What kind of lift do I need with my augmentation? (Photo)

Question

My IMF measurement is 7" or 9" on stretch. My BWD is 12.5-13 cm. Also what profile and cc range would be best for me? I want to be a 32DD with upper pole fullness and cleavage.

J. Timothy Katzen, MD, FACS · Answer

Hello Realselfmember 0998938,

I appreciate your inquiry about the appropriate type of lift to accompany your breast augmentation, and thank you for providing detailed information about your breast measurements and goals.

Considering your aspiration to achieve DD-sized breasts with pronounced upper pole fullness and cleavage, I recommend opting for high-profile silicone implants. Placing these implants above the muscle would be more conducive to achieving the cleavage you desire. While you haven't specified your current breast size, based on your measurements and goal, I estimate you are currently around a C cup. To transition from a C to a DD, implants in the range of 450 to 550 cc should be suitable.

As for the lift, the decision can be made intra-operatively. Once the implants are placed through an incision around the areola, your surgeon can assess the need for additional lifting. Depending on the extent of lift required, a Crescent lift or a Benelli (doughnut, peri-areolar) mastopexy might be appropriate.

In summary, I recommend breast implants between 450 to 550 cc, complemented by a lift procedure determined during the surgery, based on how the implants settle. This approach should help you achieve your desired aesthetic outcome.

Wishing you the best on your journey towards your desired look.

Sincerely,

J. Timothy Katzen, MD, FASMBS, FICS
Plastic and Aesthetic Surgeon

Bora Ok, MD · Answer

Hi from Istanbul, thanks for your question. For your lift and augmentation, a periareolar lift combined with either high or moderate plus profile implants would be suitable, based on the level of fullness you're aiming for. This approach should effectively meet your enhancement goals.Hope this helps!

Gianfranco Frojo, MD · Answer

I would almost always recommend an anchor-type pattern style for most patients. This addresses the horizontal and vertical laxity/excess tissue. This is highly recommended in most patients. I usually recommend also placing Galaflex to provide soft tissue support in the breast.

Daniel Barrett, MD · Answer

Dear RealSelfMember0998938,
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, its actually breast tissue thats being brought together to support the breast and hence improves longevity. 
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

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

Miguel Mota, MD · Answer

Hi! If you want to be a 32DD with upper pole fullness and cleavage, I think moderate profile and anything around 500cc, maybe slightly bigger, plus a Donut Lift would suit you just fine. Your left breast seems to be a little lower and slightly bigger so maybe a lollipop lift for symmetrization.

Best of luck,
Dr. Miguel Mota

Best of luck,
Dr. Miguel Mota

Gary M. Horndeski, MD · Answer

Your breasts are low on the chest wall, very lateral and you have poor cleavage. The technique I recommend is a mini lift. Using a circumareola incision, your breast tissue is reshaped, elevated higher on the chest wall and more medial to increase your cleavage. At the same time, small implants can be placed totally submuscular.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Ronald J. Edelson, MD · Answer

I would do what is called a lollipop lift. I would also avoid putting such large implants on. Perhaps 450 cc’s max

Connie Hiers, MD, FACS · Answer

It is possible you may not need a lift. Measurements are needed to be certain and all clothing should be removed for your photos.  Please visit with a board-certified plastic surgeon and discuss your concerns and options.

Camille Cash, MD · Answer

From the photos it appears a lollipop lift would be good for you.  If you are wanting upper pole fullness a higher profile implant will provide that.  The volume is best determined in person after an evaluation.  I've included a video about implant selection that I hope you find helpful.

What kind of lift do I need with my augmentation? (Photo)

Answers (13)

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