Confused! Do I need a lift or could an implant work? (Photo)
Doctor Answers 11
Do I need a lift or could an implant work?
If you want to go braless and 'feel confident', implants alone will not help you, no matter how big, high profile, or overfilled (Inspira). That's because your nipples will NEVER rotate up into an optimized position on the mound without a lift.
Best of luck!
Confused! Do I need a lift or could an implant work
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Breast Augmentation and Mastopexy (lift): Information
Thank you for your story, questions and photos.
Nothing substitutes for a personal evaluation and a face to face discussion of your options.
Unfortunately without a examination I can advise you in general terms, however I hope you will find them helpful.
Based solely on your photos your are borderline if you would need a mastopexy (lift).
The more "natural look" you want the less the likely you would require a mastopexy.
1) the reason your breast sags is that the "skin covering" is proportional larger than the breast tissue.
2) the majority of your breast tissue is below where the breast mound should anatomically be located.
3)if you refill the volume only(breast implant)... the nipple areolar complex (NAC) will tend to rotate over the top of the implant like a waterfall resulting in a full breast mound but unfortunately a downward rotation and location of the NAC.
4)the only method known to create a aesthestically acceptable breast will require trading
incisions/scars on the breast for a pleasing contour and relocating the NAC.
5)depending on your desires (shape and size) the scar may vary from:
A) just around the nipple (doughnut)
B) to a added vertical incision (lollipop)
C) to include a horizontal incsion in the breast crease (anchor).
6)while breast incisions/scars are required....there are ways to modulate/improve the
appearance of the scarring process.
7) you could always start with a augmentation only and if you like the appearance= great
if you want a more sculpted breast with a higher NAC then you could undergo a lift ( often just under local anesthesia).
8) select 3 nude model photos of breast you consider your goal breasts and bring with you to your consultation.
Please make a appt. with several experienced Plastic Surgeons who are Certified by the American Board of Plastic Surgery and ideally a members of the American Society for Aesthetic Plastic Surgery (denoting by membership as having met additional criteria and a focus on Cosmetic Plastic Surgery).
My best wishes,
R. A. Hardesty, MD, FACS
Diplomate and Certified by the Am. Bd. of Plastic Surgery
4646 Brockton Ave
Riverside, Ca 92506
Andrew Cohen MD
Implants alone or lift too
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Confused! Do I need a lift or could an implant work?
Breast Implants / Breast Augmentation/ Cohesive Gel Implants / Silicone Implants / Revision Breast Surgery
From your photos, it appears that a breast augmentation may be sufficient without a lift. I would recommend Anatomic Gummy Bear Implants.
These highly-sought-after, anatomic implants offer a look that more closely resembles the natural silhouette of a breast, and, therefore, are a very attractive option for individuals seeking a natural-looking, aesthetic primary breast augmentation. Additionally, these implants are an especially excellent option for patients undergoing restorative or corrective breast surgery because they provide more stability, shape, and reduced incidence of capsular contracture. Compared to other types of silicone gel implants, the silicone in the cohesive gel implant is more cross-linked; therefore, should the implant shell “rupture,” it maintains its shape and silicone does not leak.
During your breast augmentation consultation, you should feel the different types of implants available, and try on various implant sizers in front of a mirror to help you to get an idea of how you will look following the surgery. You should also bring pictures of the look you would like to achieve, as well as a favorite top to wear when trying on implant sizers.
In my office we also use the VECTRA system. It takes photos of you from different angles to create a 3D image. It leaves you with a 3D image of your breasts you can see from angles you have never seen before. I have found it incredibly useful for my patients when discussing breast augmentation. What I love about the VECTRA is how it helps my patients. It helps YOU see your breasts. Really see your breasts. Photos can be unforgiving, and a 3D photo really shows it like it is.
VOLUME: Is one breast larger than the other? This has 2 different ways of looking at volume, which takes into account ribcage and position differences.
WIDTH: Is one breast wider? Is your chest ribcage asymmetric?
CLEAVAGE: What is the natural spacing between your breasts? Cleavage is an area many of my patient really want to improve and fill when they do an implant. For sure implants help this area, but there are natural differences in the cleavage spacing which we can’t control. Vectra does an analysis of this to show where your natural breast ends.
IMF: Our fancy doctor term for the bottom of the breast fold is the inframammary fold. The IMF is where your underwire would go, i.e. where your breast starts from. Turns out our breasts don’t usually start at the exact same place. This difference in position can make the breasts look different and affect nipple position.
NIPPLE POSITION: This one tends to be more noticeable. Where are your nipples? Are they even?
The best way to assess and give true advice would be an in-person exam.
Please see a board-certified plastic surgeon that specializes in aesthetic and restorative plastic surgery.
Board Certified Plastic Surgeon
Director-Beverly Hills Breast and Body Institute
Breast implant candidate
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.