Is it possible to get the results I want with an uplift? (Photos)

After several consultations with different surgeons I have now accepted I need an uplift after each one telling me without an uplift my breasts would sag quite low in a year. I just want perky full even boobs! The photos of my 'wish boobs' are of someone who didn't have an uplift -will it be possible with an uplift and implants for me to achieve my desired look on the photos? Also if anyone can recommend sizes or types of implants for my desired look that would be much appreciated! Thank you! :)

Doctor Answers 3

Different Sized Implants

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Hello Beth,  It is always complicated dealing with asymmetry and the results are often a compromise.  The problem with an uplift is that it does give more scarring and there is more potential complications, but it does improve the shape.  The symmetry could be improved with implants of different dimensions, but I suspect you will always have a degree of asymmetry even after surgery.If you are not comfortable with the advice you have been given, then I recommend that you seek other opinions as it is often helpful to get another viewpoint.  The BAAPS and BAPRAS websites have lists of plastic surgeons in your area and you can look for one who specialises in breasts.  You are welcome to come along to my webinar where I discuss the issues in choosing breast implants (see link below).  Good luck.

Breast lift with implants

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Asymmetry is one of the more difficult problems to fix with breast augmentation . We all have natural asymmetry in our bodies. After augmentation with or without lift there will still be some slight asymmetry. That is the natural condition of the human body  however your breasts should be able to be much more symmetric  . From your photo it is difficult to determine whether you absolutely need a lift. In situations like this I use a temporary sizer during surgery  as well as temporary percutaneous sutures to approximate the appearance of a lift.  The patient is then set up during surgery as adjustments are made. This allows customized control over the final appearance  and the closest result to your wish result  The most important factor for you is to pick the most experienced  breast surgeon as cases like yours are not a simple fix 

Andrew Kaczynski, MD (retired)
Sacramento Plastic Surgeon

Is it possible to get the results I want with an uplift?

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Thank you for the question and pictures. Ultimately, you will do well spending additional time with your plastic surgeon communicating your goals, questions, and concerns. In other words, careful measurements, dimensional planning, and careful communication will be key. Generally speaking, patients undergoing this combination operation should understand that it is significantly more complex than breast augmentation surgery only and that it is associated with a significantly higher risk of complications and need for additional surgery.  Breast lifting involves some removal of  breast skin envelope; there may be limits as to how large of a breast implant can be utilized safely.  For example, some patients who wish to maintain long-term superior pole volume/"roundness" may find that this result is not achieved after the initial breast augmentation/lifting operation. An additional operation, possibly involving capsulorrhaphy, may be necessary to achieve the patient's longer-term goals ( with superior pole volume/roundness). It is helpful if patients understand that this breast implant capsule used to provide the support for the breast implant is not present during the initial breast augmentation/lifting operation. The capsule (layer of scar tissue) forms around the breast implant and may be a good source of supportive tissue during revisionary breast surgery, including correction of breast implant displacement/malposition problems ( such as bottoming out, symmastia, lateral displacement etc). 
Generally speaking, the best online advice I can give to ladies who are considering breast augmentation/lifting 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. Again, have a full discussion and communication regarding your desired goals with your plastic surgeon. This communication will be critical in determining which operation and/or 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. I have found that the use of words such as “natural” or "D or DD cup" etc means different things to different people and therefore prove unhelpful. Also, as you know, cup size varies depending on who makes the bra; therefore, discussing desired cup size may also be inaccurate. The use of computer imaging may be very helpful during this communication phase. 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. The use of temporary intraoperative sizers with the patient in the upright position makes selection of the best breast implant size/profile relatively easy. I hope this, and the attached link, helps. Best wishes.

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.