I'm trying to decide if I want only a Breast Lift or a lift with fat transfer - what do you recommend for me? (photos)

Question

Im not sure if I'll be disappointed in the loss of cup size with a lift alone. Im also apprehensive about a fat transfer because I've done it in a past procedure, to add filler in my lips, and the fat did not disperse evenly.

Gary M. Horndeski, MD · Answer

Your breasts are very low on the chest wall. The technique I recommend is a lift using The Bellesoma Method. This will reshaped your breast tissue creating upper pole fullness without implants, elevate them 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.

Finny George, MD · Answer

Hi, thank you for sharing your question. If you are happy with your current volume, the lift will not change that. If you desire fullness in the upper pole, implants will be more reliable than fat grafting. I hope this helps.

Luis A. Mejia, MD · Answer

Dear Practical545768, in order to achieve your desired goal and keep it, you would need breast augmentation with dual gel implants, this would give you an amazing result, also manage the asymmetry. Make sure you go on consultation with a board-certified plastic surgeon. Hope this helps and best of lucks! Dr. Luis Mejia.

Gerald Minniti, MD, FACS · Answer

You appear to have adequate volume to have a lift alone. Regardless, if more volume is desired, fat grafting is best as a second procedure and would require A LOT more fat than was necessary for your lips. This means it is mostly a liposuction surgery, with everything that is attendant to that surgery: significantly involving other body parts, and the need to care for those areas afterwards: compression, possible drainage, lymphatic massage, and the possibility of donor site defects.

Randy Wong, MD · Answer

Mahalo for the photo.  A lift would enhance your shape without much loss of volume, so the bra cup size would not be expected to change.  If you desire more volume, cleavage, or upper pole fullness, fat transfer would be recommended, and this could be done at the same time as the lift, or later at a second stage.  Your experience with fat transfer to the lips is not uncommon, and, I agree, not the best option for  lip fullness.  Seek consultation with other board certified plastic surgeons for more information before you decide.

Kevin Dieffenbach, MD · Answer

Aloha, it does appear that a lift would be helpful to you. A Vertical/Lollipop or Anchor lift would lift more and last longer. Although you have good size, if you want more upper fullness, you may also need/want a small implant under the muscle, although fat grafting is an option. I recommend that you see an experienced board certified plastic surgeonto review your options after an office consultation and thorough exam. Virtual/3D imaging is also an option we offer.
Mahalo, Dr. D

Ronald J. Edelson, MD · Answer

You would need some volume if you have a lift. If you don't want silicone, consider saline. Fat transfer is too much hit or miss

Daniel Barrett, MD · Answer

Dear Practical545768,
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

Connie Hiers, MD, FACS · Answer

You have enough breast volume to just have a lift. If you want upper breast fullness, implants placed behind the muscle will do the best job.

Camille Cash, MD · Answer

If you are happy with the volume of the breasts and just want them higher you will likely need a conservative amount of additional volume.  The most predictable way to achieve this is with implants.  Fat transfer can cause asymmetry and may need further revision.  I encourage you to discuss your concerns with your surgeon to determine what is best for you.