Do I need a lift? Or is a larger sub glandular implant the best choice for me?

Thank you for your question.My recommendation would be a dual plane technique, this way you can avoid the scars from a lift.

Dear Sociable9546Thank you for your questions and photos. You may have either a subglandular or submuscular implant .A donut lift - I do not think is necessary and may result in scarring and the "same " shape as without a donut lift .With Warm RegardsTrevor M Born MD

I don't think you would need a lift with the right implant. It doesn't have to be too large either, it has to be the right dimension though. Sometimes a periareolar lift gives better nipple position and a wider implant might look better with a lift, but it should not be necessary depending on the implant. It would be easier to know however from a full exam. The placement could be subglandular but I prefer to use a dual plane or partial submuscular position especially in patients with thinner skin and a relative loss of upper breast volume. This however can be decided at a consultation. If you felt more comfortable with one of the board certified plastic surgeons you met, I would go and ask about their plan in more detail and if you are comfortable with that go with that plan and don't worry about the other recommendations. Remember a lift can be done later if needed, even years later.

Hello and thank you for your question and sharing your photos. Based on these photos, you should be able to avoid a formal breast lift, using a 'dual-plane' technique. In this technique, implant is placed under the muscle, with the top half covered by the muscle and the bottom half directly underlying the breast tissue, which allows for better expansion of the lower pole and better rotation/mobilization of the nipple-areola complexes upward. Best,
Pejman Aflaki, M.D.                                            

Johns Hopkins-trained double board-certified plastic surgeon

Hello, thank you for your question. It does not seems like you need a lift, you can benefit from a breast augmentation with implants. schedule with a board certified plastic surgeon.

Thank you for sharing your question and photographs.  Based on the supplied images it does not appear that you would require a lift to get a nice result as long as a well-sized implant is selected.  Hope this helps.

Thank you for your question. Based on your photo, you may not need a lift with your implants. It is best to make an appointment with a board certified plastic surgeon who is experienced in breast surgery to make the best decision. 

Thanks for providing great photos. Good news! -- You appear to be a great candidate for breast augmentation. Your Nipple Areolar Complexes are in great position. With where your breast aesthetics are currently, breast augmentation is a great choice for you. Have fun choosing a surgeon and the volume of implant!

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.  There are several advantages and disadvantages to over vs under the muscle.  Under the muscle has the advantage of lower capsular contracture rates, less risk of rippling, and better visualization with future mammograms.  Most patients say that under the muscle also has a more natural look and feel.   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
 

Thanks for your photos and inquiry. Form the photos alone it does not appear you need a lift. You have minimal sag or "ptosis" and the extra scars would not be justified. A dual plane, subfascial or subglandular augmentation are all potential options, and an experienced board certified plastic surgeon can advise you specifically on the advantages and disadvantages of each approach. Choose your surgeon wisely, and be open to more than one opinion. Every plastic surgeon (just as every patient) has his or her own aesthetic sensibility and a good way for you to get an understanding of your plastic surgeon's aesthetics is by reviewing his or her Before and After gallery. Best of luck to you.