Am I a good candidate for a breast lift w/auto-augmentation; breast lift with fat grafting, increase upper pole volume? (photos)

Question

Hello, I am 34, one child that I breastfeed/pumped for a year and a half. Got up to 200 pounds during pregnancy/thereafter and up to a size 44DD bra. Now I think I'm a 36 DD and I lost about 70 pounds. I sweat extreme heavily and often get rashes under my boobs all year round. Im not sure what would be my best option but I don't want implant. I would like to avoid the anchor incision due to history of keloids and because of how I sweat. Any help, thoughts, and concerns are greatly appreciated.

Jeffrey Umansky, MD · Answer

Based on your photos, I think you would achieve a more favorable result from a breast augmentation with a lift as you are beginning with a fair amount of sagging breast tissue. A breast lift will improve your breast shape and raise the nipples to create and overall perkier appearance while the implants give you the size increase you are looking for. Getting implants alone will create a situation where the breast tissue is falling off the implant causing a "Snoopy dog deformity" if placed behind the muscle.  If placed in front of the muscle, these large implants will weigh down the breast and cause a "rock in the sock" deformity. I recommend setting up a consultation with a board-certified plastic surgeon to devise a treatment plan. Best of luck!

Daniel Barrett, MD · Answer

Hi BD8404,
  
Determining whether you need simply a breast implant versus a breast lift or both can be somewhat complicated. It depends on a number of factors including skin laxity and current nipple position. 
  
Generally speaking, if the nipples are lower than the inframammary line the patient will most likely need a breast lift. If the nipples are at or above the inframammary line we can generally get by with just breast augmentation depending on the size of the implant the patient wants. I often use an implant when I perform a breast lift because it provides more upper breast fullness after the lift. 
  
These two surgeries can be done at the same time and this may be optimal as the risks can be minimized.  
  
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, it is actually breast tissue that is being brought together to support the breast and hence improves longevity. 
  
In addition, upper pole fullness is achieved with appropriate implant selection but more importantly, submuscular placement, and precise pocket dissection. The submuscular placement allows the muscle to cover the top part of the implant which allows the upper pole to appear fuller. Keeping away from the lateral chest during pocket dissection allows the implant to remain higher and prevents it from falling off to the side.
  
You should discuss your concerns with a board-certified plastic surgeon and make sure that your surgeon understands your goals. 
  
Daniel Barrett, MD, MHA, MS
  
Certified, American Board of Plastic Surgery
  
Member, American Society of Plastic Surgery
  
Member, American Society of Aesthetic Plastic Surgery

Carolina Restrepo, MD · Answer

Thanks for your question. From your photos and desired results, it looks like you would be best served with a combination of breast lift with augmentation.  The parameters of both the breast lift and the position of the breast implants should be designed to keep the implants relatively low while lifting the breast tissue and nipple to sit directly over the implants.  Many techniques exist in breast surgery, and combined lifting with augmentation is especially tricky.  The key is working with an expert, board certified plastic surgeon.

Gary M. Horndeski, MD · Answer

I agree with you and I do not like vertical scars and would not recommend an anchor lift.  The technique I do recommend is The Bellesoma Method.  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 and the ability to breast feed are maintained.  At the same time or later, fat transfers can be performed if additional volume is desired.Best Wishes,Gary Horndeski, M.D.

Scott W. Vann, MD, FACS · Answer

I do not think autoaugmentation or fat grafting will give you the volume or fullness you want. I think you need a breast augmentation with implant and a breast lift. Good luck.

Am I a good candidate for a breast lift w/auto-augmentation; breast lift with fat grafting, increase upper pole volume? (photos)

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Answer: The Bellesoma Vertically Scarless Lift

Answer: The Bellesoma Vertically Scarless Lift

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Am I a good candidate for a breast lift w/auto-augmentation; breast lift with fat grafting, increase upper pole volume? (photos)

Answers (10)

Answer: The Bellesoma Vertically Scarless Lift

Answer: The Bellesoma Vertically Scarless Lift

Answer: Breast augmentation with lift

Answer: Breast augmentation with lift

Browse related questions

Recommended reading

Everything you need to know about Breast Lift

Our mission is to create a world where every investment in modern beauty is Worth It.