Before my implants I had a lot of tissue from after having my child. I want to have maybe a D cup but I'm afraid they will sag due to my excess skin. My doctor decided to go big to the point where my breast will lift without an actual lift. Now, I'm self conscious about my areola size so I want a lift along with smaller "gummy bear" implants but I want to avoid the vertical scar....my breasts are also very uneven and I want to know if it's reversible. Please help...
August 5, 2015
Answer: Big Changes in the Breast Thanks for your photos. I see that you have some sagging of both breasts, and your right breast has more skin than the left. You also state that you are unhappy with your areola size. These changes are common after pregnancy and many women simply have 2 different breasts naturally.Putting in a larger implant to "lift" the breast really is not a great option. It will further stretch the skin, make your breast lower on the chest wall, and thin out your skin. I would be very concerned that doing this with an areolar reduction would also result in a very wide scar.A true "gummy bear" implant or form stable implant is not recommended for patients with loose skin such as yourself. The best operation to get you the best results is a lift with a vertical scar with a modest sized silicone gel implant that meets your size goals.
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August 5, 2015
Answer: Big Changes in the Breast Thanks for your photos. I see that you have some sagging of both breasts, and your right breast has more skin than the left. You also state that you are unhappy with your areola size. These changes are common after pregnancy and many women simply have 2 different breasts naturally.Putting in a larger implant to "lift" the breast really is not a great option. It will further stretch the skin, make your breast lower on the chest wall, and thin out your skin. I would be very concerned that doing this with an areolar reduction would also result in a very wide scar.A true "gummy bear" implant or form stable implant is not recommended for patients with loose skin such as yourself. The best operation to get you the best results is a lift with a vertical scar with a modest sized silicone gel implant that meets your size goals.
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August 11, 2015
Answer: Options for implant and lift Hi, Dream705. Thanks for sharing your photo. In-person examination would be the best. Based on your photo, it seems like you had breast augmentation in sub-glandular plane. In order to have smaller, perkier breasts, you would need smaller implants with site change (sub-glandular to sub-muscular) along with breast lift. I agree that your areolas are fairly large. Your areolar size can be made smaller during breast lift. In regards to breast lift, given the extent of your ptosis, you will most likely require vertical incision along with incision around your areola. I understand that a lot of patients are apprehensive about vertical scar. However, as long as the vertical scar heals well, it will look good. Please visit with a board-certified plastic surgeon to learn about your option in-peron. Best wishes!
Helpful
August 11, 2015
Answer: Options for implant and lift Hi, Dream705. Thanks for sharing your photo. In-person examination would be the best. Based on your photo, it seems like you had breast augmentation in sub-glandular plane. In order to have smaller, perkier breasts, you would need smaller implants with site change (sub-glandular to sub-muscular) along with breast lift. I agree that your areolas are fairly large. Your areolar size can be made smaller during breast lift. In regards to breast lift, given the extent of your ptosis, you will most likely require vertical incision along with incision around your areola. I understand that a lot of patients are apprehensive about vertical scar. However, as long as the vertical scar heals well, it will look good. Please visit with a board-certified plastic surgeon to learn about your option in-peron. Best wishes!
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