C cup, 26, what size implant do I need? High profile or moderate? (Photos)

Question

Not wanting a lift if it can be avoided. 26 years old, no children. Hoping to avoid a lift but wondering if getting the right size impacts may naturally lift the nipples slightly and 'fill' the emptiness on top. A size C currently.

Zoran Potparic, MD · Answer

These photos show significant asymmetry of areola position; one side is significantly lower (2 cm) than the other? No augmentation, regardless of the size and type of implants will correct that fact. Discussion of the implant volume is something that you need to discuss with your surgeon based on your desires and surgeon observation. Good luck.

Finny George, MD · Answer

Hi, thank you for sharing your question. Based on the photos alone, selecting the right implants may help you to avoid a formal lift procedure. An in person evaluation will be needed to confirm this.

Ted Eisenberg, DO, FACOS, FAACS · Answer

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. You can always get a lift later if you feel you are not perky enough when fully settled and healed. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Georges J. Samaha, MD · Answer

Hi, 
You have grade 1 breast ptosis. That is when your nipple and areola are around your breast fold. You do NOT need a full anchor scar lift. Depending on how big of an implant you would like you might need a vertical mastopexy to lift up your nipple and areola. I would chose a Extra high profile implant. 
I would do a dual plane submuscular breast augmentation first. Sit you up during the surgery, and look at breast symmetry as well as nipple/areola position. If needed, only then I would do the lift through an incision around your nipple. It take a little longer to do this step wise approach, but great plastic surgeons all do it. Most skip this step.
Hope this helps.

Daniel Barrett, MD · Answer

Dear Newme1806,
breast implant type and sizing selection is a complicated process and requires a detailed consultation that includes a discussion of your goals, a detailed examination, and a lengthy discussion. But the decision will always start and end with the patient. When it comes to sizing, we have all of our patients find 3 photos of their desired breast size. We ask for naked breast photos because clothing can obscure the true size (push up bras). Next, we consult with patients and go over the photos and take detailed breast measurements during a physical exam. Next, we using a sizing algorithm to determine a range of implants that will work based on the exam and the measurements.Lastly, during the operation, we use silicone sizers in the operating room to see how the size actually looks in the breast. We sit the patient up in the operating room, while asleep of course, and compare the sizer result with their desired look photos. If it is too small, we start the process over with a slightly larger implant. We don't stop until we get the perfect match.Of all of my breast augmentation patients, every one of them has been happy with their size due to this detailed and meticulous process. You don't want to invest time and money into a result that is either too big or too small.You should discuss your concerns with a board-certified plastic surgeon and make sure that your surgeon understands your goals.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Igor Burko, MD · Answer

Hello, my name is Dr. Burko and I am a Plastic Surgeon at SY Aesthetics in New York City. Breast implant selection is a very individualized process that is specific to each patient's breast anatomy. The size, profile, and dimensions of the implant selected all depend on your individual anatomy and your desired aesthetic outcome. Breast implants can sometimes provide a minimal lift, and they are excellent for filling out the upper pole of the breasts. My recommendation is to see a trained plastic surgeon who can evaluate you and provide their best recommendation to fulfill your wishes.

Michelle Zweifler, MD · Answer

Breast implant sizing depends on one's breast base width, skin quality and cups size desired.  A general rule is about 300cc for 2 cup size increases.  A high profile give more projection, while a moderate or moderate plus is wider for the same volume implant.  Implants may lift the breast my fulling out the shape, nothing lifts the breast as much as a breast lift.

Ram Kalus, MD, FACS · Answer

Thank you for your question and photos. An examination in person would be required to properly and accurately assess your breasts and make specific recommendations, but it appears that you may be a candidate for a sub fascial breast augmentation without the need for a mascot (breast lift). Please consult with an experienced board certified plastic surgeon whose aesthetics seem to align with your own. Be open to more than one consultation. Implant size that would be optimal depends on many more factors than cannot be determined from photos alone. Best of luck to you.

Ronald J. Edelson, MD · Answer

I would use between 350 and 400 cc’s. Moderate  or high profile wouldn’t matter. You would benefit from a lift but you could opt for implants alone if you like

Connie Hiers, MD, FACS · Answer

You need a lift. the implants alone will not lift your sagging breasts. The profile needed depends upon your measurements and the volume you wish to have. This is all determined during the consultation when you are measured.

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