Without an in person consultation, it is difficult to give you a recommendation as to whether you would require a lift in addition to your breast augmentation. One approach that you may wish to discuss with your surgeon is staging the procedures. In other words, have the breast augmentation and see how your breasts settle. If you need a lift because your breast tissue is sagging over your implant and doesn't look right, then get a lift. If everything looks ok, then no worries. The disadvantage of this approach is the extra cost of a second surgery and the additional recovery time, etc. However, for patients who are borderline or are very concerned about doing both procedures at the same time, this option is a reasonable one. Good luck!
you have not provided any photographs. Many women are afraid of lifts because
of the ugly vertical scars associated with the lollipop or anchor
incisions.For that reason, a new
technique was developed called Breast Augmentation with Mini Ultimate Breast
Lift™.Using only a circumareola
incision it is possible to reshape your breast tissue creating upper pole
fullness, elevate them higher on the chest wall and more medial to increase
your cleavage.Through the same incision,
implants can be placed.Aligning the
areola, breast tissue and implant over the bony prominence of the chest wall
maximizes anterior projection with a minimal size implant.Small round textured silicone gel implants
placed retro-pectoral look and feel more natural, are more stable, less likely
to ripple or have complications needing revision.Implant profile is irrelevant in the
retro-pectoral position since the muscle compresses it.This technique avoids the ugly vertical scars
of the traditional technique, maintains nipple sensation and the ability to
breast feed.At size 34 B each 100 cc’s
of implant corresponds to 1 cup size change.Only 100 cc implants would be required to take you to a C.
Gary Horndeski, M.D.
Hello and thanks for your question.
The choice of breast lift depends on a number of factors, one of the most important factors being the degree of sagging and the distance it has descended.
The choice of implant depends on a number of factors. The most important factor is the breast width.
You would benefit from a breast lift procedure. There is a chance that you may need a revision surgery if there is a significant flucatuation in the breast size.
If you decide on an implant surgery as well, then perhaps you would need different implant selection and different pocket creation in order to achieve best results.
There are several factors that are very important in determing the shape:
-Pre-operative dimension and diameter of the breast
-The amount and quality of breast tissue and skin
-Implant size, shape and profile
-Careful dissection of the pocket
In our office, we use actual implant in the pre-operative period to determine the size.
Thank you for the question.
To best help you, a physical examination or picture evaluation to determine which procedure would be best for your case.
An in-person consultation with a formal physical exam is required to make any recommendations. The key to any breast treatment plan is the correct diagnosis. Do you truly have pseudootosis? photographs here would be helpful, but please visit with a board certified plastic surgeon with extensive cosmetic breast surgery experience for a consultation.
Thank you for your question. Photographs would help. Of course an in person examination is necessary to properly answer your question and since you have consulted a board certified plastic surgeon if you're uncertain about the advice you have received you should consult another board certified plastic surgeon.
That said with only glandular ptosis and a nipple areola position that is normal often a dual plane breast augmentation alone can provide a nice result.