Should I get the lift & how many ccs for a full C cup? (Photo)

Question

I want to have a breast augmentation for volume but clinic recommends a lift to move my nipples up and augmentation for better results. I don't want the breast lift procedure. I would like to be a full C-Cup. 1) Should I get the lift? 2) how many cc should I get to be a Full C-Cup?

Gary M. Horndeski, MD · Answer

The technique I recommend is 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 if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Ronald J. Edelson, MD · Answer

You do
Need a lift. If you don’t get a lift the asymmetry you have will look even worse. I recommend the lollipop lift in your case.

Daniel Barrett, MD · Answer

Dear Energetic552352,
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

Ted Eisenberg, DO, FACOS, FAACS · Answer

I recommend an in person consultation with a plastic surgeon to discuss your goals and be measured. After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size and style breast implants. They then get to choose what looks right for them. 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 size and style breast implant is right for them. Mildly Sagging Breasts: If your breasts are mildly droopy, a saline or silicone gel implant placed behind the pectoral muscle might help create the illusion of perkiness. That’s because as the implant fills out the top of the breast, it also fills out the bottom, making it look as if the nipple has moved higher. It hasn’t. You can always get a lift later if you feel you are not perky enough when fully settled and healed. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Camille Cash, MD · Answer

If you elect to have the augmentation with no lift your breasts will be larger, but the nipple position will remain as it is.  If this is your preferred look, then augmentation alone is fine.  If you want a lifted, perkier look, then you may want to consider the lift.  I've included a video on implant selection that I hope you find helpful.

Connie Hiers, MD, FACS · Answer

If you want to be even, then get the lift. with no lift, you will have larger and still sagging breasts, especially on the lower side. I would suggest meeting with a surgeon and trying on sizes so you can actually see what size you like.

Douglas Taranow, DO, FACOS · Answer

Dear Energetic,
I seems that you would look much better with a breast lift in conjunction with your augmentation.  I feel you may be able to get away with just a periareolar lift (scar only around the nipple).  I would be going out on a limb to estimate what sized implants would be required, but a guess would be 300-350cc's
Dr. Taranow