You will need an in person examination and consultation with a board certified plastic surgeon to give you a proper opinion.
Based on the photographs applied your nipple appears to be slightly above the inframammary crease but you do have glandular ptosis. In many cases a dual plane breast augmentation may be all that you need. However if during your consultation it is determined you do need a lift most likely a periareolar lift without the vertical limb would be possible. Larger implants in the 350-400 cc range would most likely be required to get you to the D cup range.
I would have to see you in person to say for sure, but based on your photo, I can't say you absolutely need a lift.
This is what I do to maximize lift with a breast implant alone:
- use silicone cohesive gel implants. The more cohesive the better. I am not sure if these are available yet in the US, but the Allergan Inspira Truform 2 implants are ideal
- use high profile implants. The more projection you have, the more lift you will get
- have the implants placed in the submammary pocket (under the breast itself). You should have a pinch thickness at the top of your breast of at least 2 cm
You expressed wanting to be a D/DD, so with that said, I wouldn't expect you to need a lift at this point. Being that you do not want the scars from a lift, you can always have a breast augmentation first knowing that you may need a lift later because you do have slight ptosis. It would be best if you can go see a board certified plastic surgeon for an in-office exam and learn your best options from there. Good luck! ac
I recommend a new technique called Breast Augmentation with
Mini Ultimate Breast LiftTM.Using only a circumareola incision it is possible to reshape your breast
tissue creating upper pole fullness, elevate them higher on the chest wall and
more medial to increase your cleavage.Through the same incision, implants can be placed.Aligning the areola, breast tissue and
implant over the bony prominence of the chest wall maximizes anterior
projection with a minimal size implant.Small round textured silicone gel implants placed retro-pectoral look
and feel more natural, are more stable, less likely to ripple or have
complications needing revision.Implant
profile is irrelevant in the retro-pectoral position since the muscle
compresses it.This will give you the
fullness you want, make your breasts more prominent and decrease your breast
separation while avoiding the ugly vertical scars of the lollipop lift.
Gary Horndeski, M.D.
You need a formal consultation in order to answer your question - you and your surgeon will discuss your aestheticgoals from surgery including ultimately determiniing the implant volume you want. Althoughphotos give part of the story, examiation of the soft tissues is necessary to determine how your breasts will respond to the volume of the implants. I suspect that your discusion will be one of the pros and cons of an circumareolar lift; I do not think it likely that your surgeon will recommend a circumvertical (lollipop) lift.
You do not need a breast lift. In fact, in my humble opinion, you would do very well with just a breast augmentation. I feel that you would benefit from a periareolar approach , utilizing silicone gel high profile implants somewhere in the neighborhood of 375cc in a subpectoral position. I would encourage you not to fix on cup size but rather.........are they attractive and have they filled the loss of volume I have experienced in the upper pole of my breasts secondary to my weigh loss. Above all find a plastic surgeon certified by the ABPS who has performed many and has years of experience in cosmetic breast surgery. Good luck.......research, research and then research some more.
Thank you for your inquiry about breast augmentation and whether you need a breast lift.
Your photo suggests that you will not need a lift. But a face-to-face evaluation by a Board Certified Plastic Surgeon will be needed to be sure.
I would agree with the responses that your nipple-areola is above the inframammary crease level and therefore an augmentation with round implants will be all that's needed to give the illusion of a lift. Even the nipple-areola will look in better proportion with the breast filled out behind it and anything done to the nipple-areola is not needed. In my opinion, so-called "crescent" mastopexies are a total misconception and you are exactly the type that does not need and would not benefit from a periareolar mastopexy.
A properly sized and positioned implant will fill out the lower pole (which is what gives the illusion of a lift). It also fills in the upper pole. Properly sized and positioned implants do not make the the implant go up or the breast sag.
In general, although your breasts look relatively narrow, an implant that is about 3/4 to 1 cm less than the diameter of your breasts upright with arms down and in the subpectoral position with a dual plane release for the lower pole, will make your breasts look about 1-2 cup sizes larger depending on the choice of forward volume (profile). A high profile implant will make you look a bit overdone and out of proportion but it can be done without distorting or causing problems as long as the diameter fits behind your breast and the lower pole is properly released.
Thank you for the pictures.
I believe that by placing implants under the muscle your breast will be enhanced and they would make your breast look lifted as well.
I am not convinced you need a lift at all. I would do a dual/plane breast augmentation and let everything settle. I believe you would be very happy and avoid the lift scars all together. Ask your plastic surgeon about the dual/plane technique.
Eric Weiss MD