I got a Mommy Makeover with a breast lift & 195 cc gummy bear high profile implants 1.5 year ago. My natural breast tissue was already a C or D cup so the Dr. chose a small implant. On one hand I am happy they look natural. But in a few years, I would like to go in for surgery again, & this time I'm hoping they will look more fake I guess. When I go back, how do I achieve a more large, round, perky look? Especially when laying down (for my husband). Bigger implants? Another breast lift?
Answer: Still too much of your own tissue A breast lift with implants really is a difficult procedure, more complex than sometimes we all realize. I’m always nervous to use a very small implant and leave a lot of the patients own breast tissue because I don’t think it’s very good tissue. That’s why a woman is looking for a lift! So I try to reduce the patient’s breast tissue as much as I safely can and then use a well supported (usually kept completely sub muscular) good size implants to achieve the roundness.
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Answer: Still too much of your own tissue A breast lift with implants really is a difficult procedure, more complex than sometimes we all realize. I’m always nervous to use a very small implant and leave a lot of the patients own breast tissue because I don’t think it’s very good tissue. That’s why a woman is looking for a lift! So I try to reduce the patient’s breast tissue as much as I safely can and then use a well supported (usually kept completely sub muscular) good size implants to achieve the roundness.
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Answer: Breast lift I think your result looks nice so no need to rush into another operation. Going with larger implants will only cause more sagging and thinning of breast tissue so I would hold off on having this done.
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Answer: Breast lift I think your result looks nice so no need to rush into another operation. Going with larger implants will only cause more sagging and thinning of breast tissue so I would hold off on having this done.
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June 19, 2019
Answer: Breast Revision for a Perky Look Given that you have significant amount of breast tissue, it is very difficult for you to get that fake rounded look. That is a lot easier with patients who dont have a lot of breast tissue and those who dont need a lift. What I have done in patients like yourself is to stage the procedure, perform a breast reduction initially and then 4 months later come back and place high profile implants at that time. In your case, what I would recommend would be to do just that. You can certainly do it in one session, where you can have a breast reduction and replace the volume lost from the breast tissue removal with an implant. The issue is that when you do it in one session, not as much breast tissue can be removed.Hope that helps.
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June 19, 2019
Answer: Breast Revision for a Perky Look Given that you have significant amount of breast tissue, it is very difficult for you to get that fake rounded look. That is a lot easier with patients who dont have a lot of breast tissue and those who dont need a lift. What I have done in patients like yourself is to stage the procedure, perform a breast reduction initially and then 4 months later come back and place high profile implants at that time. In your case, what I would recommend would be to do just that. You can certainly do it in one session, where you can have a breast reduction and replace the volume lost from the breast tissue removal with an implant. The issue is that when you do it in one session, not as much breast tissue can be removed.Hope that helps.
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June 19, 2019
Answer: Vertical scars don’t achieve your perky goals The technique that you chose for your lift required the vertical scar. This technique uses the skin envelope to push the breast higher. This was unsuccessful since you are dissatisfied with the result. The technique I recommend is The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation and the ability to breast feed are maintained, if not injured during your previous surgery. At the same time or later, fat transfers can be performed if additional volume is desired. Implants are not lifetime devices. Fat transfers are permanent and incorporated into the body.Best Wishes,Gary Horndeski, M.D.
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June 19, 2019
Answer: Vertical scars don’t achieve your perky goals The technique that you chose for your lift required the vertical scar. This technique uses the skin envelope to push the breast higher. This was unsuccessful since you are dissatisfied with the result. The technique I recommend is The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation and the ability to breast feed are maintained, if not injured during your previous surgery. At the same time or later, fat transfers can be performed if additional volume is desired. Implants are not lifetime devices. Fat transfers are permanent and incorporated into the body.Best Wishes,Gary Horndeski, M.D.
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June 19, 2019
Answer: How do I get my breasts more perky? While I agree somewhat with the previous surgeon on use of the high profile implants, I will politely disagree that this will guarantee you a more perky look. Since you have already had a lift, it is clear that the internal ligaments providing structure to your breasts lost some of their integrity which created drooping. Unfortunately, by simply adding volume alone, the likelihood of creating a very perky look is very low. To achieve that you would need to add a significant amount of volume which would then mean a significant amount of weight which would simply cause the breasts to stretch even more. I would start with a narrower base implant (like the High Profile) but also start with very realistic expectations. I hope that helps and wish you the very best.Warmest regards,-Gregory A Buford MD FACS PCEOBoard Certified Plastic Surgeon and Author
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June 19, 2019
Answer: How do I get my breasts more perky? While I agree somewhat with the previous surgeon on use of the high profile implants, I will politely disagree that this will guarantee you a more perky look. Since you have already had a lift, it is clear that the internal ligaments providing structure to your breasts lost some of their integrity which created drooping. Unfortunately, by simply adding volume alone, the likelihood of creating a very perky look is very low. To achieve that you would need to add a significant amount of volume which would then mean a significant amount of weight which would simply cause the breasts to stretch even more. I would start with a narrower base implant (like the High Profile) but also start with very realistic expectations. I hope that helps and wish you the very best.Warmest regards,-Gregory A Buford MD FACS PCEOBoard Certified Plastic Surgeon and Author
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