Hello 'bulrich', thanks for your question. Based on your photos, you appear to have more deflation issues rather than actual breast ptosis or sag. If anything, you have something called pseudoptosis, which is where the nipples are where they should be at the inframammary fold (IMF), but you have some breast volume below the IMF. I think volume enhancement with an augmentation should nicely fill in your volume deficiency. One thing I will mention however is that you tend to have larger areolar diameters than average that will only expand with augmentation. If this bothers you at all, then a concomitant donut lift will allow areolar resizing +/- a gentle lift if needed. Good luck!
Thanks for the question. You will probable need with a 375 cc Silicon not a full Lifting, bit in orden to have a nice shape You should go for a vertical scar result Lifting. Scars around nipple with time turns width.Have a great day! And a good decisión!!
Thank you for your question and for posting appropriate pictures. You seem to be a good candidate for a breast lift with implants. You might consider seri strattice which is a mesh placed inside the breast to act as an internal bra. You will of course need to meet with a board certified plastic surgeon for precise recommendations. Breast of luck.
Thank you for your question.You may benefit from a lift, as it appears you have grade 1 ptosis. With this type of ptosis, you may or may not a breast lift, if you choose the right size implant. In patients who may not be keen of a lift, I offer to perform a breast augmentation first, then await 6 months for the implants to drop, and then decide if a lift is needed. Surprisingly, a majority of my patients have not needed a lift (and it save them the cost and the scars). I suggest against a donut lift, as it will really flatten your breasts and may leave you with wide, unattractive scars around the nipple areola. Best of luck to you...
Going bigger will allow less of the implant to be under the muscle, something desired to reduce capsular contracture, and will not lift the breast tissue up. I think a lift will be required and long term I do not think you should expect to have a look like you are in a bra without wearing a bra. The breast tissue and implant will loosen in time and you will lose the initial perky look after an implant and lift done together. An implant alone will leave your breast mound where it is at present, and just make you larger.
You may benefit from a breast lift but I would strongly advise against a donut or Benelli lift. The resulting scars and areola size are unpredictable. Consider doing a breast augmentation only and then deciding if a lift is really necessary based on the results of your augmentation.
and as your nipples appear to be at or above your fold and if your breasts are not real low on your chest, just do the augmentation. And going with the largest you are comfortable with will help considerably with your results. Lifts can always be done later but if you absolutely do not like your areolas as they are (oval), then the only way to change that is with a lift. Lifts bring scars, risks, and costs that you may have been fine without so always best to augment first and decide later.
Do not do a donut lift. Get your implants, and allow 3-6 months, then if you feel like you want or need a lift, have it done then. You may not need a lift, but regardless, do not get a donut lift.
You are not a good candidate for a donut lift. Given your breast size, degree of ptosis, and nipple-areolar complex position, you will probably have one or more of the long list of problems associated with this lift when applied to the wrong breast: persistent sagging, flattening of the breast mound, pleating around the areola, thickened and/or raised periareolar scars, wide areola, and off-round areola.
Please be sure that this reputable surgeon you've chosen is ABPS certified and a member of the ASAPS who specializes in all aspects of cosmetic breast surgery, not just implants. Your results, from breast shape, scar appearance, and durability of results will be superior with a full mastopexy.
Best of luck!
What kind of lift do I need.
Hi and thank you for your question. Based on the photos you provided you should be able to get a nice result with implants and a doughnut mastopexy. It doesn't look like you will need a vertical lift or the full wise pattern lift. I agree with the other Plastic Surgeons in the forum. If you any uncertainty about the plan you should have one or two more consultations before you make your final decision. Good luck to you.Dr. West