40, female. What procedures need to happen in order to have fuller, slightly larger, perkier breasts? (Photos)

Question

I am a 40 year old woman interested in having fuller, slightly larger and perkier breast. I am 5’2” and weight 150lbs. My current cup size is really an A cup but I purchased B cup to support the side tissue. As a teen my PCP told I may have tuberous breast. They have always been strangely shaped, droopy and small. Gaining losing weight has made the situation worse. I am ready to finally correct this problem. My question is, what needs to be done? Implant and lift? Where should the implant be placed? I definitely want to avoid the waterfall/snoopy effect I have seen in my research.

Zoran Potparic, MD · Answer

Breast lift with implant augmentation would be appropriate procedure in your case. In person consultation with a board certified plastic surgeon would provide good opportunity to discuss this issue in detail. Good luck.

Ted Eisenberg, DO, FACOS, FAACS · Answer

Do I need a breast lift?  I recommend an in person consultation with a plastic surgeon to discuss your goals and be measured. 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. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Daniel Barrett, MD · Answer

Dear tifcur,

my preferred lift is a lollipop lift when a periareolar won't do (ie greater than 2cm lift required). The lollipop technique was created by a Canadian plastic surgeon named Elizabeth Hall-Findley and treats the breast as a three dimensional structure instead of two dimensions (anchor - lift). Most importantly it does not require the horizontal component scars that the anchor-lift requires and breasts appear much more natural, lifted, and less boxy. Lastly, the lift lasts longer because the lollipop doesn't rely on the skin to hold the breast up, its actually breast tissue thats being brought together to support the breast and hence improves longevity.

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

Mehmet Ozdemir, MD · Answer

Thank you for your question. Based on your photos and description, it appears there is mild ptosis with asymmetry and possible tuberous features.
You would be a suitable candidate for a breast lift with implants to restore volume, refine shape, and achieve a more lifted and proportionate result. Submuscular placement can help provide a more natural contour.
I hope this helps.

Kadir Berat Oyur, MD · Answer

Thank you for your question. From your photos and description, it appears you have small, mildly drooping breasts with some asymmetry and possible tuberous characteristics.
You would be a suitable candidate for a breast lift with implants to increase volume, improve shape, and achieve a perkier, more natural contour. The implant is typically placed under the muscle to reduce the risk of a “waterfall” or “Snoopy” effect and provide a smoother, balanced appearance.
I hope this helps.

Gary M. Horndeski, MD · Answer

You are an excellent candidate for 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 or small implants can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Harry T. Haramis, MD, FACS · Answer

All breasts are different right to left before and after any surgery- they will never be 100% identical.

Your breasts are very different but can be more symmetrical in shape, size, etc with a lift, breast implants for fullness and Vaser liposuction of axillae for more breast definition.

This will restore volume and perkiness. Detail would be reviewed during consultation and exam with a plastic surgeon.

Camille Cash, MD · Answer

Based on the submitted photos and description of your goals an implant with a lift is recommended.  This would add volume and shape to the breasts as well as removing excess skin and raising the nipple position.  I encourage you to begin by visiting with a board certified plastic surgeon near you for a consultation.  I've included a video that I hope you find helpful.

40, female. What procedures need to happen in order to have fuller, slightly larger, perkier breasts? (Photos)

Answers (8)

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