Should I Have a Breast Lift Alone or Breast Lift with Small Implants? (photo)
Doctor Answers 7
The high and round look needs an implant with the lift
In order to get the high round look that you describe you should consider a small subglandular implant with the breast lift. Your ptosis is the worst, grade III, but look at it this way, you will have the most to gain. Keep losing the extra weight.
Breast left only or with implants
Given your anticipated additional 50 lb weight loss you should reassess this question after you have lost the weight. I would assume that at that point you will very much want the additional volume that implants will give you.
If you do not lose that weight then and you are happy with your current volume then you do not need implants. If you do want more volume then by all means add the implants.
Lift with or without implants
If you like the volume you have, then just a lift would be ok but you may be slightly smaller. If youw ant more volume, then an implant is a good idea.
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Probably best to have lift and implants
Breast Lift with Implants
The vast majority of patients want balance proportion and harmony with the surrounding anatomic structures. They also want a natural look and upper breast fullness. Accomplishing these goals usually always requires breast implant placement.
Based on your stated goals of high, full, round and perky breasts, you would appear to be an excellent candidate for the combination of breast augmentation and breast lift surgery. If you're considering this option, it's important to consult a board certified plastic surgeon. This surgeon should be able to formulate a treatment plan that addresses your anatomic findings and achieves your aesthetic goals.
Breast lift plus implants are needed for a high full breast look
A breast lift alone will improve the shape of your breast but the upper pole above the areola will be loose and jiggly. If you want full firm upper pole of your breast you definitely will need an implant preferably placed beneath your muscle for the look that you want to achieve.
For more information on combination breast lift and augmentation please read the following link:
My personal approach would be to perform a mastopexy only at this point. If you desire an implant later there is nothing wrong with placing an implant at a second stage. Your photos indicate that the nipples need to be moved a pretty far distance. When the nipple only needs to be moved a short distance, performing a lift with an implant in one stage works well.. However, when moving the nipple the distance you need, a two stage approach is safer and it also makes it easier to obtain a better result. So I would start with the lift only, then after a few months you could decide on whether you want an implant added. Granted, a different approach than many surgeons may recommend, but this approach has kept me out of trouble while at the same time producing a better result than trying to one stage it.
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