40, female, 5/10, 12.5 stone - implant or lipo/axillary excision to look more proportional & natural? (Photos)

Question

Hi, I’m 40 year old female, 5’ 10 and 12.5st. I hate my boobs - it’s not just the breast though, I have a lot of fat/breast tissue/loose skin under my arms and around my sides. I had a consultation with a surgeon who said I should get a 380cc implant and it would help improve the bra rolls by 50%. I just want a more balanced look - am i better going for vaser lipo and/or excision or would the implant improve the overall look/shape enough to look more proportional and natural? Thanks

Camille Cash, MD · Answer

The implants will for the most part shape your breasts.  It may help somewhat with the sides, but if that is a big concern of yours you may want to consider liposuction to the area.  Do not select a larger implant than you want in an attempt to take up excess skin at the sides of the chest.  I've included a video on implant selection that I hope you find helpful.

Daniel Barrett, MD · Answer

Dear Trustworthy326818,
it is hard to tell for sure without an examination. Implants will not improve extra tissue in the armpits but it will improve breast shape. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Harry T. Haramis, MD, FACS · Answer

In my experience, Vaser ultrasound liposuction of the lateral chest and axillae will enhance the breast shape with implants, removing stubborn areas to better define the breast edge, border, aesthetics.

An exam and consultation with a plastic surgeon is recommended to discuss your options and expectations.

Ted Eisenberg, DO, FACOS, FAACS · Answer

After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements. 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 is right for them. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Gary M. Horndeski, MD · Answer

You would benefit from 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, small implants can be placed totally submuscular.

Best Wishes,

Gary Horndeski, M.D.

40, female, 5/10, 12.5 stone - implant or lipo/axillary excision to look more proportional & natural? (Photos)

Answers (8)

Answer: Choosing the right size and profile breast implants for you

Answer: Choosing the right size and profile breast implants for you

Answer: Circumareola lift with small implants

Answer: Circumareola lift with small implants

Recommended reading

Everything you need to know about Breast Augmentation

Our mission is to create a world where every investment in modern beauty is Worth It.

40, female, 5/10, 12.5 stone - implant or lipo/axillary excision to look more proportional & natural? (Photos)

Answers (8)

Answer: Choosing the right size and profile breast implants for you

Answer: Choosing the right size and profile breast implants for you

Answer: Circumareola lift with small implants

Answer: Circumareola lift with small implants

Browse related questions

Recommended reading

Everything you need to know about Breast Augmentation

Our mission is to create a world where every investment in modern beauty is Worth It.