Updated: After much consideration I am planning to do a breast revision with the intention to drop from 445cc (left) / 495cc (right) down to 365cc (left / 415 cc (right). My main concern is, should I considered a breast lift with this revision? The surgeon I am consulting with suggests a halo lift (circumaerolar lift) however I am concerned about the scarring as I love the natural look of my nipples at the moment.
Answer: Breast lift Dear faithgbd,
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Answer: Breast lift Dear faithgbd,
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July 12, 2024
Answer: Explant with Bellesoma Method You have a waterfall deformity where the implants are high and the breast tissue is low. At this time, I recommend explantation and lift using The Bellesoma Method. The implants are removed, your breast tissue is reshaped creating upper pole fullness, elevated 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 if not injured during your previous surgery. Later, fat transfers or small implants can be placed if additional volume is desired.
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July 12, 2024
Answer: Explant with Bellesoma Method You have a waterfall deformity where the implants are high and the breast tissue is low. At this time, I recommend explantation and lift using The Bellesoma Method. The implants are removed, your breast tissue is reshaped creating upper pole fullness, elevated 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 if not injured during your previous surgery. Later, fat transfers or small implants can be placed if additional volume is desired.
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July 10, 2024
Answer: Implants Your implants are too large for your frame and tissue, and you will look better with smaller implants. You do have sagging now and this will be more noticeable with smaller implants. A vertical lift may be needed. Your surgeon can guide you to the best choice of lifts.
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July 10, 2024
Answer: Implants Your implants are too large for your frame and tissue, and you will look better with smaller implants. You do have sagging now and this will be more noticeable with smaller implants. A vertical lift may be needed. Your surgeon can guide you to the best choice of lifts.
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July 11, 2024
Answer: Consider a lift Well, if you like that your breasts and nipples have a "natural" shape with some sagging, then you do not need to have a lift. Your breasts and nipples will sag a little more after you downsize, but it won't be too much change. The lift requires scars and if you don't want the scars, then don't do the lift. A circumareolar lift may have the effect of flattening the front of your breast, and so you should ask your surgeon about that before you agree to it. Bottom line is that I would not talk you into a lift if you are happy with your breast sagging now. Hope that helps.
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July 11, 2024
Answer: Consider a lift Well, if you like that your breasts and nipples have a "natural" shape with some sagging, then you do not need to have a lift. Your breasts and nipples will sag a little more after you downsize, but it won't be too much change. The lift requires scars and if you don't want the scars, then don't do the lift. A circumareolar lift may have the effect of flattening the front of your breast, and so you should ask your surgeon about that before you agree to it. Bottom line is that I would not talk you into a lift if you are happy with your breast sagging now. Hope that helps.
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July 5, 2024
Answer: Downsizing Let's be clear. The first photo showing your entire torso from the lateral perspective reveals a nipple areolar complex that is below the horizontal meridian, and pointing down. For many women with breast implants, this is acceptable, and for those women I wholeheartedly agree that no surgery is necessary. However, some women want a nipple that sits at or slightly above the horizontal meridian, and pointing straight ahead or slightly up, similar to an objectively idealized breast shape. Your implant downsize will have a slightly negative impact on nipple position, but not as much as you would think. If you decide to also perform a lift, a circumareolar type would be wrong for you. Your nipple areolar complex objectively needs to travel a distance roughly equal to its diameter higher on the mound, something that could never be accomplished with that lift. Worse, by trying to 'push the lift to its limits', you will get all the usual problems associated with that lift: wide and irregularly shaped areola, pleating, thick scarring, flattening of the mound, and persistent breast sagging. To get a truly effective lift, you would need a full mastopexy with the associated vertical incision. I'm aware of your skin type, but done well, it would be virtually inconspicuous with proper execution and care after surgery.
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July 5, 2024
Answer: Downsizing Let's be clear. The first photo showing your entire torso from the lateral perspective reveals a nipple areolar complex that is below the horizontal meridian, and pointing down. For many women with breast implants, this is acceptable, and for those women I wholeheartedly agree that no surgery is necessary. However, some women want a nipple that sits at or slightly above the horizontal meridian, and pointing straight ahead or slightly up, similar to an objectively idealized breast shape. Your implant downsize will have a slightly negative impact on nipple position, but not as much as you would think. If you decide to also perform a lift, a circumareolar type would be wrong for you. Your nipple areolar complex objectively needs to travel a distance roughly equal to its diameter higher on the mound, something that could never be accomplished with that lift. Worse, by trying to 'push the lift to its limits', you will get all the usual problems associated with that lift: wide and irregularly shaped areola, pleating, thick scarring, flattening of the mound, and persistent breast sagging. To get a truly effective lift, you would need a full mastopexy with the associated vertical incision. I'm aware of your skin type, but done well, it would be virtually inconspicuous with proper execution and care after surgery.
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