I'm 22 y/o, no children, African American. What type of incision would be best for me? Should I just get a lift? (photos)

Thanks for your question.  Having performed lifts and reductions on many African American patients, I have found that scars tend to do very well, despite the fears many patients have regarding keloids.  Keep in mind that scars are unpredictable, however, so you need to accept that risk if you're going to have surgery.Based on your photos, I think you have enough tissue to maintain a B cup after a lift without implants.  I prefer a vertical "lollipop" incision, though nice results can be achieved with a variety of techniques.  Find a local board certified plastic surgeon with extensive experience in breast surgery to have a consultation -- shouldn't be too hard in NY!  Best of luck.

Since you want fuller, perkier yet smaller breasts, consider a breast lift that conserves underlying breast tissue. Personally, i perform mainly skin type lift in young women who have not had children yet. This will give a perkier appearance and reduce size. Since you want to go from current D to B, then you should not need implants.An exam and consultation with a plastic surgeon is recommended to discuss your options and expectations. 

Hi rochellemd,

Determining whether you need simply a breast implant versus a breast lift or both 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 breast augmentation depending on the size of the implant the patient wants. I often use an implant when I perform a breast lift because it provides more upper breast fullness after the lift.

These two surgeries can be done at the same time and this may be optimal as the risks can be minimized. 

In addition, upper pole fullness is achieved with appropriate implant selection but more importantly, submuscular placement, and precise pocket dissection. The submuscular placement allows the muscle to cover the top part of the implant which allows the upper pole to appear fuller. Keeping away from the lateral chest during pocket dissection allows the implant to remain higher and prevents it from falling off to the side.

You should discuss your concerns with a board-certified plastic surgeon and make sure that your surgeon understands your goals.

Daniel Barrett, MD, MHA, MS

Certified, American Board of Plastic Surgery

Member, American Society of Plastic Surgery

Member, American Society of Aesthetic Plastic Surgery