Breast Lift with Implants 34B to 34D? (photo)

Thank you for providing the photos. They are not complete but it gives some ideas to your treatment options. Since your are thinking about 2 cup enlargement, a circumareolar breast lift should be enough. In general I like to place the implant under the muscle especially when you are also doing a breast lift at the same time. It's true that the circle lift will not give you as much lift as the lollipop or anchor breast lift but in your situation it's important to determine how much of it lift that you want to have. At the same time, you most likely will need a good size implant to satisfy your 2 cups size increase. Adding a large implant and doing lollipop or anchor lift is filled with risks postoperatively. You are at very high risk for bottoming out with large, heavy breasts. The bottom line is you have to find an ideal compromise. Find a reputable surgeon who is willing to work with you to achieve your goals.

Best Wishes,

 

You definitely need a lift with an implant.  You are an ideal candidate for the lollipop version of the mastopexy.  I would probably use an implant size in the mid 300's.

See my previous answers on the Benelli or areolar lift: this is a poorly-designed operation that does not provide much lift and can lead to severe distortion of the areolas.

You would do best with a vertical or 'lollipop' breast lift.

There are pros and cons to going under the muscle when you are having a mastopexy at the same time.

I recommend you find a very experienced aesthetic breast surgeon to help you get the best result.

Good luck!

 

Your photos are very helpful but a definitive answer would require a formal consultation and an understanding of the size implant being used.With lax breast skin the implants should be placed partially under the muscle.  I am concerned that your degree of skin laxity will require a more powerful lift than the periareolar to give you an optimal result. The next step up is a circumvertical lift which has the same incision around the areola but a vertical incision from the areola to the breast fold.This will yield a better final breast shape. I do not believe an incision under the breast would be necessary but I would discuss it with you so that there would be no surprises after surgery.

Review these options with your board certified plastic surgeon. I hope this was helpful

    The breast implants should be placed under the muscle to create better camouflage among other advantages.  A full breast lift will provide a much higher, tighter, better projected breast with more superior pole fullness.  Find the plastic surgeon with elite credentials who performs hundreds of breast augmentations and breast lifts each year.   Kenneth Hughes, MD Los Angeles, CA