I went for a in for a consultation with a plastic surgeon in my area. He says I don't need a lift because my nipples aren't facing down and are at 20 inches from my sternum and how it forms a perfect isosceles triangle. I'm skeptical that just a high profile, under the muscle silicone implant will fix my droopy breasts. Do you think I need a lift and implant or do you think he is right?
Answer: Breast Surgery: Do I Need A Breast Lift or only Breast Implants? Hello,Thank you for your question and for posting a photo. One rule of thumb when determining which plastic surgeon will perform you procedure is to make sure all your questions are answered. If you are unsure, I would recommend asking the plastic surgeon with whom you initially consulted. Secondly, I encourage patients to narrow their potential list down to 2 or 3. Lastly, I would schedule consultations and choose a board certified plastic surgeon that is aligned with your desired outcome.When making the decision to have breast surgery, understanding the difference between a Breast Lift (Mastopexy) and Breast Augmentation is paramount. A Breast Lift can improve the elasticity of your skin and for many women improves the upper portion of their breasts while not addressing the overall size and fullness. A Breast Lift with Implants is essentially 2 procedures in one. First it lifts the breasts back to their original position addressing droopiness and elasticity. The breast implants work to achieve a perkier, fuller, more voluminous breast size by one or more sizes. A Breast Augmentation can aid in increasing the size and volume of your breasts. This surgery does not address issues related to sagging or loose skin that is common in women who have lost a lot of weight, had children, breast fed or simply a matter of getting older and gravity starting to kick in.The best thing you can do is to examine your plastic surgeon's before and after photos with a critical eye. I encourage patients to bring in photos of the results they desire. You need to know where you are at to know where you are going. I wish you the best on your journey and hope you find answers on this big step in self-improvement.Sincerely, Jeffrey Sweat, M.D.Board Certified Plastic Surgeon in Sacramento, California
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Answer: Breast Surgery: Do I Need A Breast Lift or only Breast Implants? Hello,Thank you for your question and for posting a photo. One rule of thumb when determining which plastic surgeon will perform you procedure is to make sure all your questions are answered. If you are unsure, I would recommend asking the plastic surgeon with whom you initially consulted. Secondly, I encourage patients to narrow their potential list down to 2 or 3. Lastly, I would schedule consultations and choose a board certified plastic surgeon that is aligned with your desired outcome.When making the decision to have breast surgery, understanding the difference between a Breast Lift (Mastopexy) and Breast Augmentation is paramount. A Breast Lift can improve the elasticity of your skin and for many women improves the upper portion of their breasts while not addressing the overall size and fullness. A Breast Lift with Implants is essentially 2 procedures in one. First it lifts the breasts back to their original position addressing droopiness and elasticity. The breast implants work to achieve a perkier, fuller, more voluminous breast size by one or more sizes. A Breast Augmentation can aid in increasing the size and volume of your breasts. This surgery does not address issues related to sagging or loose skin that is common in women who have lost a lot of weight, had children, breast fed or simply a matter of getting older and gravity starting to kick in.The best thing you can do is to examine your plastic surgeon's before and after photos with a critical eye. I encourage patients to bring in photos of the results they desire. You need to know where you are at to know where you are going. I wish you the best on your journey and hope you find answers on this big step in self-improvement.Sincerely, Jeffrey Sweat, M.D.Board Certified Plastic Surgeon in Sacramento, California
Helpful 2 people found this helpful
Answer: Mastopexy Augementation Thank you for your question and photos. An in person consultation with a board certified plastic surgeon is necessary to fully examine your breasts, discuss your aesthetic goals, and explore all surgical options. That being said, based on just the photos submitted, you appear to have volume loss and some degree of skin laxity therefore an implant alone may not give you the desired result. If your skin is lax there is only so much an implant can do in which case a mastopexy will be required. You can always opt to have the augmentation done first and stage the mastopexy at a later time; although the downside would be two surgeries and thus two recovery periods. Hope this helps!
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Answer: Mastopexy Augementation Thank you for your question and photos. An in person consultation with a board certified plastic surgeon is necessary to fully examine your breasts, discuss your aesthetic goals, and explore all surgical options. That being said, based on just the photos submitted, you appear to have volume loss and some degree of skin laxity therefore an implant alone may not give you the desired result. If your skin is lax there is only so much an implant can do in which case a mastopexy will be required. You can always opt to have the augmentation done first and stage the mastopexy at a later time; although the downside would be two surgeries and thus two recovery periods. Hope this helps!
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June 12, 2017
Answer: Do I need a lift? Thank you for your question and photo. A lift does a couple of things: it lifts the nipple up if it's too low, but it also tightens the skin envelope around the implant and the breast if it is too loose. In your case, depending on the implant size you choose, a lift may be necessary to tighten the skin to give the breast a nice shape.
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June 12, 2017
Answer: Do I need a lift? Thank you for your question and photo. A lift does a couple of things: it lifts the nipple up if it's too low, but it also tightens the skin envelope around the implant and the breast if it is too loose. In your case, depending on the implant size you choose, a lift may be necessary to tighten the skin to give the breast a nice shape.
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June 12, 2017
Answer: Possible breast lift Determining whether a lift is necessary is an important part of the examination. There are several factors that determine whether a breast lift is needed, breast skin elasticity, breast deflation, breast measurements such as the nipple to fold distance as well as the nipple position. Without knowing your specific measurements its not reasonable to say definitively. With patients who have good nipple position the decision as to whether a lift is needed can also depend on the size and shape of the implant chosen. The most reliable opinion you will receive is from an in person examination. I would recommend a second opinion if you have doubts. Best wishes, Dr. Jan
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June 12, 2017
Answer: Possible breast lift Determining whether a lift is necessary is an important part of the examination. There are several factors that determine whether a breast lift is needed, breast skin elasticity, breast deflation, breast measurements such as the nipple to fold distance as well as the nipple position. Without knowing your specific measurements its not reasonable to say definitively. With patients who have good nipple position the decision as to whether a lift is needed can also depend on the size and shape of the implant chosen. The most reliable opinion you will receive is from an in person examination. I would recommend a second opinion if you have doubts. Best wishes, Dr. Jan
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June 10, 2017
Answer: Breast evaluation Hello and thank you for your question. The best advice you can receive is from an in-person consultation. With that being said, based on your photographs, the best shape and contour could be achieved with an implant and a breast lift. The size, profile, and shape of the implant is based on your desired breast size/shape, your chest wall measurements, and soft tissue quality. This decision should be based on a detailed discussion with equal input from both you and your surgeon. Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and evaluate their results. Best wishes and good luck. Richard G. Reish, M.D. Harvard-trained plastic surgeon
Helpful
June 10, 2017
Answer: Breast evaluation Hello and thank you for your question. The best advice you can receive is from an in-person consultation. With that being said, based on your photographs, the best shape and contour could be achieved with an implant and a breast lift. The size, profile, and shape of the implant is based on your desired breast size/shape, your chest wall measurements, and soft tissue quality. This decision should be based on a detailed discussion with equal input from both you and your surgeon. Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and evaluate their results. Best wishes and good luck. Richard G. Reish, M.D. Harvard-trained plastic surgeon
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