I've had 3 consultations: 1 said I needed implants only, the other 2 said I'd get better results with a lift and implants. I have never had children. Age (49) and weight(5'9" 130 lbs now). My current breast size is 32DD so I'm considering 400cc saline implants. With a lift, is that a safe size and what kind of implants: i don't understand high profile, mentor, etc. I want to look the same but perky and more youthful. Thank you for any and all advice!
October 11, 2016
Answer: Augmentation Mastopexy Hello, I think it's safe to say no on-line consultant can determine where your inframammary fold lies, so determining the need for a lift is more conjecture. However, my best guess is that it is at least at the level of your nipples, and with that much tissue hanging, you'd do better with a lift. Implant size is determined by analyzing your tissue capacity as well as determining aesthetic goals using sizers. 400 cc implants would be relatively large if combined with your current breast size. Both round and shaped implants are available, the difference being not in the result produced, but the longevity of the result being greater in the shaped implants due to their form stability. More than 90% of plastic surgeons in the US have never used shaped devices, fearful that they might rotate. However, FDA date show that they have the lowest overall complication profile. Go visit a few ABPS certified/ASAPS member surgeons that specialize in all forms of cosmetic breast surgery, not just implants. Best of luck!
Helpful
October 11, 2016
Answer: Augmentation Mastopexy Hello, I think it's safe to say no on-line consultant can determine where your inframammary fold lies, so determining the need for a lift is more conjecture. However, my best guess is that it is at least at the level of your nipples, and with that much tissue hanging, you'd do better with a lift. Implant size is determined by analyzing your tissue capacity as well as determining aesthetic goals using sizers. 400 cc implants would be relatively large if combined with your current breast size. Both round and shaped implants are available, the difference being not in the result produced, but the longevity of the result being greater in the shaped implants due to their form stability. More than 90% of plastic surgeons in the US have never used shaped devices, fearful that they might rotate. However, FDA date show that they have the lowest overall complication profile. Go visit a few ABPS certified/ASAPS member surgeons that specialize in all forms of cosmetic breast surgery, not just implants. Best of luck!
Helpful
October 11, 2016
Answer: Do I need a breast lift as opposed to just getting implants and what kind of implants? From your photos, I agree that you could get good results with implants alone, however the final determination would be if you would be happy with the location of your nipple areola and the breast mound location on your chest wall would not change. A lift will simply elevate the location of your nipple areola which I don't think is necessary if you would be happy, as you say, with having the same look that you do now but just more youthful & perky. An in office exam and evaluation would be helpful and to go over photos of other people similar to you so you could see some before & after photos to see likely results. As far as the implants are concerned, I typically choose which implant is going to be best for your body according to your breast width measurements and the volume that you want, so it is not an easy straightforward "high profile" or "moderate profile". Good luck!
Helpful
October 11, 2016
Answer: Do I need a breast lift as opposed to just getting implants and what kind of implants? From your photos, I agree that you could get good results with implants alone, however the final determination would be if you would be happy with the location of your nipple areola and the breast mound location on your chest wall would not change. A lift will simply elevate the location of your nipple areola which I don't think is necessary if you would be happy, as you say, with having the same look that you do now but just more youthful & perky. An in office exam and evaluation would be helpful and to go over photos of other people similar to you so you could see some before & after photos to see likely results. As far as the implants are concerned, I typically choose which implant is going to be best for your body according to your breast width measurements and the volume that you want, so it is not an easy straightforward "high profile" or "moderate profile". Good luck!
Helpful
