Do I need an uplift? I would like a 650cc implant so with that in mind can I avoid any uplift? (Photo)

Question

would love to have huge breasts. I am currently a 34d and would love to be a h cup. I've been told I may need an uplift. But I am unsure about having one done as I don't like the scarring. As I am wanting huge implants is it necessary to have an uplift? I would like a 650cc implant so with that in mind can I avoid any uplift?

Larry S. Nichter, MD, MS, FACS · Answer

It is very difficult to determine the best lift you will need (recommended based on your photos) or the exact size and shape implant you will require to best match your ideal breast image without an examination by a board certified plastic surgeon. Not just any board certified plastic surgeon, but one with many years of frequently performing breast augmentation surgery including different approaches, techniques and implant choices. This is because several measurements not to mention your breast characteristics are needed to determine the optimal implant size to obtain your goals. Without knowing these dimensions it would be difficult to make this determination. For example, the existing base width of your breast will determine, in many cases, the maximal volume per implant profile that you can accommodate. To illustrate; a 100 cc difference may make a significant difference with a narrow base width breast, but much less of a difference if you have a wide chest wall and wide breast “foot print”. Therefore, just because your friend may have a great result with let’s say a 300 cc implant to make her go from a “A” cup to a “C” cup size does not mean that you will have the same result with the same size implant. The same process goes for just filling in the upper part of your breast without becoming much larger. Further simply placing implants in a bra to determine the size best for you is not always accurate as the bra often distorts the size, is dependent on the pressure the bra places plus the implant is outside your breast and not under it among other variables. Computer software morphing programs that automatically determine the best implant size can be helpful in some but not all cases (e.g. doesn’t work well in my experience with existing implants, sagging or asymmetric breasts). Using “want to be” photos however are useful if simply provided to the surgeon as I will further explain in the link below including silicone vs saline implants

Jaime S. Schwartz, MD, FACS · Answer

I appreciate your question.
  
From your photos, yes, it appears that you would benefit from both a lift along with augmentation to achieve your desired results.
I perform a liposuction breast lift that removes tissue from the areas you don't want such as near the armpit and the lower portion hanging near your stomach. Once I use this to shape the breast I then remove the skin to tighten the breast and create a better shape with nice cleavage. Since I perform this less invasively the recovery time is faster and drains are not necessary. The size would depend on the proportion with your body versus going for a cup size. It works very well if there are asymmetries. I can also use the removed fat as a natural breast augmentation by grafting the fat back into the breast to create more projection or into the top to create more cleavage. This procedure can also be combined with an implant if needed or wanted.  It should not affect nipple sensation, mammograms, cancer risk or breast-feeding. If you gain or lose weight, the transferred fat can do the same.
  
The best way to assess and give true advice would be an in-person exam.  Please see a board-certified plastic surgeon that specializes in aesthetic plastic surgery.  
  
Best of luck!    
  
Dr. Schwartz 
  
Board Certified Plastic Surgeon
  
#RealSelf100Surgeon 
  
#RealSelfCORESurgeon

Paul E. Chasan, MD, FACS · Answer

I'm sorry to tell you, you definitely need a lift. As a breast revisionary specialist, I see this situation way too often. Think of it this way. If you are drooping without an implant, what will happen when you disconnect the breast tissue from the chest wall and place a big, heavy implant. You don't have to be plastic surgeon to know that gravity will always win. Please see link below to the paper I wrote about this very topic. On the other hand, you are an excellent candidate for and augmentation and lift. If performed appropriately and meticulously, the scarring associated with the lift can be almost imperceptible. Please do not be victim to the "let's just put in big implants and you won't need a lift" sales pitch. It never works out well. Best of luck to you.

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, the best shape and contour could be
achieved with an implant and a breast lift. A breast lift with an implant can
result in a very nice shape if good technique is used.  The size,
profile, and shape of the implant is based on your desired breast
size/shape, your chest wall measurements, and soft tissue quality. 
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

Ross Blagg, MD · Answer

Hello,It looks as though you would benefit from a lift. However, if you are getting really large implants (650 cc), then it's likely best to stage it. You can get the augmentation first. It might be that you are happy with that appearance but if not, you could then undergo a lift. When performing a lift along with very large implants, your end result can be a little unpredictable since the large implants may stretch your lifted breasts, causing the scars to stretch and for your areolas to stretch. All the best!Dr. BlaggAustin, TX

Do I need an uplift? I would like a 650cc implant so with that in mind can I avoid any uplift? (Photo)

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Do I need an uplift? I would like a 650cc implant so with that in mind can I avoid any uplift? (Photo)

Answers (8)

Answer: Breast implant with lift

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Answer: Lift with implants

Answer: Lift with implants

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Recommended reading

Everything you need to know about Breast Implants

Our mission is to create a world where every investment in modern beauty is Worth It.