Thanks for the question.
I prefer use the Cohesive Gel - Silicone Breast Implants with textured cover ("gummy bear implants") They are quite safe and aesthetically best as they give a firmer consistency, better projection and natural appearance.
To place the implants, I recommend making the incision through the areola (leaving an unnoticed scar) in conjunction with a Round Block Areolar Reduction to get an appropiate areolar diameter, with a minimal and hidden scar (a circumference line surrounding the areola).
Dr. Emmanuel Mallol.-
I would recommend a mastopexy, with or without implants. A larger implant will increase the risk of sagging. The areolae would be reduced during the mastopexy. Determining which lift option is best for you would require a physical examination. Everyone wants the least amount of scarring possible but the technique has to be weighed against the presentation and desired outcome, including longevity.
Thanks for your question and for including the photos.
You would be best served with the implants and a lift. The lift will reduce both the droopiness and size of the areoals. It can be done with the periareolar mastopexy scar (doughnut).
Best of luck in your decision.
Thank you for your photos and questions. An in-person evaluation with a board certified plastic surgeon is always the best in determining what procedures(s) are best for you.
Judging solely on your photos, you will most likely need a breast lift to create a more youthful, perkier breast. The lift will also reduce the size of your areola. If you want to return to your previous size, you can have an implant inserted at the same time as the breast lift. For you, I would not recommend a breast implant alone as the weight of the implant will cause your breasts to droop more.
Best of luck,
Breast Augmentation is an excellent way to both add volume to smaller breasts and, when combined with a lift, to restore a youthful appearance to breasts that have started to droop or sag. No one wants a mastopexy (lift) but unfortunately some women need them. I would recommend a mastopexy + implants for the most pleasing result and would strongly discourage just implants. Implants will cause your breast to sag further and your result will be less than desirable. Best Of Luck.
I would recommend a breast lift with implants. There are several types of breast lift incisions. I would recommend an
in-office examination as well as a detailed discussion with a board certified
Harvard Educated, Miami Beach and Beverly Hills
Trained Double Board Certified Plastic Surgeon
It actually looks like you have enough breast tissue for a lift alone. If you want implants, then they can be added.
From your pictures, you would benefit most from a vertical lift along with implants. A vertical lift will give you a lollipop scar, that is a scar around the areola and a vertical scar that goes from the areola to the fold. Please see qualified board certified plastic surgeons in your area who have experience with combined augmentation and mastopexy. Good luck!
I appreciate your concern, but it appears that breast lift with implants is your best option. This would address the shape,droop and lack of fullness of your breasts, and also correct your large nipple-areolar complexes. I do not think the technique you are describing will provide enough lift, even with large implants. There are other risks and issues with this approach, like scarring, and pan caking of the implants,so be sure to consult with a board certified plastic surgeon. Good luck!
Hello and thank you for your question. Based on your
photograph, you may benefit from a breast lift with augmentation. This can be designed in a way to minimize scarring. The most important aspect is
to find a surgeon you are comfortable with. With good surgical technique, you
could have an outstanding result. I recommend that you seek consultation with a
qualified board-certified plastic surgeon who can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon