From photographs it seems you have a good volume of breast. Mastopexy with lolipop incision will give fullness at upper pole. you can asses that by pinching at lower pole of breast. and still you want bigger breast you can select 200 cc implant which roughly increases 1 cup size...but increasing size now may give unnatural apearance
At size 36 C each 200 cc’s of implant corresponds to 1 cup
size change. 200 cc implants would take
you up to a size D. I recommend a new
technique called Breast Augmentation with Mini Ultimate Breast LiftTM. Using only a circumareola incision it is
possible to reshape your breast tissue creating upper pole fullness, elevate
them higher on the chest wall and more medial to increase your cleavage. The areolas can be reduced to the appropriate
size. Through the same incision,
implants can be placed. Aligning the
areola, breast tissue and implant over the bony prominence of the chest wall
maximizes anterior projection with a minimal size implant. Small round textured silicone gel implants
placed retro-pectoral look and feel more natural, are more stable, less likely
to ripple or have complications needing revision. Implant profile is irrelevant in the
retro-pectoral position since the muscle compresses it. 22% of women who undergo breast augmentation
alone require revision within 2 years because they are dissatisfied with the
result. Frequent causes of
dissatisfaction are over implantation and not performing a simultaneous lift
Gary Horndeski, M.D.
You need a lift to shape your breasts and to reduce areolar size with or without an implant. Donald R. Nunn MD Atlanta Plastic Surgeon
Thanks for sharing your photo and question.
It does appear that a breast lift would be beneficial in your case. This allows for making a smaller and more centralized areola, and also would re-center the drooping lower breast tissue. Make sure to visit with a surgeon certified by the American Board of Plastic Surgery for a consult and expert advice.
Thank you for the picture.
Based on the picture, I believe that a breast lift with areola reduction would be the ideal procedures for you. This will give you a natural enhanced look.
You appear to have quite a reasonable volume to your breasts (C-D from the photo) but with most of your breast tissue beneath your fold. I would certainly recommend a lift (mastopexy) to elevate your existing breast tissue and this would be combined with an areolar reduction. I would use peri-areolar and vertical scars (lolipop) and you may even need a scar in your fold too. depending on your exact volume now, you may have an excellent result with a lift only & thus avoid the use of implants altogether. I hope this helps. Regards
You definitely would benefit from a lift, it looks like your volume is fine. Be careful about getting too large.
It would be possible to do a peri-areolar approach and reduce the areola diameter while enhancing the breast. I normally don't use this incision but in your case makes sense.
In breast augmentation I have chosen to spend time reviewing
photographs with patients to fully understand their expectation of size and
shape. Many times this simply raises
more questions. I will make measurements
and use the implant guides to allow the patient to understand exactly the sizes
that are reasonable for their body type and measurements.
Please find an experienced Board Certified Plastic Surgeon
and member of the Aesthetic Society using the Smart Beauty Guide. These Plastic Surgeons can guide you on all
aspects of facial surgery, breast augmentation and body procedures including
tummy tucks or mommy makeovers!