Currently a B cup with asymmetry, would I be a good candidate for a suction reduction w/ implants? (photos)

Question

Just need advice? I do not want the lift scars

Semih Yildiz, MD, FEPOBRAS · Answer

The visible photos show breast asymmetry with some droop and different nipple/areola positions. Suction reduction is usually not a good way to reshape the breast itself, because liposuction removes fat but does not reliably lift the nipple, tighten skin, or correct glandular asymmetry.

If you want more upper fullness with implants, implants alone may improve size but can also make existing droop or nipple asymmetry more noticeable. A breast lift is often the operation that gives the most control over nipple position, breast shape, and symmetry. The tradeoff is scars, and there is no operation that gives the same lift effect with no scars.

In selected patients with mild asymmetry, a surgeon may discuss different implant sizes, limited areola adjustment, fat grafting, or a smaller lift pattern, but candidacy depends on measurements, skin quality, nipple position, and how much correction you want. An in-person consultation with a board-certified plastic surgeon is the best way to compare the scar tradeoffs with the amount of improvement you can realistically expect.

Robert M. Wald, Jr., MD · Answer

Your photos reveal that the right breast is more droopy and larger than the left. In order to correct the right breast, a breast lift with an implant is indicated. A suction lipectomy with an implant will not correct the right breast ptosis.

John Mancoll, MD · Answer

Thank you for your question. In my opinion, you are not a candidate for suction reduction. The problem on your right breast is that it’s already got too much skin and it’s too droopy and doing suction might actually make things even worse. Unfortunately, the asymmetries you have can only best be corrected with some form of lift operation on your right side. The volume differences between your two breast could be compensated for with different size implants, but the skin laxity issues cannot be corrected with implants. While I know, most people aren’t excited about the scars that a breast lift has they do fade nicely over time, and they become a means to an end for the kind of shape form in symmetry that you’re looking for. good luck in your pursuits and if you have any other questions regarding it, you’re certainly welcome to write back.

Jonathan Heistein, MD · Answer

Hi.  Implants can help you create a more full and symmetrical look.  Your larger breast is more saggy but not too bad.  Only the scars for a breast lift would help make that more symmetrical.  If you don’t want those scars, then there will still be some asymmetry of your breast shape even if the size is closer.  I would avoid liposuction as this will create more sagging on that side and the improvement in volume symmetry isn’t necessary if you’re using implants also.  Talk to a very experienced plastic surgeon to explain this in better detail at an in-person consultation.  Best of luck!

Daniel Barrett, MD · Answer

Dear br5693,
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

Gianfranco Frojo, MD · Answer

Just based on your photos, you need a lift to ensure that you will get adequate breast shape with implants. Implants alone will only further stretch out the breast; you will just need the mastopexy in the near future and it may make that surgery more challenging for your surgeon. I would highly recommend seeing multiple plastic surgeons and make a very informed decision.

Gerald Minniti, MD, FACS · Answer

Terrible idea. First, it's hard to liposuction young women's breast. Breast tissue is too firm to be suction evacuated like fat. Second, your breasts are ptotic (sagging), and removing more tissue from it make them more ptotic. Third, you have asymmetry in both shape and size. Your only hope in having sexy, symmetrical breasts IS A BREAST LIFT. Done by an expert, your scars will be inconspicuous and your breast shape will be superb.

Gary M. Horndeski, MD · Answer

Your breasts are asymmetrical in volume, shape and position. The technique I recommend is a mini lift on the larger hanging breast. Using a circumareola incision, your breast tissue is reshaped, elevated higher on the chest wall and more medial to increase your cleavage. You can undergo augmentation on both breasts.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Ram Kalus, MD, FACS · Answer

Thank you for your question and photos. An examination in person would be required to determine how to best advise you, but if your goals include correction of a symmetry and a larger overall breast volume then a reduction is not required at all, but a breast left on your lower breast may be necessary along with a bilateral augment, preferably above the muscle. Please consult with an experienced board certified plastic surgeon whose aesthetics seem to align with yours. Best of luck to you.

Nelson Castillo, MD · Answer

Thank you for sharing your question and photographs. It appears that asymmetrically sized implants could improve upon your natural asymmetry but if you prefer to reduce some of your larger breast by liposuction, that could likely be performed as well. Seek out a series of in-person consultations for the best advice.

Currently a B cup with asymmetry, would I be a good candidate for a suction reduction w/ implants? (photos)

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