I am 42 and 169 cm tall. I want to have a breast enlargement. Do I need an uplift? Anatomical or round? (Photo)

Do you think I need an uplift ? Also, I want a natural look, shall I go for anatomical implants or round because of my shape of breasts?

Doctor Answers 3

Breast augmentation

From these photos, you may get a result you are very happy with by having a straight forward breast augmentation. You will need to be seen in person to determine if a lift is necessary. Please seek an in person consultation with a board certified plastic surgeon in your area. Be sure to express your goals and expectations to your chosen surgeon. In my practice in the San Francisco Bay Area I have come to the conclusion that the happiest patients are those that have realistic expectation on what a procedure will and won’t do for them. Good luck!

Dean Vistnes
Vistnes Plastic Surgery
San Francisco Bay Area
#realself #drdeanvistnes #breastlift #breastaugmentation


Bay Area Plastic Surgeon
5.0 out of 5 stars 42 reviews

I want to have a breast enlargement. Do I need an uplift?

Thank you for the question.   Based on your photographs, breast lifting does not appear to be necessary.  Of course, definitive advice would require in-person evaluation.  When the time is right, seek consultation with board-certified plastic surgeons to discuss your goals.


These days there are a variety of breast implants available; the variety of breast implant available raise a lot of questions from women considering breast augmentation surgery. 


***Personally, I think that for most patients considering breast augmentation surgery, careful selection of plastic surgeon and careful communication of goals, far outweigh the specific type of breast implant utilized (when it comes to the success of the breast augmentation procedure).



Anatomical breast implants were designed to better simulate the natural breast shape; the problem with these implants is that if they shift or rotate, the entire breast will change shape as well. This change in breast shape may require further surgery to correct. Round implants, under the hand, can shift or rotate without changing the shape of the breasts. 



***Overall, I find that beautiful outcomes can be achieved with the use of round saline or silicone gel breast implants for the vast majority of patients.



Generally speaking, the best online advice I can give to ladies who are considering breast augmentation surgery ( regarding breast implant size/profile selection) 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 are 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. For example, I have found that the use of words such as “very natural” or "C or D cup" 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. Again, the use of computer imaging has been very helpful during the communication process, in our practice.



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, after the use of temporary intraoperative sizers.



I hope this (and the attached link, dedicated to breast augmentation surgery concerns) helps. Best wishes for an outcome that you will be very pleased with.


I am 42 and 169 cm tall. I want to have a breast enlargement. Do I need an uplift? Anatomical or round?

If on the side view your nipple is above the fold under your breast in a dual plane submuscular breast augmentation without a lift is most likely all that you will need. At a recent course on breast lift with implants and a major national plastic surgery meeting, 83% of surgeon surveyed use smooth round silicone gel implants.

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.