Do I need a lift or will an implant work? (Photo)
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Doctor Answers 12
Breast lift plus augmentation needs to be tailored to the patient's needs
I would suggest, based on your pictures, use of a periareolar (circular) mastopexy (breast lift) in conjunction with an implant. I think this is most likely to give you good proportion and contours. I would also recommend a silicone implant based on your pictures, because there is some hollowing of the breasts.
Although you would likely get some elevation of the nipple from the implants alone, this would most likely leave the nipples too low, based on your pictures.
Of course a thorough in-person consultation is needed to clarify your goals and examine skin elasticity, etc. to determine the best plan for you.
Tear Drop Augmentation Mastopexy
Do I need a breast lift?
You have some degree of laxity to the breast and you are in what I call the grey zone. It is possible that you may get away with implant alone but it will depend upon the size and projection of the implant. You will likely have some residual droop even with breast augmentation, but personally I feel that a little bit of droop is more natural.
When I have a patient in the grey zone and what I mean by this is a patient that may or may not require a lift I take one of two routes. Sometimes we will place an implant, allow it to drop and settle and then consider a lift or tightening in the future.
Sometime the patient will allow me to use use my judgment in surgery and perform a lift depending upon what I see in the operating room.
Both are reasonable options as long as you and your plastic surgeon are on the same page.
I would start your search by looking at implants and choosing the volume of implant and shape that appeals to you. Once your plastic surgeon knows the size you are considering here she will have a better idea of whether or not the implant will fill you up enough with or without a lift.
Best wishes. I hope that this has been helpful.
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It does appear that you will need a lift using whatever technique you prefer. There is a chance that if you wanted to go very large with a high profile implant that you might get enough of a lift effect. This could be better determined during an in person consultation. Good luck!
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These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.