Would a breast lift be beneficial for me to achieve more aesthetic results? 405 CC implants. (photos)

Question

Hello! I began with a deflated 36D cup and opted for 405cc smooth round Subfascial implants. My doctor said I was borderline for a lift, as I could hold a pencil under the fold but my nipple position was still good. I elected to forego the lift as I didn’t want to “mess with” my nipples. Based on this result, should I go back for a lift? Would a lift give a better aesthetic result?

Leila Kasrai, MD, FRCSC · Answer

How do you feel about your results? If you like them, then there’s no need for a lift. A lift is typically recommended when the nipples are located lower than the breast fold. However, it appears that your nipples are inline or perhaps just above, so a lift may not be necessary.

Gary M. Horndeski, MD · Answer

At size 36 D, you did not need implants but needed a lift. Now, you have large low breasts. At this time, I would recommend explantation and lift using The Bellesoma Method. The implants are removed, your breast tissue is reshaped creating upper pole fullness, elevated higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained. Later, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Daniel Barrett, MD · Answer

Dear Emlaben54,
my preferred lift is a lollipop lift when a periareolar won't do (ie greater than 2cm lift required). The lollipop technique was created by a Canadian plastic surgeon named Elizabeth Hall-Findley and treats the breast as a three dimensional structure instead of two dimensions (anchor - lift). Most importantly it does not require the horizontal component scars that the anchor-lift requires and breasts appear much more natural, lifted, and less boxy. Lastly, the lift lasts longer because the lollipop doesn't rely on the skin to hold the breast up, its actually breast tissue thats being brought together to support the breast and hence improves longevity. 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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Wess Cohen, MD · Answer

Thank you for your question. While you have a good result, your result would be improved with a breast lift. A lot of your breast tissue sits below your nipple, and your breast would be even more aesthetic with more fullness higher up to improve your cleavage. The trade-off would be increase scarring of your breast. If you are satisfied with your current result, I would recommend holding off on surgery as long as you can and then opting for a breast lift. Good luck.

Zoran Potparic, MD · Answer

Your lower pole is streched and full; only lift can improve that. However, your nipples are in good position and there is no need to change that. Most likely just vertical excision will do? Hope this helps.

Justin Yovino, MD, FACS · Answer

You have a nice result for sure but I do see how you'd like for the entire breast to be in a more lifted position. The trade off would be the scars. I think that the best repositioning of your breasts would come from an incision around the areola, straight down to the fold of your breasts, and along the fold. This is an anchor pattern breast lift. This would allow for lifting of the nipple and areola without significant tension around the new areola position therefore reduce the chance for widening of the areola afterwards. The  incision straight down and under the fold of the breast would also allow for lifting and tightening of the lower portion of your breasts. This would elevate the entire breast and help center it over your chest. I think the most important consideration for you is the permanent scars that come with the lift. Keep in mind that a lift with just an incision around the areola (nowhere else) has a high chance of causing widening of the areola and would not do anything for the lower portion of your breasts. I hope this helps.

Connie Hiers, MD, FACS · Answer

You look good now with a very natural look. However, if you prefer, you could go back for a lift. With your anatomy, your breast naturally sit somewhat low on your chest and you will not be able to have high and perky breasts.

Daniel Schmid, MD · Answer

I dont think a lift will improve your result much.  You have a very natural result and your nipple position is good over your implants.

J. Michael Morrissey, MD (in memoriam) · Answer

Thank you for your question and photos.You have a beautiful, natural looking result. I wouldn't recommend doing a thing,The breasts are destined to change as time goes by, but for now, enjoy your lovely result.
Best wishes.Dr. Morrissey

Would a breast lift be beneficial for me to achieve more aesthetic results? 405 CC implants. (photos)

Answers (9)

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