Lift or no lift? Looking for upper fullness, not big boobs (Photo)

Definitely a lift! Especially if you don’t want to have to wear a braw. Filling out the breasts with implants will just make them bigger and heavier. filling them out with fat will make them slightly bigger and slightly heavier….. fat transfer wont really give your any noticeable improvement because of how much we would need to fill your breast and how little would survive. This is why a breast lift reduction would be your best option! Your nipple position is not that low but you have plenty of tissue bellow the fold. This means your breast lift is easier them most.

There is no point in anything other than a breast lift with a reduction if necessary. You will not be disappointed!

Best if luck,
Dr. Miguel Mota

In my experience, you are borderline for a lift and many patients avoid lift with implant augmentation. alone. Half under muscle (dual plane) or totally above muscle will refill lost volume. They will appear more natural and low, not extremely high and perky.

Fat transfer would be an option for upper fullness instead of implants. However, you do not appear to have a large volume of fat available after 360. Since you do not want large breasts, this may be a good option.

An exam and consultation with a plastic surgeon who performs these procedures is recommended to confirm you are a candidate as well as discuss your options and expectations.

Dear courtneyluper,
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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size and style breast implants. They also get to see what they would look like when the breasts have fully dropped and fluffed and in clothes. You get to see actual results and the surgeon's experience and not a virtual idea of what can be achieved. Women tell me that this process is very helpful in determining what size and style breast implant is right for them. Mildly Sagging Breasts: If your breasts are mildly droopy, a saline or silicone gel implant placed behind the pectoral muscle might help create the illusion of perkiness. That’s because as the implant fills out the top of the breast, it also fills out the bottom, making it look as if the nipple has moved higher. It hasn’t. You can always get a lift later if you feel you are not perky enough when fully settled and healed. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

1. Breasts. You have enough ptosis and breast asymmetry to warrant a lift. Nothing shy of this will give you what you want; neither auto-augmentation (during a lift) or fat transfer will sufficiently fill the upper pole of your breast or give you a perky breast. A relatively low profile, and appropriately wide silicone gel implant will do the job of upper pole fullness without excess volumization of the entire breast. The larger breast will be reduced accordingly to match the smaller breast volume. 2. Body: Although you may have enough fat to benefit from liposuction, you need a tummy tuck. You have too much skin laxity, and liposuction will make that worse. Additionally, the frontal photo shows a mass just to the side of midline between ribcage and belly button. I assume its a port to a lap band? This can be removed if desired with a tummy tuck.

Your breasts are low on the chest wall. I recommend a breast lift using 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. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained. Later, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

I believe you would most benefit from a Tummy Tuck, lipo of the love handles for your body issues. Your upper back is fine.

As to the breasts, they are not low, but the best esthetics would be with a small implant and skin removal just in the circle around the areolar.

Basado en tus fotos, puedo apreciar que tienes una asimetria que podemos mejorar con tu cirugia. Indicas que deseas los senos levantados pero no grandes, para lograr este resultado, es necesario retirar el exceso de piel que tienes y poner un implante acorde a tu tamaño y contextura para reposicionar tus senos.En cuanto a la lipotransferencia, es importante conocer la calidad de tu piel, ya que las fotos no son fidedignas en muchas ocasiones y por tu antecedente de 3 embarazos debes tener flacidez. Hay 2 opciones: lipo asistida con laser para retraer la piel o una lipo con abdominoplastia. Para decidir lo ideal para ti, es recomendable evaluarte y tomar la mejor decision par ti

Your first photo, with your arms not raised, shows you need a lift. A lift gives the perkiness and the implants give volume. I would suggest a lift with implants placed behind the muscle for the best results.