Currently a 32 B/C but would like to be around DD. Lift and implants or just implants? (Photos)

Question

I’m 31 years old and I’ve wanted breast implants as long as I can remember (I’ve never really been blessed with large breasts) However, over the last 4 years I have been really struggling with how my breasts look and make me feel confidence wise due to the asymmetry of them, after having and breastfeeding my 2 children. I have seen a few UK surgeons in the last couple of years who have advised that I would be suitable for a lift with implants, and just having different size implants put in with no lift. Ideally, I don’t want the anchor scarring at all, but I’m getting to the point now where I just need it sorted as I’m so I’m unhappy and my confidence is rock bottom. But I don’t know what the best option would be. I just really don’t know whether I will get the result that I’m looking for with just the implants, and then end up needing a lift later down the line. Or if a one sided lift and implants would be the right way to go for me? I want natural looking breasts, but a lot fuller and just symmetrical. I am currently a 32 B/C but would like to be around DD. Maybe having around 240-300cc implants? Any advise would be greatly welcomed :)

Brian K. Reedy, MD · Answer

Thanks for your question! It would be helpful to see what you're hoping to achieve for an "after" result. The one side would benefit from a lift and the other would be fine with just an implant. If you are okay with minor asymmetry, you can probably avoid a lift for now. If you want perfection, commit to the lift. Good luck!

Daniel Barrett, MD · Answer

Dear tor_parker,

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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Jeffrey M. Darrow, MD · Answer

Thank you for your photos. From your photos, it appears your right breast nipple position is excellent and you have essentially no ptosis of that breast.  Therefore, a simple augmentation of your right side with an appropriate sized implant should give an excellent result.  Your left breast nipples is slightly lower and your left breast appears to have a Grade 2 ptosis.  I believe the simplest way forward is to do a augmentation only on your left side as well, with an appropriate sized implant so that it matches your right side for volume and allow the augmentation to settle and see if you are happy with your appearance.  If you are pleased with your appearance, nothing further needs to be done. If you feel that your left breast is still slightly low it would be possible to do a lift of your left breast under local anesthesia only to help you minimize the cost and it would be a very short recovery.

Leila Kasrai, MD, FRCSC · Answer

A lift may be suitable for the left breast (right in the photo) as your nipple is located below your breast fold. This would improve symmetry. Your surgeon could suggest the size of implant needed to achieve your goals, based on your measurements. Ask your surgeon about trying on sizers. These are implants you can fit into your bra to see your predicted results.

Gary M. Horndeski, MD · Answer

Your breasts are asymmetrical in volume, shape and position.  At size 32, each 100 cc of implant corresponds to 1 cup size change.  To go from a C to a DD would require 200 cc implants so your range between 240cc-300cc implants is good.  I recommend a circumareola approach to reposition the nipple-areola complex higher and more medial and allows placement of the implants.  I recommend retro-pectoral implants.

Best Wishes,

Gary Horndeski, M.D.

Currently a 32 B/C but would like to be around DD. Lift and implants or just implants? (Photos)

Answers (10)

Answer: Lift on one side

Answer: Lift on one side

Answer: Circumareola lift with 240cc-300cc implants

Answer: Circumareola lift with 240cc-300cc implants

Recommended reading

Everything you need to know about Breast Augmentation

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

Currently a 32 B/C but would like to be around DD. Lift and implants or just implants? (Photos)

Answers (10)

Answer: Lift on one side

Answer: Lift on one side

Answer: Circumareola lift with 240cc-300cc implants

Answer: Circumareola lift with 240cc-300cc implants

Browse related questions

Recommended reading

Everything you need to know about Breast Augmentation

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