Would I be able to achieve results with a breast augmentation? (Photo)

Hi, thank you for sharing your question. While you are correct that implants alone would not be recommended, it is possible to give you a similar result to your goal photo. It would be better to wait until you are done breastfeeding to do both procedures together to give an ideal result.

Dear teddybear111,
determining whether you need simply a breast augmentation versus a breast lift 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 a breast augmentation depending on the size of the implant the patient wants. I often still using implant when I perform a breast lift because it provides more upper breast fullness after the lift. To be sure a consultation with a board-certified plastic surgeon will help determine what the patient actually needs.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Thank you for your question and photos. Reviewing your photos reveal grade 3 ptosis, meaning your nipple/areolar complex is at the lowest portion of your breasts. Both nipples are pointing down. Clearly, the best procedure for you is a mastopexy or breast lift. An augmentation will make your breasts bigger and may only minimally lift your breast tissue. Placement of a large implant may give you upper pole fullness, without lifting your breasts. Maybe, this is what you desire.

I would recommend a tall, lower profile implant with Galaflex (internal bra) and a breast lift. An implant alone will not adequately address your concerns nor achieve your goals. I would recommending finding a board-eligible or board-certified plastic surgeon with 6 years of integrated plastic surgery training, followed by an Aesthetic Society accredited aesthetic fellowship.

Thank you for sharing your pictures and questions.If the primary concern to achieve upper pole fullness, based on your pictures a breast augmentation alone cannot help you acheive that. In cases where the breast tissue and nipple are positioned quite low on the chest wall, as seems to be described here, placing implants without a lift may lead to a condition known as "double bubble" where the implant and the natural breast tissue appear as two separate entities. A breast lift (mastopexy) would be the procedure typically recommended to reposition the breasts to a more youthful height and shape. For upper pole fullness, a lift combined with implants can be considered.

Your nipples are located below your breast fold therefore a lift is recommended. Without one, your implants would sit low on your chest and you wouldn’t have upper pole fullness, giving you more of a “rocks in socks” appearance.

Thanks for your inquiry and pictures. I would dissuade you from an augmentation without a lift. Best you wait for the right time in your life to do the lift, best of luck.

Breast augmentation is the most popular surgery that involves the placement of a silicone or saline breast implant beneath or over the chest muscle to increase breast size.

Many women do not like breast lifts because of the vertical scars associated with the traditional techniques. For that reason, an alternative was developed called The Bellesoma Method. This will reshape 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.

Best Wishes,

Gary Horndeski, M.D.

Hello. Very interesting question. You photos are very similar to the before photos of the other patient. But your results will not be like hers. If you look closely she has bruising all around her areolas, plus you can also see the vertical scar bellow the flowers on both breasts. This means she had a breast lift with implants and still got subpar results. Here results may be enough for some, but they are far from great and will not last. She probable needed smaller implants with a bigger lift.

In any case if you really want to have the procedure done you can. You might like the results. They might not last, but that is not a real issue because you are sure you will have the lift done in the near future. Just make sure to understand that the procedure is far from the ideal.

Also understand that a lift doesn’t mean you wont be able to breast feed. It might reduce your chances but it is not a certainty.

Best of luck,
Dr. Miguel Mota