Lift and 325 mentor moderate profile Xtra implant. Will this give me that naturally full look? (Photo)

Question

Went for my post op appointment where we decided on size. Im currently around a D with severe sagging, nipples pointed downwards. Want to be naturally full and perky. he said he will probably be taking 100-200ccs from my natural breast. We chose a 325 mentor moderate profile Xtra implant. Will this and a lift give me that naturally full look? I don’t want them too big but don’t want to be disappointed either. 40 years, breast fed 3 kids, 5’3 135lbs. Petite stature with wider breast.

Mehmet Ozdemir, MD · Answer

Given your current breast size, degree of sagging, and goal of achieving a natural yet full and lifted appearance, the plan of combining a breast lift with a 325 cc moderate profile Xtra implant is generally appropriate. The lift will correct the nipple position and remove excess skin, which is essential for a perky result, while the implant will restore upper pole fullness without creating an overly artificial look. Since some native tissue will also be reduced, the final volume is expected to remain balanced rather than excessively large. For your frame and wider breast base, this size and profile can provide a natural contour, though the exact outcome will depend on tissue quality and surgical technique.

Donovan Rosas, MD · Answer

Choosing an implant size/style is an important decision which is best made in concert with your surgeon. Ultimately, options are based on a number of factors including:
-Chest dimensions: This point is crucial as the width of your breasts defines the available "real estate" on which the foundation of your augmentation is built. This "foot print" is the absolute limit with which you are dealing.  Too "large" is not so much the risk as too "wide." You cannot build a 3 acre mansion on a half acre plot. An implant which is too wide (exceeding the available space on your chest) will generally over hang laterally making it more noticeable and occasionally contributing to discomfort and nerve symptoms (numbness or tingling). This will also contribute to a more unnatural look.
-Tissue quality: This relates to size in the sense that the implant will be suspended by your tissue. Too large an implant may place took large a stress on these suspending tissues leading to healing problems in the short term and bottoming out in the long term.
-Patient desire (what is the look you are hoping to achieve?)
My role as a surgeon is to manage expectations and guide you towards a prudent choice which can satisfy these reasonable goals. Often times, a surgeon can guide a patient toward a size/cc range and patients will make determinations on implant style/profile. Patient seeking more or less projection, or seeking a more pronounced or subtle upper pole volume increase can be guided toward an implant which will help them best achieve their goals. Additionally, technique variations (sub muscular vs. sub glandular) can also aid in obtaining the look you desire.  
There are a number of tools available to help guide patient/surgeon decision making including sizers, 3D imaging and goal photos. Each modality can help better communicate your goals to your surgeon and vice versa.
Without measurements/in-person exam, it is difficult to offer any real advice. Based upon your photos alone, you would certainly benefit from an augmentation and mastopexy. Your implant selection does not sound unreasonable but the best recommendation is to trust the sizing process.
Ultimately, it is important to not marry oneself to a particular "cc" as oppose to a particular "look." Communication is key as you and your surgeon create your custom surgical plan. 
As always, discuss your concerns with a board certified plastic surgeon (ABPS).

Gary M. Horndeski, MD · Answer

I do not recommend you removing any breast tissue and replacing it with implants. The trade off is very poor. Since you are a size D then you do not need more volume. I recommend a breast lift using 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. Later, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Daniel Barrett, MD · Answer

Dear DanielleJerrica,

breast implant type and sizing selection is a complicated process and requires a detailed consultation that includes a discussion of your goals, a detailed examination, and a lengthy discussion. But the decision will always start and end with the patient. 
When it comes to sizing, we have all of our patients find 3 photos of their desired breast size. We ask for naked breast photos because clothing can obscure the true size (push up bras). Next, we consult with patients and go over the photos and take detailed breast measurements during a physical exam. Next, we using a sizing algorithm to determine a range of implants that will work based on the exam and the measurements.
Lastly, during the operation, we use silicone sizers in the operating room to see how the size actually looks in the breast. We sit the patient up in the operating room, while asleep of course, and compare the sizer result with their desired look photos. If it is too small, we start the process over with a slightly larger implant. We don't stop until we get the perfect match.
Of all of my breast augmentation patients, every one of them has been happy with their size due to this detailed and meticulous process. You don't want to invest time and money into a result that is either too big or too small.
You should discuss your concerns with a board-certified plastic surgeon and make sure that your surgeon understands your goals.

Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Vasileios Vasilakis, MD, FACS · Answer

Hello,
Thank you for the question. It is extremely hard to answer this question without an in-person examination. It is very important to discuss everything with your surgeon and trust the plan. 
I wish you the best. 
Vasileios Vasilakis, MD, FACSDouble Board Certified Plastic SurgeonHouston, TX.

Lift and 325 mentor moderate profile Xtra implant. Will this give me that naturally full look? (Photo)

Answers (5)

More Breast Lift with Implants Questions

Is this lateral displacement? Can this be fixed with a revision? (Photos)

Pregnancy, breast fed 4 children, Is there a way to enhance the look of my breasts without scars? (Photos)

Breast Lift with implants - is there a way to avoid a "boxy" look? (Photo)

Why do my boobs look square and how can the cleavage be improved? (Photos)

Am I a candidate for breast implants without a lift? (Photos)

Does it look like I have symmastia? (Photos)

WE SEND PRETTY
EMAILS