I am trying to decide what is better long term for me BA or BA with lift? (Photo)

Question

I am 5’8, 157 pounds and 32 years old. I have volume loss 2/2 weight loss. I am not a mother however I do plan to have children in approx 3-5 yrs. I was recommended 450 cc implants to achieve the desired lift effect as my chest is a 13.5 diameter. I was also recommended that a crescent lift to my right breast was done and an implantable mesh bra. I understand the mesh is supposed to help with “bottoming out”. Is it necessary? Should I just do a lift? Or wait until after kids altogether.

Donald R. Revis Jr, MD · Answer

Good afternoon,
Do the crescent for symmetry, but skip the mesh. I perform over 500 augmentations a year and have been doing so for 21 years- first timers don't need mesh, they just need proper implant placement. Maybe your surgeon has a track record of causing bottoming out in his or her patients (?) or doesn't really understand what the mesh is  meant to be used for (?) or is trying to upsell you on the procedure (???).

Mariam Awada, MD, FACS · Answer

I honestly would suggest waiting until after you had children unless thus is something that bothers you right now. If you are interested in getting the procedure now I would recommend getting a breast augmentation with a lift!

Camille Cash, MD · Answer

If you are wanting the best overall long term result then a lift with implants is the correct choice.  You can proceed with an augmentation only at this time, but you will likely need a lift in the future.  Your breasts sit low on the chest wall and the weight of the implants over time will likely result in some sagging.

Gary M. Horndeski, MD · Answer

A better long term procedure would be a breast lift.  Your breasts are too low on the chest wall and adding the weight of implants will result in more descent of your breasts.  I recommend a breast lift and small implants placed totally submuscular or fat transfers.

Best Wishes,

Gary Horndeski, M.D.

Daniel Barrett, MD · Answer

Dear Friendly334208,
determining whether you need simply a breast augmentation versus a breast lift can be somewhat complicated. It depends on a number of factors including skin laxity and current nipple position. Generally speaking, if the nipples are lower than the inframammary line the patient will most likely need a breast lift. If the nipples are at or above the inframammary line we can generally get by with just a breast augmentation depending on the size of the implant the patient wants. I often still using implant when I perform a breast lift because it provides more upper breast fullness after the lift. To be sure a consultation with a board-certified plastic surgeon will help determine what the patient actually needs.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

I am trying to decide what is better long term for me BA or BA with lift? (Photo)

Answers (7)

Answer: Breast lift and small implants or fat transfers

Answer: Breast lift and small implants or fat transfers

Answer: Breast lift vs BA

Answer: Breast lift vs BA

Recommended reading

Everything you need to know about Breast Augmentation

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I am trying to decide what is better long term for me BA or BA with lift? (Photo)

Answers (7)

Answer: Breast lift and small implants or fat transfers

Answer: Breast lift and small implants or fat transfers

Answer: Breast lift vs BA

Answer: Breast lift vs BA

Browse related questions

Recommended reading

Everything you need to know about Breast Augmentation

Our mission is to create a world where every investment in modern beauty is Worth It.