What size implant should I choose to avoid a lift? (Photos)

Question

Trying to avoid getting lift until after having kids. No kids, 5’7 155lbs, big weight cycles. 32D to 40K to 34G. Stable now. Just want to restore upper pole, dont care if I need a huge implant to do so, used to having giant boobs. Also fine with “heavy hanger” look, but also don’t want waterfall/snoopy. Just don’t think they’re that bad? am i out of touch?

Ted Eisenberg, DO, FACOS, FAACS · Answer

Do I need a breast lift? You might not need one. After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size and style breast implants. They also get to see what they would look like when the breasts have fully dropped and fluffed and in clothes. You get to see actual results and the surgeon's experience and not a virtual idea of what can be achieved. Women tell me that this process is very helpful in determining what size and style breast implant is right for them. Mildly Sagging Breasts: If your breasts are mildly droopy, a saline or silicone gel implant placed behind the pectoral muscle might help create the illusion of perkiness. That’s because as the implant fills out the top of the breast, it also fills out the bottom, making it look as if the nipple has moved higher. It hasn’t. You can always get a lift later if you feel you are not perky enough when fully settled and healed. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Paul E. Chasan, MD, FACS · Answer

Thank you for your question. I have been in practice for over 30 years, and breast surgery and revisionary breast surgery is a large portion of my practice.  No one comes to my office wanting a breast lift.  It is dictated by your anatomy.  I have seen so many patients over the years trying to avoid a breast lift by placing a larger implant.  The ultimate result is a massive breast that are now drooping significantly more than when they started.  Imagine that you already have drooping breasts and then you placed a large weight on those breasts.  The skin will stretch.  Virtually 100% of these people are unhappy with the result.  You are an excellent candidate for a surgery that I develop termed "reductive augmentation ".  You are the perfect candidate for this and should be all have a beautiful result.  Best wishes to you.

Brian K. Reedy, MD · Answer

Thanks for your question! A full profile will definitely kick the nipple areola up in certain patients. However, your nipple areola is below the fold (worse on the one side) and so it may not help you much in that way. I would suggest an in person consultation. The last thing you want is giant, droopy breasts that you're still unhappy with. Good luck!

Gary M. Horndeski, MD · Answer

Implants do not eliminate the need for a breast lift. Many women do not like lifts because of the vertical scars associated with the traditional techniques. For that reason, an alternative was developed called the Bellesoma. 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 (in 95%) and the ability to breast feed are maintained.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

John LoMonaco, MD, FACS · Answer

Some of this depends on your breats composition...is if fatty or more glandular ?  It would take an exam to figure that out but since you've not had kids your tissues can probably hold a heavier implant.  At 5'7" somehting in the 350 - 500 range would suffice, and a higher profile implant to get you projection not width would probabloy be best although this depends on your measurments.  A dual plane technique (not just placement) that  rolls the nipple up a bit would also be helpful.

Ira H. Rex III, MD · Answer

Any implant size probably will not change your nipple position much at all.  It is not so much a question of avoiding a lift, but understanding that the nipple positions will not change much.  In other words, they probably will not be lifted, and may certainly sag lower.  A discussion with a plastic surgeon specializing in breast surgery would give you a better idea of what to expect..

Manuel Diaz, MD · Answer

Hello. Based on your photo, I do not think implants alone would achieve the result you are looking for. 
Your breasts show a moderate degree of ptosis (sagging), and while a larger implant may add volume, it is unlikely to restore upper pole fullness on its own. In fact, using a larger implant without a lift may increase the risk of a "waterfall" or "Snoopy" deformity over time.
If your goal is to restore fullness while maintaining an attractive breast shape, a breast lift with implants would likely provide the best long-term result.
I understand your desire to postpone a breast lift until after having children. If that is your plan, waiting is a reasonable option, as pregnancy and breastfeeding can change the breasts again and may affect the results of surgery.
A personalized evaluation is the best way to determine the ideal surgical plan based on your anatomy and long-term goals.

Mark T. Boschert, MD · Answer

You do not need a lift at all. You should go through a process of choosing implants based upon what you would like. That wouldinvolve trying some on, doing measurements and having a discussion with your Plastic Surgeon.
Enjoy your breast, augmentation, and know that you do not need a at all. Best of luck! Dr. Boschert Renaissance Plastic Surgery, Saint Charles, Missouri.

What size implant should I choose to avoid a lift? (Photos)

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