Borderline lift? Getting away with just implants? (Photo)

Implants will improve your cleavage and upper pole fullness. I recommend using silicone implants placed under the muscle through a small breast crease incision. You don't have to have a lift, and should you want to get one later on, that is always a possibility to do a lift over the implants. I hope this helps.

Good afternoon!You can absolutely avoid a lift, fill in the gap, get better upper pole fullness, and 350cc is definitely not too big for your frame!

Hello,It appears that you have a bit of "pseudo-ptosis" which means that your nipple placement is lower, but does not 100% require a lift. Placing implants behind the muscle will help keep them in a perkier position on the chest wall. There are different widths (or profiles) of implants offered, it is best to discuss these options with your surgeon to see which will allow the most filling out of the medial portion of your breast. It appears that your breast bone is wider, this appearance can improve with implants but implants cannot be placed over this area so there is a degree of limitation with that. If there is some chance of pregnancy in the future it may be best to wait on a lift so that scarring is minimal and the ability to breastfeed again is available. A lift can always be done several years down the road if you are seeking perkier, younger looking breasts. Due to some laxity in your breasts from breast feeding, I do not think 350cc is out of the question for you to achieve fuller looking breasts. Best of luck!Dr. Christine Rodgers

I recommend an in person evaluation by a plastic surgeon to be measured and discuss your goals. 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. 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

You appear to have Grade II ptosis which is our fancy way of saying borderline drooping.  With moderately large implants and a dual-plane technique you should get a good result using high profile silicone or extra-high profile silicone gel implants.  The incisions could either be inframammary or periareolar.  That's the good news, and for someone who wants to avoid a lift and "doesn't mind" placement being a little low, it usually works out fine.  Contrary to what many of the other doctors have said, I do not think you will be able to completely correct your flat upper pole, since the implants will sit relatively low.  This is not necessarily bad if you are aware and okay with that appearance.  On the other hand if you truly want excellent correction of the upper pole and implants that don't sit relatively low, I would consider a breast lift.  You should make certain to observe the difference on Vectra 3D imaging which can show the changes with specific implant styles and sizes on a three dimensional image of your chest.  It's a great way to help make this difficult decision.

Photos do not indicate that a breast lift is required; inserting the implants in a dual plane should provide the upper pole fulness you desire.  A property executed breast implant surgery should have no impact on breast feeding in the future as the ducts should not be disturbed. 

Hello and thank you for your question. You are a great candidate for a breast augmentation using a dual plane technique without need for a formal lift.  The size, profile, and shape of the implant is based on your desired breast size/shape, your chest wall measurements, and soft tissue quality.  This decision should be based on a detailed discussion with equal input from both you and your surgeon.  This entire surgery can be performed with a small incision technique.  Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and evaluate their results. 

Best wishes and good luck.


Richard G. Reish, M.D. FACS

Harvard-trained plastic surgeon
 

You are borderline. Many surgeons would recommend the lift although you can always have it done later if you like. Really your choice. One suggestion: have the implants placed through an inframammary incision. A nipple incision could interfere with the lift down the line by cutting off some blood supply.

Judging by your photos you have a good amount of ptosis with widely set breasts.  The best option in your case would be to perform a  breast lift and placement of implants.  This was you can get as much cleavage and get them as close as possible.  Without a lift you are looking at lower set implants and you will lack the closeness in the middle that you are seeking.  Your breasts will look the same just bigger.I would recommend you see a board certified plastic surgeon to discuss this further.  An in office consultation will help you see the differences between the options.Hope that helps.

I tell my patients that the implants are typically placed under the muscle. So if a patient starts with a gap between the breasts, they may still have one after surgery due to their anatomy. We don't like to release the muscle near the midline of the body since the implant may migrate to much toward the middle.  Implants are great to fill the upper pole of the breast and this gives a nice fullness. Usually patients don't need a lift if their nipples are above the breast fold but sometimes it depends on the quality of the skin. In this case, we might do the breast augmentation and then wait 6 months to see if a lift is necessary. We usually guide patients for size based on their goals and their chest width. The use of Crisalix for 3D imaging and preop sizing has been helpful. Make sure to see a board certified plastic surgeon.