Do i need a lift or will a breast augmentation suffice? (Photos)
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Doctor Answers 19
If you want to add more fullness, then yes, you could have an augmentation. But it would take a sizable implant to make a significant difference, and as already mentioned, you will increase sagging of your breasts. You also need to consider the life long ramifications of a device in your breasts such as capsular contracture, silicone leak, and the need for future re-operations (costly).
Overall, in my own opinion, I would recommend doing nothing to your breasts. If anything, in the next 10 years or sooner, I wound anticipate that you would actually be in need of a reduction (no implants) as your breasts enlarge and become more ptotic.
Breast Implants That Provide a Bit Of A Lift Would Be Recommended
For mild to moderate sagging, I offer two types of implants that both lift and increase cup size at the same time, which means one procedure instead of two. It can be large breast implants or small. Inspira Soft Touch implants are designed to achieve a slight lift to the breast contour, without making additional surgical correction necessary. They come in two levels of cohesiveness: the less cohesive Responsive gel, similar to all the previous cohesive gels, and a slightly more cohesive Soft Touch gel. If possible, Soft Touch Inspira implants are placed into a submammary pocket. The other type is the Allergan Style 410, a stable tear-drop shaped implant that creates more projection than a round implant, most likely due to a maximal point of projection being lower down. Good results can be achieved by either implant type, however unlike Allergan Style 410, Inspira Soft Touch has no risk of rotation.
Breast lift or augmentation
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In your case since you simply want more volume, and you do not mind the ptosis or sagging that you have a simple Sub-glandular breast augmentation with moderate sized breast implants would be my choice. Most plastic surgeons prefer submuscular breast implant placement but this in your case would require a lift and I would not want to put those scars on your breasts. If you decide later a lift is necessary it could be done then.
Breast Augmentation vs Breast Lift
From your side view photo it appears that half of your breast tissue resides below the inframammary fold (fold under your breast). Thus, the answer to the first question to me is clear, you would do well with a lift. The second question is up to you.
If you are contemplating an augmentation alone, be prepared for a larger version of the same shape you currently have. And be mentally prepared for a lift in the future.
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.