I would like a fuller, natural chest after breastfeeding - Augmentation without lift? Conflicting advice. (Photos)

Question

Hi, I have seen three doctors who have all given me different advice. I have breastfed and would like my chest to be fuller. I am after a natural result and not too big. My breasts each measure 12.5cm across. From the bottom of my nipple to the crease of my breast is 10cm. From my collarbone to the top of my nipples is 21cm. I am 159cm tall, 61kg, 40yrs old. Do I need a lift? One doctor said my nipple is already quite high, so would only be lifted a few cm. Or should I do an implant if if so, what kind? Thank you

Guray Yesiladali, MD, FEBOPRAS · Answer

From the photos, this is not a case where a lift decision can be made definitively.
If the nipple were clearly below the breast fold, a lift would be necessary. If the skin quality were clearly firm and supportive, implants alone could be considered more confidently. Your case appears to sit between these two points.
For that reason, the lift decision should be made only after a detailed in-person evaluation of nipple position, skin quality, tissue support and implant goals.
I wish you clarity in choosing the plan that gives you natural fullness without compromising breast shape.
&mdash; Güray Yeşiladalı, MD

Zoran Potparic, MD · Answer

Based on these photos it appears that breast augmentation with an implant in the range of 350 ml will give you satisfactory result. Good luck.

Donovan Rosas, MD · Answer

Patient concerns regarding the appearance of their breasts can typically be divided in two pools: volume, ptosis (droop). The procedures to address these issues are as different as the issues themselves. However, these concerns are not mutually exclusive. Many patients, whether they are aware or not, will benefit from both.
There are two factors which can help to answer the question of which surgery will deliver the most satisfying result: mastopexy, augmentation or both. Patients must first consider the position of the NAC (nipple areolar complex i.e. the pigmented portion of the breast) as it relates to the inframammary crease. If the nipples are at or below the level of the crease the patient may benefit from a lift or mastopexy. The breast lift is designed to elevate sagging breasts to a more youthful position. It also helps to reshape and tighten the skin of the breasts. This is typically accomplished via a periareolar (around the nipple) incision with or without a vertical incision. 
Mastopexy is an effective way to address sagging breast, however, the changes which accompany weight loss or pregnancy can also decrease volume of the breasts. When a woman wants the volume restored, or increased, a breast augmentation will also be needed in conjunction with mastopexy. Augmentation can help restore the volume loss which is well known to women following children. There are a number of options available to women considering augmentation ranging from size and implant type to access incision.   
A breast augmentation alone may also be appropriate if ptosis is mild. If the patient is comfortable with the natural appearance of the breasts but desires them to be larger, a breast augmentation alone is the right procedure.  Augmenting significantly ptotic or sagging breasts tends to magnify the problem. In these cases, a mastopexy performed in conjunction with an augmentation is preferred.
Based on your photos, a lift seems unnecessary. You have mild glandular ptosis with preserved NAC position. The improvement of a lift may not be worth the added scar burden
There is a procedure for every problem. To determine which technique is right for you, consult with a board certified plastic surgeon Patient should discuss their concerns with their physicians in order to make an educated decision.

I would like a fuller, natural chest after breastfeeding - Augmentation without lift? Conflicting advice. (Photos)

Answers (3)

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