual idea of what can be achieved. Women tell me that this process is very helpful in determining what is right for them. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Gary M. Horndeski, MD · Answer

Your breasts are asymmetrical in volume, shape and position. Adding implants alone will correct the volume. However. if you want to reposition your nipple-areola complex and make them more identical then you will need a mini lift. Using a circumareola incision, your breast tissue is reshaped, elevated higher on the chest wall and more medial to increase your cleavage. At the same time, fat transfers or small implants can be placed.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Connie Hiers, MD, FACS · Answer

You did not post the best photo, front view, to determine if a lift is needed. However, I suspect you do not need one. You might reconsider not going DD for that will be large and heavy implants on your shoulders and you will be more at risk of sagging.

Camille Cash, MD · Answer

From the provided photos it doesn't appear a lift is necessarily needed.  However you do have asymmetry.  it is important to note that with implants alone the asymmetry will still be present after surgery.  I encourage you to visit with a few board certified plastic surgeons near you to hear varying opinions.

Do I need a BL if I just want a BA? (Photo)

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