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

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 (???).

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!

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.

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

Hello! Thank you for the question, this is something a lot of women have trouble deciding and the information you provided is excellent. This is hard to determine without a lateral profile view photo as we like to see where the areola is in regards to the inframammary fold. However it appears you are on the borderline for needing a mastopexy. I usually tell my patients who are in this situation to start with an augmentation as this will give a small lift. If you do not like where the breast are sitting after the final results of the augmentation you can always go back and do a mastopexy. Pregnancy does change the breast a bit so it may be best to wait for the mastopexy until you are done having children. Hope this helps!

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.

I would need measurements to be sure, but you might consider just implants for now and no mesh and wait until after having the all the children you want ton see if you need a lift. Yes, you would still have a small difference in your nipples, then this would not be noticeable in a bra.