36/38DD breast lift with or without augmentation?

Hi, thank you for sharing your question. 
You are a good candidate for breast lift, however, if size does not matter to you and you want to be closer to your picture prior to weight gain, you may be a better candidate for a breast reduction. A lift procedure will reposition the nipples and give better shape overall. The best advice is to consult with a board certified plastic surgeon to review all your options. I hope this helps. Best of luck!

Hello and thank you for your question and sharing your photos. You are an excellent candidate for  a breast lift/reduction type of surgery. You have adequate breast tissue and don't need an implant. Breast lift removes the excess skin, re-arranges breast tissue, moves the nipples up and decreases the areolar size if needed. Asymmetry will also be corrected. My best advice is that you communicate your goals and aesthetic ideals with your surgeon as clearly as possible and trust your surgeon's skills and abilities to deliver what you are looking for.
Best wishes and good luck,

Pejman Aflaki, M.D.

Johns Hopkins-trained double board-certified plastic surgeon

If you just have a breast lift your breasts will still be ample size without the need for an implant. Your areolae would be reduced to about an inch and a half in diameter and be placed higher up where they belong. You also will not need fat transfer.

Hello and thank you for your question. Based on your photographs, you are a great candidate for a breast lift.  This can be designed to result in an improved shape and contour of your breasts while minimizing scar appearance.  You do not appear to need an implant.  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
 

At size DD, you do not need implants but need a lift.  The technique I recommend is 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.  The weight of the breast is transferred to the underlying pectoralis major muscle resulting in pain relief and long term stability.  Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained.  The Montgomery glands are excised and the areolas are reduced to the size desired.  Best Wishes,Gary Horndeski, M.D.

Hi AlisaKat,
I think you would get the best result with a high definition breast lift with internal bra sutures. You won't need implants after that, and yes, your glands will be addressed during the lift as well. Blessings on your journey!

You would definitely benefit from a breast lift.to improve the shape of your breasts. A reduction in the size of your areolae would be done at the same time as well as reducing the size of your breasts if you wished to be smaller. Whether you would need implants depends on the size you want to be and how much cleavage you would like. I recommend seeing a board certified plastic surgeon to see what would be best for you.

You have good volume and so an uplift should address your concerns.  Reduction of the areola size will be done as part of the procedure.Please seek an opinion from a member of the British Association of Aesthetic Plastic Surgeons.  They can counsel you properly, detailing the limitations of surgery.

Hello!
Based on your photos it does appear that you have significant ptosis (sag). This is best improved by a breast lift. I am the only surgeon in Canada who preforms both the traditional breast lift, as well as the 'no vertical scar' bellesoma breast lift. We also offer the option of Galaform biodegradable mesh which acts as in 'internal bra' to help support your existing breast tissue and helps strengthen and 'thicken' your existing tissue. 
From here you can choose to further alter your aesthetic by incorporating a fat transfer or implants in addition. 
There are many different factors that go into choosing a breast implant size which will correspond with your body dimensions while concurrently achieving your aesthetic results. Some of these factors are: Implant size (CC's), Implant profile (Low, Moderate, High), Placement of the implant (Subglandular vs. Dual Plane) etc. 
During a consultation your aesthetic goals are heard and taken into account with the measurements of your breasts and the integrity of your tissue, as well as level of ptosis (sag). From here we collectively can find your 'perfect fit'.
You are able to try out sizers and different implants in our office such that you can get an idea of what size you would be post-operation. 
We encourage you check out our website and instagram (drkaraplasticsurgery) for lots of before and after pictures!
During the COVID-19, we are offering complimentary online consultations that are secure and private. Please visit our website and fill out the online form. 
M.Kara,MD,FRCSC (27+ years of experience) 
-Specializing in 24 hour recovery/ out to dinner breast augmentation in-hospital private surgical facility for your added safety and peace of mind