You do not have any real sagging. You seem to have a little loose skin from deflation . I think a augmentation with a small implant would fill out your breasts with minimal scar. Good luck.
You do have some asymmetry of your nipple position that with an augmentation alone would result a more apparent asymmetry. It appears that with a Benelli lift alone you could correct for this asymmetry and reduce your aleolar size at the time of the augmentation. Best wishes, Dr. T
I think you look like you would do awesome with just an augmentation. Now deciding on the right implant- that's another story. Depending on your goals, I think you could really do well with a few different types of implants. If the skin on the right breast doesn't fill out and perfectly match the other side, you can have that skin tightened peri-areolarly. The Benelli lift is not one that I favor regularly but the idea is good for tightening, not so much for lifting because it lacks power. I would recommend a gel device under the muscle and through the inframammary fold. We would then sit you up and see if any skin needs to be removed around the right nipple to match things up as perfectly as possible. Your left breast is perfect by the way. Hope this helps. -JGH
Looks like you would need a small Implant for more fullness and no lift,please consult with a board certified PS,best of luck!
You don't need a lift at all. The most sophisticated approach to breast augmentation is through the armpit with a surgical camera (transaxillary endoscopic). Using this modern approach the space can be crafted under direct vision, with virtually no bleeding and no postoperative bruising. Most importantly, the shape of the breast is meticulously created. The other, older methods of insertion are technologically less advanced. Both silicone and saline implants can be placed through the armpit by a surgeon with skill and experience using this approach. The incision in the crease is the oldest method of placing the implants and puts a scar directly on the breast.
A round implant would be a better choice because they move more like breasts. The anatomic implants have a textured surface which makes them feel very unnatural. In addition, there is no benefit to anatomical. There is an X-Ray study that shows the implants from the side at 6 months. Standing, the round and the antomical implants have the same profile. When you lie down however, the anatomical implants do not change, which is unnatural. A round implant will change when you lie down, like a natural breast would.
HP implants, which are a more modern shape than moderate profile implants, fit most women better. They have a more appropriate base diameter and can be made to look very natural or very augmented, depending on where in the range the implants are filled to achieve a particular volume. High profile implants are the first choice in my opinion. I rarely find an indication to use moderate or moderate plus implants. The subtlety in the final outcome is not achieved by which profile implant is used, it is determined by the skill in the creation of the pocket, the choice of volume, and where in the range the implant is filled.
There are many advantages to sub muscular dual plane placement and very many disadvantages to sub glandular placement. I would see no indication to do anything but sub muscular dual plane. Subglandular silicone implant placement is the historical approach to this surgery, and was widely used in the 1960's. The implant edges are more visible, the risk of rippling is higher, the implant is in contact with the non-sterile breast tissue so the risk of infection and capsular contracture is higher. The interface between the breast tissue and the muscle is blurred so the implant interferes with mammography more than sub muscular placement. The blood supply surrounding the implant is worse so the risk of capsular contracture is higher. The support for the implant is less so there is more long term shape abnormalities and sagging. The look of a sub glandular implant is much less appealing than a sub muscular implant. The placement of sub glandular implants makes any subsequent revision surgeries more complicated and less successful. There are no advantages to sub glandular implant placement.
The choice between saline and silicone is one that requires a complex discussion of all of the advantages and disadvantages of both implants. The issues to be considered are safety, density, mobility, rippling, rupture rate, consequences of rupture, detection of rupture, need for follow-up care, cost of follow-up, appearance, feel, sensation of heaviness, radio-density, mammograms, and costs, among other things. There are advantages and disadvantages of both products. The decision will ultimately be up to you based on what is appropriate for your particular situation. Beautiful results can be obtained with either implant.
The best way to determine the size that fits your personal perception of the perfect breast is to try on sizers. This way you can see how they fit on you, how they add to your current volume, and whether they fit your frame. Although the surgeon can guide you, only you will be able to tell what is the right size. Try on sizers. Measuring a diameter and then telling the patient what volume they can have (in high, moderate or moderate plus implants) in my mind is backwards. The patients should be allowed to choose the volume. Then the surgeon carefully considers the base diameter, projection, profile, manufacturer, and fill material that will achieve the patients goals of size as well as qualitative look (natural, intermediate, or bold upper pole fullness or projection), all the while taking into consideration the patient's anatomic features that will affect the outcome. The experience of the surgeon and the degree to which they explain the options to you is of utmost importance. The subtlety in the final outcome is not achieved by which profile implant is used, it is determined by the skill in the creation of the pocket, the choice of implant. Don't let the doctor tell you what would look good on you. They cannot tell what you perceive to be the best size. There is no maximum. That is up to you.
I don't think you need a lift at all. A well versed surgeon in breast augmentations should be able to get you an nice result using implants only. If you find someone who does the transaxillary approach, you can have them put in through the underarm and have no scar at all.
Would I be a good candidate for a Bellini (donut) lift or would you recommend a full lift?
Are you a candidate for the Benelli lift? I am not familiar with a Bellini lift. However, I am not a fan of the Benelli lift. The areola usually expands to it's original shape and looks flat and shapeless. Actually, you have very little sagging, and your nipples are above the inframammary crease. This parameter generally means that you do not need an uplift. But if upon a personal examination a plastic surgeon feels that you need a left, I would suggest what is called a lollipop lift. This allows the outer and inner circles of the excision to be the same length, and the aerial a retains a natural shape.
You may also consider a breast implant, and if you do not want to be much larger, a small implant would do and would give you an adequate lift since your sagging is minimal.
I highly recommend visiting a board certified plastic surgeon for a personal examination to be able to assess the various options.
Thank you for your question and photographs and best of luck to you.
Lift might not be necessary
While it’s difficult to give you an opinion based on your photo alone, just getting a breast augmentation might help you get a perkier contour, making a lift unnecessary. This is because the amount of sagging you have is minimal.
Candidate for Breast Lift
Candidates for Breast Lift (#Mastopexy) surgery are women who have #saggingbreasts due to past pregnancies, genetics, or aging. Often times the sagging is too great to be treated by implants alone. Women with asymmetric or enlarged nipples or areolae (pigmented areas around nipples) also may be candidates for a breast lift or a modification of a lift. #Asymmetric breast can be adjusted by adding or removing volume. One side can be tightened more or less than another.A mastopexy or breast lift operation is designed to improve the shape and position of the breast without reducing their size. It is used for breasts which sag or droop (ptosis). Sagging of the breasts may occur with normal development for some women, or as part of the aging process. Pregnancy, breast-feeding and weight loss are other conditions which increase breast ptosis. Some patients will have a better shape to their breast such as increased superior fullness if an implant is used at the time of mastopexy. The procedure can also be combined with a minor breast reduction to reduce the breast width if desired. The surgery will create an elevated, more youthful breast contour. Also, the procedure will create nipple and areolae of the desired size and at the correct height. While the Bellini is a procedure option, I prefer to use a #shortscar technique, #LollipopScar or #DonutLift” rather than the majority of surgeons in the United States that use an anchor pattern lift which involve more significant scarring. The best thing to do to determine your procedure would be to schedule a consultation with a local board certified plastic surgeon and discuss all of your questions and concerns regarding the procedure at length before scheduling a procedure. Best of luck to you!
Would I be a good candidate for a Bellini lift or would you recommend a full lift?
Thank you for your question. Without implants, a lollipop lift would likely produce the best results. If you're getting implants, then a circumareolar (donut) lift would likely only be needed. Be sure to consult with an experienced board certified plastic surgeon. Good luck.