Lift, replace implants or both? (Photo)
Doctor Answers 7
Quo Vadis - Breast Lift with or without replacement of implants or both?
First a few comments: Your breasts sag because of the interaction of having saline implants (which are heavier than silicone), Over the muscle (which stretch the skin more) interacting with gravity and the changes of pregnancy.
IF all you want is a "re-perkying" of the breasts, then a Breast Lift with your present implant is all that is needed.
IF you wanted to "downsize", I would recommend putting in silicone gel implants under the muscle which would bring you to your desired cup AND perform a Breast Lift at the same time, understanding that there may be less complications IF the Lift is done in a staged fashion anywhere from 3 months to years later.
However, it would be a SERIOUS mistake to think that putting in large implants would lift the breasts long term. Such a miscalculation results in full breasts which rapidly plummet and thin the breast envelope making further surgery more challenging.
The recovery depends on what is done but is usually similar to a breast augmentation.
Dr. Peter A. Aldea
Lift, Replace Implants or Both
In regards to implants alone, this is usually said to be mistake by patients reflecting back at the decision. Most breasts will look larger and more droopy with solely implants. They will sag more and sooner, due to the sudden and excess weight. At times it's possible for a “Snoopy” breast or double bubble to develop as a result. There are a variety of techniques for a #BreastLift. I prefer to use the short scar technique, “#lollipop scar” or “#donut lift” rather than the majority of surgeons in the United States that use an anchor pattern lift which involve more significant scarring. Although the “anchor-shape” or inverted “T” incision is still more popular in the United States, it represents an older technique with extensive #scarring and a less optimal result in many cases.
It is imperative you select a plastic surgeon who is #board-certified and has a great deal of experience with breast #augmentation and the incision type, #implant placement, and implant type. Plastic surgeons who have specialized in breast surgery and cosmetic surgery are suitable to perform your breast augmentation. Aside from checking board-certification, it is suggested that you look at before and after photos of the surgeons actual patients, and read patient reviews. Gathering all of this information will help you make a well-informed decision.
Breast Augmentation Revision 16 Years Later
All this is very achievable but should be done by a plastic surgeon with experience in augmentations with breast lifts as well as breast surgery revisions. For the best results seek the consultation of a plastic surgeon certified by the American Board of Plastic Surgery. They have a website listing all the certified plastic surgeons. Members of the American Society of Aesthetic Plastic Surgery will all be board certified in plastic surgery and have demonstrated an interest and special skill in cosmetic plastic surgery as well.
For more information about breast revision surgery please see the web link below.
Good luck and best wishes!
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Breast augmentation and lift candidate, some advices:
After having analyzed all the information and photos provided to us, I realize that you have very sagging and small breasts. In this regard, you need volume (implants) and projection (the lift): Breast Augmentation w/Breast Lift.
I recommend you to use microtexturized highly cohesive silicon implant ("gummy bear" implants), with high projection, and 400ml will be excelent on you, to fill the breasts properly.
Finally, to perform the breast lift I recommend a Periareolar Round Block Breast Lift ("Benelli mastopexy"), which has an unnoticed scar around the areola, and if we see (in the surgery) that we can't obtain adecuate projection just with the Benelli Lift, we have to perform a "Lollipop breast lift".
Dr. Emmanuel Mallol Cotes.-
Breast Lift / breast augmentation
Implant revision options.
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.