Considering a breast aug - can I achieve my desired look with ultra high implants or will I need a breast lift? (photos)

Question

Round and perky. Proportional breast size to frame so I don’t want to be too big. I do not want a lift yet so I was wondering if ultra high profile will help? I mainly just want to fill my breasts and have cleavage. I was 36 full C to small D before pregnancy. Obviously if not having a lift will make them unsightly with or without a bra on, then I will have a lift. I always get hypertrophic scars so that’s another concern.

J. Jason Wendel, MD, FACS · Answer

Thank you for your question about breast implants.

Selecting the most appropriate breast implant size and/or implant projection for breast augmentation is a personal decision that ultimately you have to make. An in-person consultation with measurements and implant sizing is best.

It depends on your height, weight, and the measurements of your breast.

To know what might be right for you, see two or more experienced, board-certified Plastic Surgeons for a complete evaluation to make sure you are a good candidate and that it is safe for you to have breast implant surgery.

I hope this helps.

Leila Kasrai, MD, FRCSC · Answer

Your nipples are located below your breast fold therefore a lift is recommended. Without one, the implants would sit low on your chest and you wouldn’t be “perky” as you’d like to be. Please note that whether it is a breast augmentation or breast lift, incisions are still made so scarring will be a concern either way.

Caner Kacmaz, MD · Answer

Thank you for your question and your pictures. You definitely need uplift surgery as well as breast implants. Breast augmentation itself will not improve your look . Best wishes.

Ted Eisenberg, DO, FACOS, FAACS · Answer

I recommend an in person consultation with a plastic surgeon to discuss your goals and be measured. After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size and style breast implants, if interested. 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 size and style breast implant is right for them. Mildly Sagging Breasts: If your breasts are mildly droopy, a saline or silicone gel implant placed behind the pectoral muscle might help create the illusion of perkiness. That’s because as the implant fills out the top of the breast, it also fills out the bottom, making it look as if the nipple has moved higher. It hasn’t. You can always get a lift later if you feel you are not perky enough when fully settled and healed. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Brian K. Reedy, MD · Answer

Thanks for your question! If you want cleavage, round and perky, you should commit to a lift. I do not think using a UHP will get you to your goals. Please be sure to consult with a board-certified plastic surgeon. Good luck!

Daniel Barrett, MD · Answer

Dear Kae49424,
determining whether you need simply a breast augmentation versus a breast lift 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 a breast augmentation depending on the size of the implant the patient wants. I often still using implant when I perform a breast lift because it provides more upper breast fullness after the lift. To be sure a consultation with a board-certified plastic surgeon will help determine what the patient actually needs.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Ersin Gonullu, MD · Answer

your breasts are atrophied and saggy. for that reason you need a lifting surgery with enhancement as well. its not seems to be possible to have lifted breasts with only implant surgery. fyi. regards

Olivier Deigni, MD · Answer

Hello and thank you for your questions and pictures. Although an in-person examination will provide more details, based on the photos it appears you would benefit most from a breast augmentation with a lift. I recommend you discuss your concerns and desires in detail with your plastic surgeon so that an appropriate treatment plan can be made. Best wishes!

Douglas Taranow, DO, FACOS · Answer

Unfortunately, you really need a lift with your augmentation to avoid having larger lower possibly saggy breasts.
Dr. T

Camille Cash, MD · Answer

Based on your photos you will have the best results from a lift with implants.  If you elect augmentation alone your nipple position will essentially remain the same, but the volume will be increased.  I encourage you to meet with a board certified plastic surgeon near you for a consultation to learn more.

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