Is a lift and 400cc big enough to get a full look? I'm 5'7" 179lbs right now I'm a 36C. (Photo)

Thank you very much for enquire.After having analyzed all the information and photos provided to us, I realize that you have very sagging and small breasts. In this regard, you need volume (implants) and projection (the lift): Breast Augmentation w/Breast Lift.I recommend you to use microtexturized highly cohesive silicon implant ("gummy bear" implants), with high projection.Finally, to perform the breast lift I recommend a Periareolar Round Block Breast Lift ("Benelli mastopexy"), which has an unnoticed scar around the areola, and if we see (in the surgery) that we can't obtain adecuate projection just with the Benelli Lift, we have to perform a "Lollipop breast lift".Respectfully,Dr. Emmanuel Mallol Cotes.-

I appreciate your question.

From your photos, it appears that you would benefit from a lift along with augmentation to accomplish your surgical goals.  The size of implant best for you is dictated by your chest wall measurements.  Once we determine that we can choose the profile based on what you want or need to achieve.  
I perform a liposuction breast lift that removes tissue from the areas you don't want such as near the armpit and the lower portion hanging near your stomach. Once I use this to shape the breast I then remove the skin to tighten the breast and create a better shape with nice cleavage. Since I perform this less invasively the recovery time is faster and drains are not necessary. The size would depend on the proportion with your body versus going for a cup size. It works very well if there are asymmetries. I can also use the removed fat as a natural breast augmentation by grafting the fat back into the breast to create more projection or into the top to create more cleavage. This procedure can also be combined with an implant if needed or wanted.  It should not affect nipple sensation, mammograms, cancer risk or breast-feeding. If you gain or lose weight, the transferred fat can do the same.

The best way to assess and give true advice would be an in-person exam.  Please see a board-certified plastic surgeon that specializes in aesthetic plastic surgery.  

Best of luck!    

Dr. Schwartz 

Board Certified Plastic Surgeon

#RealSelf100Surgeon 

#RealSelfCORESurgeon

Thanks for your question and the photo. I think that with an implant alone the breast would not be centered and so the lift is essential. Personally, I'd be careful adding that much weight to your lift b/c the implant will pull against the repair. This is not to say that the implant won't "fit". There's no question the pocket can be made to accommodate the implant, but it might not stay in place. Your skin quality looks fine, but if you have a little ptosis you have had some stretch. Combining the implant and the mastopexy is a great operation, but it has a higher rate of revision secondary to trying to control the variables of the pocket, the implant and the lift...and then doing it on the other side and expecting it to heal the same way. Pushing the limits of implant size will result in higher risk of asymmetry. Make sure you have an experienced surgeon to help explain all of this to you. Best of Luck!

Hi, You definitely need a breast lift. However, if you haven't had any pregnancies, you may want to wait until you do. Pregnancy and breastfeeding can drastically affect the shape and volume of your breasts. The changes can also be incredibly unpredictable. That said, if you wish to move forward with surgery, consider The Horndeski Method/The Bellesoma Method to reshape and re-position your breasts without the risks/complications and extra cost associated with breast implants. This current method can give you upper pole fullness without implants using your own tissues. I've attached a brief video to show you what can now be achieved using current breast lifting technology. No ugly vertical scars and no implants. I hope this helps.  Best wishes and kind regards, Dr. Gary Horndeski

Its hard to give you an exact implant size without seeing you, but a lift plus a 400cc implant could work.  I will say that I tend to use a smaller implant because the heavier implants tend to stretch out the lift too soon.  Get a few opinions, as surgeons vary in the way they do these operations.

Hello and thank you for your question. You are a great candidate
for a breast augmentation with a lift.  The size, profile, and shape of the
implant is based on your desired breast size/shape, your chest wall
measurements, and soft tissue quality.  This decision should
be based on a detailed discussion with equal input from both you
and your surgeon.  This entire surgery
can be performed with a small incision technique.  Make sure you
specifically look at before and after pictures of real patients who have
had this surgery performed by your surgeon and evaluate their results.   The most important aspect is to find a
surgeon you are comfortable with. I recommend that you seek consultation with a
qualified board-certified plastic surgeon who can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Yes, I believe a lift to raise the nipple and breast up is essential, as you appear to already have grade II ptosis.  Since you are a full C, a 400 cc implant will certainly make you "full".  You will have more than enough volume with that measurement.

A lift possibly just a circumareola and implants will certainly be a nice improvement for you. As for the exact size, an exam would be essential.

Dear Chambers290:   Based on your photos alone, I think you will likely achieve a very nice result from a breast augmentation and lift with my dual plane technique with the Allergan Inspira silicone gel implants.  In terms of picking the right implants to achieve your goals, generally speaking, I consider two factors when selecting implants for my patients:
1. Dimensional planning
and 2. Gel Implant Sizing system
Dimensional planning – The measurements of your chest wall are taken.
Also, the breast dimensions including the height, width, and current
dimensions of each breast form the basis of dimensional planning. Based
on these measurements, the implant size is recommended. This will give
you a unique breast implant that is suited for your body frame. However,
there are some limitations of what size we can recommend. For instance,
some implants may just be too big for a narrow chest wall.  Hence a
physical exam is really needed to give you any meaningful advice.  
Gel Implant Sizing system – During the preliminary breast implant
consultation, you will be provided with an option to “try on” a variety
of implant shapes and sizes. You can also visualize the possible
outcomes of your surgery which helps you to get that perfect size to
give you the shape that you longed for. This way your preferences are
known and you can then pick a range of implants that will “fit” just
right to give a soft natural  fuller look. Hope this helps.
Dr. Basu
Houston, TX

Thank you for the question.  Based on your photograph, I think that you are starting at a good place and should have a very nice outcome with breast augmentation/lifting surgery. Generally speaking, patients undergoing this combination operation should understand that it is significantly more complex than breast augmentation surgery only and that it is associated with will a significantly higher risk of complications and need for additional surgery.  It will be important that you educate yourself regarding the pros/cons/risks/complications associated with breast augmentation/lifting surgery. Only after doing so can you make an informed decision whether or not to proceed. You will find a lot of information on this website and on the attached link.
Ultimately, careful selection of plastic surgeon and careful communication of your goals (in my practice I prefer the use of goal pictures, direct examination/communication in front of a full-length mirror, in bra sizers, and computer imaging) as well as careful measurements (dimensional planning) will be critical.
 Generally speaking, the best online advice I can give to ladies who are considering breast augmentation/lifting surgery ( regarding breast implant size/profile selection) is:
1. Concentrate on choosing your plastic surgeon carefully. Concentrate on appropriate training, certification, and the ability of the plastic surgeon to achieve the results you are looking for. ***Ask to see lots of examples of his/her work.
2. Have a full discussion and communication regarding your desired goals with your plastic surgeon. This communication will be critical in determining breast implant size/type/profile will most likely help achieve your goals. 
In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. For example, 
I have found that the use of words such as “full look” or "D or DD cup” etc means different things to different people and therefore prove unhelpful.
Also, as you know, cup size varies depending on him who makes the bra; therefore, discussing desired cup size may also be inaccurate. Again, the use of computer imaging has been very helpful during the communication process, in our practice.
3. Once you feel you have communicated your goals clearly, allow your plastic surgeon to use his/her years of experience/judgment to choose the breast implant size/profile that will best meet your goals. Again, in my practice, this decision is usually made during surgery, after the use of temporary intraoperative sizers.I hope this (and the attached link, dedicated to breast augmentation/lifting surgery concerns) helps. Best wishes for an outcome that you will be very pleased with.