To Lift or Not to Lift? 350cc, 375cc or 400cc. (photo)

I am going for a Mommy Makeover, BA & TT. I am 5'1", currently weigh 120lbs. I breastfed 3 kids, and lost 65lbs...At my top weight my breasts were a D cup. I am now a 34 A (31" around the band, 35" around the breast) and would like to be a nice full C cup. I don't want to have ginormous boobs; I want to look proportionate to my body. My plan is to get HP cohesive gel, under the muscle. Will I need a lift with the 350's? I am torn between 350 & 400 cc's.

Doctor Answers 15

Breast Lift

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Based on the pictures posted, you do not need a lift. The size of the implant is based on the measurement of the breast. That will give the most natural and least potential complications in the future.

Baltimore Plastic Surgeon

To Lift or Not to Lift? 350cc, 375cc or 400cc.

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You will get a very nice result without a lift. As to implant size, either will work for you. Let your surgeon know what size you are trying to achieve and he will make the final decision by using sizers (test implants) in you during surgery.

Ronald V. DeMars, MD
Portland Plastic Surgeon
5.0 out of 5 stars 29 reviews

Breast Lifts and Implant Size

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I think you have the easiest and best result without a lift.  To fill out the excess skin as opposed to cutting it away use the larger implant....400 or so.  Make sure your surgeon is ABPS certified and a Fellow of the American College of surgeons.  My Best,  Dr C

A lift is not always necessary

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Thanks for your pic and question. I think an experienced plastic surgeon can perform what we call a dual plane dissection and place the implant is a subpectoral pocket. The gland is released partially from the muscle and allows a slight rotation of the breast. This would negate the need for an incision around the areola. You appear to have a fair amount of breast tissue. I don't think you need 400CC of additional volume. Personally I would lean toward a Moderate Plus profile smooth round gel implant. This size is chosen based on your base diameter of your breast. I don't think you need the round appearance. Also the HP implants have a tendency to compress the breast tissue more and put pressure on the rib cage that can cause a concavity. Best of Luck with whatever route you choose!

M. Scott Haydon, MD
Austin Plastic Surgeon
4.8 out of 5 stars 93 reviews

To lift or not

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Breast lift is about nipple postion and if the nipple center is above the breast fold, the implant alone should look well. Remember a lift will result in a scar that can be hard to live with. Even an around the nipple lift can have an unattractive scar, and the relapse and nipple stretch is quite high. Implant profiles are a personal choice and be sure you understand the HP is right for you.

Peter E. Johnson, MD
Chicago Plastic Surgeon
4.0 out of 5 stars 44 reviews

To Lift or Not to Lift? 350cc, 375cc or 400cc.

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   If the pocket dissection is done in a certain way, I think you can avoid a breast lift.  This is only an opinion.  If you find a plastic surgeon who performs hundreds of breast augmentations a year, I think you will get a good result.  You should also find a surgeon who does hundreds of breast lifts a year, so that you are positive in the advice given.  Kenneth Hughes, MD Los Angeles, CA

Breast Lift Necessary? Best Breast Implant Size for Me?

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Thank you for the question and pictures. Although I can understand the reason for your "dilemma” when it comes to the need for breast lifting surgery, I personally do not see the need for breast lifting in your case. Of course, your plastic surgeon is a much better position, than online consultants can be to give you good advice after direct physical examination and a full communication of your goals.

 When it comes to selecting the best breast implants size/profile to meet patients' goals with breast augmentation surgery, thebest online advice I can give to ladies who are considering breast augmentation surgery is:

1. Concentrate on choosing your plastic surgeon carefully.  Concentrate on appropriate training, certification, and the ability of the plastic surgeon to achieve the results you're looking for. Ask to see lots of examples of his/her work.

2. Have a full discussion and communication regarding your desired goals  with your plastic surgeon. This communication will be critical in determining  breast implant size/type/profile will most likely help achieve your goals. 
In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. I have found that the use of words such as “natural”  or “full C cup” or "proportionate" etc means different things to different people and therefore prove unhelpful.
 Also, as you know, cup size varies depending on him who makes the bra; therefore, discussing desired cup  size may also be inaccurate.

3.  Once you feel you have communicated your goals clearly,  allow your plastic surgeon to use his/her years of experience/judgment to choose the breast implant size/profile that will best meet your goals.  Again, in my practice, this decision is usually made during surgery.

I hope this (and the attached link) help.

Mommy make-over lift or not?

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One of the things to consider in your case is whether or not you want to have additional incisions (permanent scars) for a lift or accept a result that has a tear-drop shape and just a tiny bit of looseness at the bottom. Since you are small-framed I suspect that a 350-400cc implant will fill out your breasts quite completely. I would consider possibly doing a circum-areolar reduction only. This would give you just the little bit of lift you need, keep your areolas from stretching further and result in an acceptable scar that would blend into the edge of the areolas. As far as size goes, if you are athletic and exercise regularly, I would suggest the smaller size. Big breasts on short women tend to make them look more matronly and short-waisted.

Diana L. Elias, MD

Diana L. Elias, MD
Saint Petersburg Plastic Surgeon
4.7 out of 5 stars 26 reviews

Breast lift would provide the best breast shape

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Thank you for the question and the photos.  A breast augmentation alone will increase the volume of your breasts as well as improve the upper pole volume.  Your photos do demonstrate a small amount of breast tissue residing below your breast fold.  With an augmentation alone this tissue will still be present below your fold.  It would not necessarily look bad but would not provide for the ideal breast contour.  A breast lift would address this issue as well as elevate the position of the areola.  If you desire a  smaller areola this would also be done at the same time since it is part of the breast lift procedure.

All the best,

Dr Remus Repta

Remus Repta, MD
Scottsdale Plastic Surgeon
4.9 out of 5 stars 173 reviews

Lift or No Lift?

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It’s not unusual for plastic surgeons to encounter patients who have breast hypoplasia associated with mild breast sag.  These patients want larger breasts but don’t want the scarring that’s frequently seen with breast lift surgery.  Under these circumstances, dual plane breast augmentation offers significant advantages. 

This procedure creates a pocket beneath the pectorals muscle as well as a separation between the muscle and the overlying breast tissue.  This results in the implant having muscle coverage superiorly and breast tissue covering the implant inferiorly.

This configuration allows the breast tissue to cover the implants in a more natural way.  It avoids the need for a breast lift and avoids a snoopy dog deformity.  In addition, the patient continues to have the advantages of sub muscular implant placement including a decreased risk of capsular contracture.

            The question of breast implant size is always difficult for prospective breast augmentation patients.  For this reason, multiple approaches are utilized to make this determination pre-operatively.  These include reviewing magazine photographs, external sizers and recently the 3D Vectra computer imager to name a few.

            It’s also important to realize that for many patients, a 25cc difference in breast size would be difficult to notice.  In reality, a 25 cc difference is less than two tablespoons which is spread out in three dimensions over the implant.

            In your case, it’s important to thoroughly discuss your aesthetic goals with your surgeon.  Make sure he has the latitude to do what’s best for you in the operating room so he can meet your aesthetic goals.  It’s important that you have an approximate idea of the breast implant size that you’re considering, but don’t become married to an absolute number.

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.