Grade 1 ptosis? Implants hp 325cc (photo)

Question

I really don't want a lift, could implants with 325 hp unders give me a sufficient look. Not bothered if they sit lower just so there fuller?

Jose M. Soler-Baillo, MD, MS · Answer

Thank you for your question and photos.  You can go ahead and get implants alone, but you need to keep in mind that your breasts will only continue to sag more with time which will eventually warrant a lift.  I suggest that you seriously consider having the breast lift now with at least small implants for the best result.All the best,Dr. ResultsMiami, FL

Mariam Awada, MD, FACS · Answer

It sound like your you will be very pleased with that volume and the final result.  Best of luck to you!

Robert F. Centeno, MD, FACS · Answer

Thank you for your question and photos.  A breast augmentation alone under the muscle with a 325 cc implants would give you a nice fuller and natural result.  You do not need a lift at this point.  Your nipple position appears to be normal.  Best wishes!

John Michael Thomassen, MD · Answer

I agree you do not need an augmentation.  This size of implants would give you nice fullness with minimal scars.  Dissection over the muscle can help ensure proper nipple position as well.

Michael J. Brown, MD · Answer

Hi,

Thanks for posting your question. I am happy to try and help you. It is
important to remember that a board certified plastic surgeon will be your best
resource when it comes to an accurate assessment of your situation, and
concerns.

Having said that, thank for your height and weight and breast size estimates,
they do help. There is really no way to accurately predict what size you would
like without an examination. During your examination and consultation, you
should try on some sample sizes and see what you are comfortable with. Then the
PS can help explain with the size and current condition of your breasts the
effects of those sized implants will have on you.

If you have accomplished this step, then trust your plastic surgeons advice as
to what would be the best size for you. They have the experience. If you are
uncomfortable, go on another consultation.AFter you have decided on a size, with your condition you may or may not require a small lift.

Best wishes,

Dr. Michael J. Brown 
Northern Virginia Plastic Surgeon

Sugene Kim, MD, FACS · Answer

Based on your photos, you have some sagging. If you have decided against a lift, then in terms of implant sizing, there are many variables in recommending implant size/type. I base my implant recommendation on patients' body (chest height, chest width, existing breast tissue) as well as their desired look. I usually do not talk about cup size. As you know, cup size varies with brand and styles of bra. I would go for the desired look. Review before and after photos and see what kind of look that you want. Implants come in different types (silicone, saline), shape (round, anatomic), and profiles and volume. More meaningful recommendation can be made based on direct examination and in-person consultation. Please visit with a board-certified plastic surgeon.Best regards.

Robert S. Houser, DO · Answer

I think you would do well with just an implant.  The absolute size is a little harder to determine without an in person examination. Most of us will use some measurements of your chest to determine implant sizing. You are petite so a narrow, higher projecting implant is appropriate for you. You've chosen correctly with a high profile implant.  I would suggest looking into Sientra high profile implants as they are slightly over filled and less likely to show rippling or wrinkling. That's important when you are thin and I have very little breast tissue to cover the implant. Good luck!

M. Azhar Ali, MD, FACS · Answer

More than likely implants alone would give you a nice volume and shape. Final implant volume sometimes is determined during surgery. Skin quality and tone also plays an important role in the final selection of the implant.

Steven Wallach, MD · Answer

A breast augmentation with implants will add volume. They do not life the breasts to any significnat degrees. Best of luck.

Jeffrey Zwiren, MD · Answer

Your nipple appear to be just below the crease behind the breast but you have at least 3 cm of breast tissue below the crease.  This is termed glandular ptosis.  I would recommend a shaped anatomic gel implant with enough projection to force the lower pole up.  You will not get this effect with a round smooth walled implant and run the risk of having breast tissue that falls off of the end of the implant.  I would also recommend placing the implant in the subfascial plane and not the submuscular plane.  This will allow for greater filling of the breast envelop.  An implant such Mentor MM+ or MF in the 350 cc range would do well or could consider a Sientra round based implant in the same volume.

Grade 1 ptosis? Implants hp 325cc (photo)

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