Can I get away with only having a lift? (Photo)

Question

I had a baby and now my breast have fallen what can I do ? And what are gummy bear implants? I want something natural . Not sure if A lift alone will be big enough . I am a 40d id prefer to be a C cup 36C to exact

James H. Rogers, MD · Answer

Your breasts are moderatly large and ptotic(droopy). You did not say if you were planing on having more children, but because of your age, i would assume this a possibility. In my opinion, the best cosmetic result would be achieved by having a lift alone. However, if you are wanting alot of fullness in the top of the breast, an implant would be necessary to achieve this but would make you much larger and look much less natural.

Daniel Barrett, MD · Answer

Hi Ap3018, 
  
Determining whether you need simply a breast implant versus a breast lift or both 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 breast augmentation depending on the size of the implant the patient wants. I often use an implant when I perform a breast lift because it provides more upper breast fullness after the lift. 
  
Also, breast implant selection is a complicated process and requires a detailed consultation that includes a discussion of your goals, a detailed examination, and a lengthy discussion.
  
You should discuss your concerns with a board-certified plastic surgeon and make sure that your surgeon understands your goals. 
  
Daniel Barrett, MD, MHA, MS
  
Certified, American Board of Plastic Surgery 
  
Member, Am. Society of Plastic Surgery

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question.  The
best advice you can receive is from an in-person consultation.  With that
being said, based on your photographs, you could either have a breast lift or a breast lift with an implant.  It depends on your goals for surgery.  This decision should
be based on a detailed discussion with equal input from both you
and your surgeon.   Make sure you specifically look
at before and after pictures of real patients who have had this surgery
performed by your surgeon and evaluate their results.   The most
important aspect is to find a surgeon you are comfortable with. I recommend
that you seek consultation with a qualified board-certified plastic surgeon who
can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Gary M. Horndeski, MD · Answer

Thank you for your question and photo,  The Bellesoma Method is a current technique to lift and/or reduce breasts without using implants or the ugly vertical scars.  The incisions are hidden around the areola and in the inframammary crease. The vertical incision has been completely eliminated. The areola incision heals almost invisibly due to the fact that there is hardly any tension on the closure. With this particular technique, ducts are preserved along with nerve supply maintaining nipple sensation and the ability to breast feed. Because the breast is reshaped internally and is secured to your chest muscles, upper pole fullness is possible without an implant. Usually patients do not go down in size very much with this technique.  Attached is a patient who underwent The Bellesoma Method. Please note that her tissue was used to create upper pole fullness and cleavage without any foreign materials (mesh, implants, etc).  It is a proprietary technique that only surgeons that have been trained by me can perform. I hope this helps. Best wishes and kind regards, Dr. Gary Horndeski

Harry T. Haramis, MD, FACS · Answer

Yes a lift (with small reduction) should give the results you desire without implants.An exam and consultation with a plastic surgeon is recommended to discuss your options and expectations.

E. Ronald Finger, MD · Answer

Your nipples are below your inframammory crease, and that is an indication that you need a breast lift. If you want to be larger as well, either implants or fat grafts can be done at the same time. Also if you want to be smaller, a slight reduction may be indicated, which will give you an uplift. I do not recommend the gummy bear implants to anyone. They do not look more natural and still can get encapsulations, and there is an increase risk of an aggressive form of lymphoma (cancer).
You certainly have enough tissue to have only the mastopexy (uplift) and still look very good in my opinion.
Thank you for your photos and question, and best of luck to you.

Jean Paul Giudicelli Saba, MD · Answer

Hi, thanks for sharing your concern and photos with us!
  
First I want to congratulate you for making this important decision. Deciding to get an aesthetic procedure to change your body and get a new life style is a big step!
  
Looking at your photos I might say that you´ll be a great candidate to get a breast lift without implants because you have enough tissue to reshape and lift it. Before all this, of course, you need to get a complete medical evaluation and laboratory exams to check everything is fine. For us your safety, always, is going to be first.
  
Have a great day! 
  
Dr. JPG

Fara Movagharnia, DO, FACOS · Answer

A breast lift will give you a nice result to lift your breasts but will not alter your size.  You can combine this procedure with an implant size of your choosing if you would like to have a larger cup size.  Silicone implants are often referred to as "gummi bear" implants because they are made using a cohesive gel which is not liquid and resembles a gummi bear texture when cut in two.  When you want to move forward with surgery, you can visit a plastic surgeon's office who will help you understand your options.  You should be able to try on implants to assist you with deciding which size to go with.  Best wishes!

Steven Wallach, MD · Answer

If you want larger breasts then implants are reasonable, but it also looks like you need a lift.......

Kris M. Reddy, MD, FACS · Answer

If you are satisfied with your volume, you could opt for a breast lift. Gummy bear implants is a marketing term for highly cohesive breast implants, which is the new generation of silicone breast implants designed to provide upper pole fullness.

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