Interested in breast augmentation + breast lift. Is my expectation too high?

Question

I’m 28 years old, mother of 2, 5’2and about 110 lbs. I’m planning to have breast augmentation. My expectation is that I would like to have round bigger but natural- looking breast. I’m currently wearing an a cup bra and those are hardly even fit. I have included a picture of my desired result as well. Is my expectation is too high? And what kind of implant or technique would you be suggest? Thank you very much!

Finny George, MD · Answer

Hi, thank you for sharing your question. You are a great candidate for a breast augmentation without the need for a lift. You will be able to achieve the desired volume and projection. An in-person consultation with a board certified plastic surgeon will help to answer your questions and determine the ideal implant for you. I hope this helps. Best of luck!

Kenneth Hughes, MD · Answer

Hello, thank you for your question. Based on your photos, you may benefit from a breast augmentation with different size of implants. An augmentation will provide the volume you desire. A board certified plastic surgeon will be able to guide you to the correct size implant measurements and desires measurements of the chest wall and breast imprint width as well as knowledge of all breast implant sizes and profiles should make this process easy. Schedule an email, Skype or in-person consultation for proper evaluation.

Gary M. Horndeski, MD · Answer

Your breasts are asymmetrical in volume, shape, position and you would benefit from a breast lift.  The technique I 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 (in 95%) and the ability to breast feed are maintained.  Later, fat transfers can be performed if additional volume is desired.  Implants are not lifetime devices.  8% fail within the first year and 30% fail within six years.  Fat transfers are permanent and incorporated into the body.Best Wishes,Gary Horndeski, M.D.

Robert M. Tornambe, MD · Answer

I appreciate your concerns and desires, however you do have options. Do you have modest asymmetry, possibly secondary to breast-feeding.  It appears from your photos that you would benefit from bilateral sub muscular breast augmentation with moderate plus projection implants. Different sized implants would be needed to improve symmetry. Consult with a board-certified plastic surgeon in your area to confirm my advice. Good luck.

Daniel Barrett, MD · Answer

Dear  Asiangdoll35,
determining whether you need simply a breast augmentation versus a breast lift 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 a breast augmentation depending on the size of the implant the patient wants. I often still using implant when I perform a breast lift because it provides more upper breast fullness after the lift. To be sure a consultation with a board-certified plastic surgeon will help determine what the patient actually needs.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Eric Pugash, MD · Answer

Hi. It is important to keep in mind that, no matter what your surgeon does or tries to do for you, he/she cannot give you new breasts. Many things do not change after surgery: the quality of the skin, the separation of the breasts, or cleavage, and the overall breast shape. Certainly, a breast lift with implants can give you fuller, more youthful breasts with smaller areolas, even if they will never look like those in your wish photo. The combination of a breast lift and implant is very challenging. Make sure you see a very experienced surgeon to explore your best options!

Ted Eisenberg, DO, FACOS, FAACS · Answer

I recommend an in person evaluation by a plastic surgeon to be measured and discuss your goals. 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. 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

Connie Hiers, MD, FACS · Answer

Just based on your photos, you would do well with an augmentation of different size implants and a lift on the lower breast. I would suggest meeting with a board certified plastic surgeon, being measured, and trying on the range of sizes that best fits your frame and tissue.

Garrett A. Wirth, MD, MS, FACS · Answer

There are many factors involved with getting yearly or best possible result.  This includes breast tissue evaluation, skin evaluation, breast measurements, and more.  A full consultation with at least 1 Board Certified Plastic Surgeon is going to better prepare you to formalize your goals and set realistic expectations.  You have a great opportunity for improvement review and I believe you will do well with the augmentation and lift procedure.  Best wishes. WirthPlasticSurgery.com

Frederic H. Corbin, MD (license restricted) · Answer

Thank you for the question and photos and you are starting from a different point then those goal photos so your result will be different but dramatic improved.   So go on some consultations with experts and compare recommendations after a full examination and discussion of desired results and look at photos of similar patients and become fully informed about the desired procedure Dr Corbin

Interested in breast augmentation + breast lift. Is my expectation too high?

Answers (12)

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