Do I need a lift or would large high profile implants be enough? (photos)

Question

I’ve seen 2 surgeons and one said he would avoid a lift and use 410cc - 475cc implants which would give me a good result. The other said I need a lift with a much smaller implant like 250cc. My desired look is big fake looking breasts. So I know I don’t want a small implant.

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. You are a great candidate for a breast augmentation using a dual plane technique without need for a formal lift.  The size, profile, and shape of the implant is based on your desired breast size/shape, your chest wall measurements, and soft tissue quality.  This decision should be based on a detailed discussion with equal input from both you and your surgeon.   Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and evaluate their results.  
 
 Best wishes and good luck.

Richard G. Reish, M.D. FACS

Harvard-trained plastic surgeon

Jeff Angobaldo, MD · Answer

Hello, and thank you for your question. At our office we will assess the patients end goal and decide on a treatment plan at that point. Since your areolar position does not seem to be too low, if you get a larger implant there's a good chance you could avoid the lift all together since you are wanting much larger breasts to begin with. 
Best of luck!

William Bruno, MD · Answer

Based on your photos it appears you would benefit from a breast lift at the time of your breast augmentation. Large implants will not correct a sagging breast unfortunately. The lift will remove the excess skin of the lower portion of your breast and create a nicer shape that implants alone can not achieve. Perhaps consult with a third plastic surgeon if you are uncertain.Best wishes,Dr.Bruno

Suleyman Tas, MD, FEBOPRAS · Answer

Hello,Thank you for your question. Based on your photos aesthetically pleasant breasts can be achieved by the combination of the breast augmentation and lifting procedures. The ideal size can be set only during in person examination taking into consideration your chest wall, weight and body proportions. The decision of the implant's place made depending on your breast tissue. In case of little or no breast tissue the implants must be placed under the pectoral muscles to hide them. I personally prefer inframammarial approach, which is also the most common technique in the world, as this allows the most beautiful shape of breasts on one hand and minimizes potential complications in the post-operative process on the other hand.
  
An experienced Board certified plastic surgeon could evaluate your case properly. To find out more please click on the attached link. 
  
Best Regards

Kenneth Hughes, MD · Answer

I have never even had a partial nipple areolar necrosis after hundreds of breast augmentation and lift combinations.  Although no two patients are alike, I perform breast augmentation and lift together but like to limit implant size to 500 cc or smaller in most cases.  Find the plastic surgeon with elite credentials (education, training, experience, American Board of Plastic Surgery certification) who performs hundreds of breast augmentations and breast lifts each year.   Look at the plastic surgeon's website before and after photo galleries to determine the plastic surgeon who can produce the results you are seeking.  Also read patient reviews.

Gary M. Horndeski, MD · Answer

Your breasts are too low on the chest wall.  Augmentation alone would require the implants to be placed low and the inframammary fold would have to be released.  This frequently results in bottoming out or double bubble.  The best alternative is a breast lift using 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 and the ability to breast feed are maintained, if not injured during your previous surgery.  At the same time or later, fat transfers can be performed.  Implants are not lifetime devices.  Fat transfers are permanent and incorporated into the body.   Best Wishes,Gary Horndeski, M.D.

Anoush Hadaegh, MD · Answer

Hello,
Thank you for your question. Based on your pictures and what you desire, you can probably do well with large breast implants only.  Forget about bra sizes because all manufacturer have different way to measure breasts so DD Bra with one might not be the same as DD with other one. The size of the implants should be carefully determined using gel sizing system. The gel sizing system allows you to see what you are going to look like with that specific implants. Good Luck.

Daniel Barrett, MD · Answer

Dear Fabulous6399,
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

Ajay Mahajan, MD, FRCS (Plast) · Answer

There are a couple of things that you need to decide. 
  Firstly, what size would you like your breasts to be? If you desire a fair increase in volume of your breasts (but within the confines of your breast base diameter), then augmentation on its own may be what you wish to have. However, you do need to understand that you may continue to have some degree of droop and the fact that you will have heavy implants may drag down on the skin envelope, making the breast droopy in future. 
  
Secondly, would you mind the additional scars that go with an uplift procedure. If you do not want too much of an increase in volume of your breasts and don't mind the additional scars, then you would be ideally suited for an uplift with a small implant.

But considering that you are wanting big fake looking breasts, you do need large implants and you have kind of answered your question yourself!For optimal outcome, please consult a fully qualified plastic surgeon, who has specialist qualification in plastic surgery 'FRCS Plast' after having being trained adequately in the field of plastic surgery, is registered on the 'Specialist register for Plastic surgery' with the General Medical Council and has been considered competent enough to be a member of the 'BAPRAS' (British Association of Plastic Reconstructive and Aesthetic Surgeons) and 'BAAPS' (British Association of Aesthetic Plastic Surgeons) at the least.

Paul Banwell, BSc, FRCS(Plast) · Answer

Hello thereThan you for your questionsBoth surgeons are correct - they are just different approaches to achieve a certain goal. However, based on the fact you are keen for a larger breast and a faker look then a large implant alone as discussed might satisfy your objectives (without the need for additional scarring)Good luckPaul Banwell (London)

Do I need a lift or would large high profile implants be enough? (photos)

Answers (18)

More Breast Lift with Implants Questions

Breast massage post op, good idea or not?

Breast lift scar adhering to implant pocket. What else can be done? My surgeon has prescribed massage and PT (photos)

Could a breast lift or implants fix sternum appears to be sticking out of my chest? (Photos)

Follow-Up Question: 3 months post op breast lift/augmentation and I have a tender lump. PS thinks it's a stitch. Thoughts?

Is it normal for a lump/hard spot on breast after lift (also galaflex and under muscle implants) to be painful after massage?

How much more should a "donut" lift cost when added to silicone implants?

WE SEND PRETTY
EMAILS