Thank you for your question and photo. This question would require an in person consultation with a board certified plastic surgeon. While you may be qualified for a breast augmentation without a lift, it may not be the look you want to achieve.
Go for a few more consultations. An implant alone is not ideal. As long as you know what will and won't be accomplished, you should be able to find a surgeon that will work with you. Good luck!
I understand your refusal to do a lift because of the scars. But, I'm afraid that augmentation alone will not give you what you are looking for. Most women who need a lift, but do not have one, often return to the surgical suite to have them removed and have a lift performed. The PS that refused to give you a complication is an ethical individual. Breasts do not need to be augmented to achieve fuller, perkier firm breasts. The Ultimate Breast Lift method reshapes and re-positions breasts high on the chest wall without the extra cost, risks/complications and maintenance associated with implants. The UBL achieves maximum lift with minimal scarring.
Hope this helps.
Best wishes and kind regards,
Yes. There will be a surgeon out there that will give you what you want. Schedule a few more consultations with board certified plastic surgeons in your area.
Dr. Sheila Nazarian
@drsheilanazarian on Instagram
Keep having consultations with board certified plastic surgeon and seek their advice and opinion.
Far more important than the technique is the skill and experience of your
plastic surgeon. Choose your surgeon rather than the technique and let them
explain why one technique may be better than another.
See the below link on some suggestions on
finding the most qualified Plastic Surgeon for a breast augmentation
Patients, like yourself, with both
a lack of volume and sagging breasts are most often offered a combination of a
breast lift and augmentation (mastopexy augmentation) to address both issues.
The trade off is a scar on the breast around the nipple with a possible
extension down towards the breast crease creating a lollipop or inverted “T”
pattern. The size and location of the scar depends on the amount of lift
needed, the patient’s anatomy, and surgeon preference.
The decision to do an augmentation
by itself versus an augmentation with a peri-areolar lift or an augmentation
with a lollipop lift is less based on patient preference and more dictated by
the nipple position and the ratio between the post-augmented breast volume and
the amount of excess skin you have.
The less breast tissue you have,
the smaller the implant, the closer the nipples to the breast fold, and the
more excess skin you have, the greater the chance you will need a lift and the
greater chance you will need a vertical scar to achieve a natural aesthetic
Assuming your skin quality is good, if you are
looking to go up to a DD (or bigger), the additional volume of the implant
has the potential to fill out the skin envelope nicely - posssibly eliminating the need for a lift.
A detailed examination will help
delineate the best surgical option. Consultation with a surgeon certified by
the American Board of Plastic Surgery would be the next best step.
Simply based on the photo herein I do not think that lift is absolutely necessary in your case. Thus I see no reason that you will have any problem based on your preference.
Hello and thank you for your question! I can understand your frustrations. Many patients come into our office requesting specific plastic surgery procedures to address their concerns. Unfortunately, when an individual does not meet candidacy requirements for the procedure they have expressed interest in, the surgeon typically advises against it.
Based on the patient’s desired outcomes, your surgeon can suggest the procedure that may best achieve the patient’s goals safely and effectively. It is important that your surgeon provides you with realistic expectations — if the requested procedure is likely to cause complications, is not appropriate for attaining the patient’s goals, or the patient exhibits symptoms of body dysmorphia, it is the surgeon's moral obligation to advise against surgery. I hope this helps!
Your point is well taken and your chosen surgeon should work with your preference. If you want the volume and just will not accept the breast scars from a lift then you should be able to have the augmentation without one. keep looking and the American Society of Plastic Surgery may have others in your area to talk to.
Thanks for your inquiry and picture. One of the most important and difficult parts of plastic surgery is to set the right expection. I think many surgeons would consider an augmentation without a lift with your understanding that you stated you know that you still would have ptosis (drooping). Please seek the in person consulatation of board certified plastic surgeon and good luck.