What sizing and do I need a lift? (Photo)

Hello, thank you for your question. This is a very common question, of course Ideally we like to avoid the surgical scars of a breast lift when possible. However sometimes depending on your wish pics you may just need to feel happy about your breast implant. Be sure to bring your wish pics in and see what you like and how to get there with the implant or maybe a lift is really what you like. Speak to your plastic surgeon about your concerns and they can examine and assess your breast tissue.

Thanks for your question! I do think someone like you would absolutely benefit from a lift. Some patients can get around it depending on their breast tissue and the size of the implant, but I wouldn't be surprised if you are back for a lift at some point. Good luck!

Yes, you would get the best results with a breast lift. However, this would entail extra scars and expense. If you are OK with the shape and droopiness to your breasts, you can add an implant for volume. A 260cc implant fits your body frame. What you see in the bra with the sizer is larger than the actual size following your procedure. For this reason, I would suggest a 280 or 300cc implant.

Dear Happymama12,
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. Breast implant type and sizing selection is a complicated process and requires a detailed consultation that includes a discussion of your goals, a detailed examination, and a lengthy discussion. But the decision will always start and end with the patient. When it comes to sizing, we have all of our patients find 3 photos of their desired breast size. We ask for naked breast photos because clothing can obscure the true size (push up bras). Next, we consult with patients and go over the photos and take detailed breast measurements during a physical exam. Next, we using a sizing algorithm to determine a range of implants that will work based on the exam and the measurements.Lastly, during the operation, we use silicone sizers in the operating room to see how the size actually looks in the breast. We sit the patient up in the operating room, while asleep of course, and compare the sizer result with their desired look photos. If it is too small, we start the process over with a slightly larger implant. We don't stop until we get the perfect match.Of all of my breast augmentation patients, every one of them has been happy with their size due to this detailed and meticulous process. You don't want to invest time and money into a result that is either too big or too small.You should discuss your concerns with a board-certified plastic surgeon and make sure that your surgeon understands your goals.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Considering the size of implants you sellected and mild asymmetry, breast lift would be appropriate. Vertical, lollipop type of lift would be my suggestion. Good luck.

I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size and style breast implants. They also get to see what they would look like when the breasts have fully dropped and fluffed and in clothes. You get to see actual results and the surgeon's experience and not a virtual idea of what can be achieved. Women tell me that this process is very helpful in determining what size and style breast implant is right for them. Mildly Sagging Breasts: If your breasts are mildly droopy, a saline or silicone gel implant placed behind the pectoral muscle might help create the illusion of perkiness. That’s because as the implant fills out the top of the breast, it also fills out the bottom, making it look as if the nipple has moved higher. It hasn’t. You can always get a lift later if you feel you are not perky enough when fully settled and healed. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Most people think that 'complications' are only due to random or poor healing or an error in the operating room. This is incorrect. A sizable proportion of complications comes from judgment errors in the planning of an operation. If your surgeon is entertaining not performing a lift on you would be an error in judgement, and will lead you to an unplanned revision operation. Your breasts are asymmetric in size, shape, and nipple position, with both nipples being at or below your inframammary fold and skin that appears to have insufficient elasticity (the presence of stretchmarks). If you want the most attractive and sexy breasts, you'll need a lift. The scars don't matter. Really.

An examination in person would be required to properly evaluate you and determine your best treatment options. That said, if you are willing to accept some asymmetry and natural sagging or drooping after you breast augmentation you can indeed augment your breast size. In cases such as yours a subfascial (preferable to subglandular) implant position would be my suggestion over dual plane or subpectoral, and more than likely a moderate (classic) or low profile implant to properly fill out your breast skin envelope.

Do your research and consult with an experienced board certified plastic surgeon whose aesthetics and reviews appeal to you. Best of luck to you.

You are borderline for a lift. The implant size depends on the width of the breast as well as your own personal taste. If a lift is desired, one can be done simply around the areola so incisions are well hidden.

I think the size you have selected will work nicely for you and fit your frame and tissue. You might want to reconsider and get the lift.