So Im 38 5'11, 176lbs with 4 kids and have been wanting a breast augmentation for awhile. Im torn on wether or not I should do a lift. Im currently a 38 B. I am scheduled for surgery in January but I am on the fence as to size and if I should or shouldnt do a lift. My surgeon said he wouldnt do a lift because my measurements are right at borderline of me needing one. I would like more upper fullness though. Im attaching inso pics as well as pics of what I look like now.
November 12, 2021
Answer: To Lift or Not To Lift? Good afternoon, Yes- a donut mastopexy would be a good idea. Your nipple position is just below the center of your breasts, and therefore postop they will also be just below the center of your breasts, not centered which is proper and the way your goal photos are positioned. Also, if your surgeon attempts to overdissect or lower your creases so that your nipples ARE centered without a lift, you will bottom out and not have the upper pole fullness present in your goal photos- size-wise you probably need Mentor MemoryGel in the 490-560cc XHP range, but we would have to nail this down when I measured your chest, we reviewed photos together, and you were able to try on the implant sizers here in the office.
Helpful
November 12, 2021
Answer: To Lift or Not To Lift? Good afternoon, Yes- a donut mastopexy would be a good idea. Your nipple position is just below the center of your breasts, and therefore postop they will also be just below the center of your breasts, not centered which is proper and the way your goal photos are positioned. Also, if your surgeon attempts to overdissect or lower your creases so that your nipples ARE centered without a lift, you will bottom out and not have the upper pole fullness present in your goal photos- size-wise you probably need Mentor MemoryGel in the 490-560cc XHP range, but we would have to nail this down when I measured your chest, we reviewed photos together, and you were able to try on the implant sizers here in the office.
Helpful
November 13, 2021
Answer: Breast lift or BA Dear ashley83, 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, MD Certified, American Board of Plastic Surgery Member, American Society of Plastic Surgery Member, American Society of Aesthetic Plastic Surgery
Helpful
November 13, 2021
Answer: Breast lift or BA Dear ashley83, 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, MD Certified, American Board of Plastic Surgery Member, American Society of Plastic Surgery Member, American Society of Aesthetic Plastic Surgery
Helpful