After accepting that I may not receive the results I indeed wanted, what can I realistically expect? (Photos)

My surgeon suggests I use 350CC or greater, moderate saline implants in order to add fullness to the upper poles of my breasts. My surgery is Thursday and I'm just frightened they will appear to large and not even as perky as I wish. What should I expect?

Doctor Answers 11

After accepting that I may not receive the results I indeed wanted, what can I realistically expect?

Greetings

Thank you for your question and photo, Size and shape of breasts can often play a critical role in a woman’s self-esteem. Fuller and bigger breasts are often associated with reproducibility therefore it is a desired condition. There are different kinds of breast augmentation operation types. Breast augmentation can be performed either with breast implants or autologous fat transfer. There are also different types of breast implants like teardrop or round implants. These implants also can be placed under or above the muscle. As you can imagine there are several different options for breast augmentation. The best way to understand which one is more suitable for you is to get a physical examination by a plastic 



Turkey Plastic Surgeon
4.9 out of 5 stars 79 reviews

Choices for Reshaping, Lifting, and Enlarging Breasts

Your photos show small, saggy breasts with stretched areolae.  There is also a suggestion of a variation of "tuberous breast deformity", in which you lack enough skin between the lower border of the areola and the fold under the breast where the bottom of your breast attaches to the chest.  A moderately large implant will indeed add overall fullness and especially in the upper cleavage region.  However, you might still have relatively lower positioned nipples and areolae.  Although I can't be sure without a personal exam, I think you would probably benefit from some type of lift to raise your nipples into a much more central position, decrease the areolar width, and lift your breasts more than would be achieved just by placing an implant.

Richard G. Schwartz, MD
West Palm Beach Plastic Surgeon
5.0 out of 5 stars 26 reviews

BA

If you wish a perkier breast augmentation result, I would recommend a periareolar lift with your augmentation.  This would avoid a larger breast with the nipples in the lower pole.  Best wishes, Dr. T

Implant issue

You can do a baggy test with 350 cc implants to see if you are happy with the volume.  Best of luck...

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 24 reviews

I think you are unrealistic

Unfortunately you seem to have a widely spaced breast with some drooping.  This is a mild form of tuberous breast deformity.  I think you probably should go for a second opinion because in my hands only a combined lift with implants will give you anything close to the results you like.  Make sure you see a board certified plastic surgeon by the American Board of Plastic surgery.  Good luck, Dr. Schuster in Boca Raton

Lift with implants

Hi there. Thanks for the question. Your breasts may appear a bit fuller for the first few months but will settle at about 3 months.  Perkiness can be controlled by adding a lift to your augmentation. The lift involves removal of excess sagging skin and improves the relationship of the breast mound to the skin envelope. 

Good of luck and enjoy your beautiful result. 

DrBurnett#realself100

End results

Your goal photos are not unreasonable. Clearly you will require at LEAST a circumareolar lift, possibly more. As to the implant size/shape/profile, I have no way of commenting on that as I don't know your height/bra band width/base diameter of your breasts. If you are not short, a 350 may well be what you "need".

Robert H. Hunsaker, MD
Miami Plastic Surgeon
4.4 out of 5 stars 71 reviews

Will I get the desired results that I hope for?

Thanks for the question.  This decision should always be yours after proper consultation. If you have any doubts, get a second or third opinion.

I would consider doing a doughnut mastopexy as well as a tear drop natural shape implant, or a moderate profile shaped round implant if dimensionally your breast shape recommended this.  This is where a full examination becomes very important.

Good luck to you.

Frank Rieger M.D.  Tampa Plastic Surgeon

Your results will be different than the photos, because

you are not that woman in the photograph.  Also your breasts are more wide apart that the woman you show as well.  I recommend you seek a second opinion (you may already have) not because your surgeon has provided a plan you do not agree with, but you are uncomfortable.  Wait until you are comfortable with the plan and procedure.
I have done over 5000 implant procedures and over 1600 gummy bear shaped implants...there are many choices for most women to achieve their desired results.

After accepting that I may not receive the results I indeed wanted, what can I realistically expect?

 Thank you for the insightful question.  Achieving realistic expectations prior to proceeding with breast surgery is very important. In my opinion, your desired outcome ( or close to it) is achievable if the correct operation is done for you. In my practice, I would likely offer you breast augmentation along with circumareolar (Benelli) breast lifting.  I make this suggestion based on your photographs which demonstrates some features of constricted/tuberous breasts.

Hopefully you have chosen your plastic surgeon carefully. Now it will be important that you communicate your goals/expectations carefully as well. Your plastic surgeon should be able to demonstrate, utilizing photographs, what you should be able to expect with the proposed procedure. Best wishes for an outcome that you will be very pleased with.

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.