Deciding on 545cc silicone submuscular implants, do I need a lift as well? (photos)

Question

I'm afraid they will turn out like heavy saggy torpedos like I've seen in some cases.  Thoughts?

Eric Pugash, MD · Answer

You appear to have atrophic breasts, significant loss of skin tone and what is known as glandular ptosis, or droop of the lower pole of the breast. You should understand that a 545cc implant is large, and will place a great deal of weight on your already stretched-out breasts. I would expect that even a well done lift would quickly stretch. I recommend you consider a smaller size; whether you have a lift or not, your breasts will be happier and your result will last longer. All the best.

Larry S. Nichter, MD, MS, FACS · Answer

Far more important than the technique is the skill and experience of your plastic surgeon. Choose your surgeon rather than the technique and let them explain why one technique may be better than another. See the below link on some suggestions on finding the most qualified Plastic Surgeon for a BA. Always insist on a board certified plastic surgeon.

Jaime S. Schwartz, MD, FACS · Answer

I appreciate your question.
  
From your photos, it does not appear that you need a breast lift.  Augmentation alone should give you nice volume restoration.
The best way to assess and give true advice would be an in-person exam.  Please see a board-certified plastic surgeon that specializes in aesthetic plastic surgery.  
  
Best of luck!    
  
Dr. Schwartz 
  
Board Certified Plastic Surgeon
  
#RealSelf100Surgeon 
  
#RealSelfCORESurgeon

Steve Laverson, MD, FACS · Answer

In agreement with Drs. Sieber and Pousti, judging from your submitted photo, you 'll not have "saggy torpedos," but nice full round breasts with augmentation alone, no formal breast lift required.  Difficult to be 100% sure of anything without in person examination, but the 545 ml volume of your chosen implants is less important than the dimensions (width and projection) in determining what type of final result to expect.

Robert Kearney, MD, FACS · Answer

Based upon your photos you may be able to get by without a lift.  It somewhat depends upon your nipple to fold distant which is representative of how much skin you have below the fold.  Your nipple appears to be in good position.  A set of photos that show the tops of your shoulders from front and each side view would be more helpful.

Payman Danielpour, MD, FACS · Answer

By looking at your pictures you seem to be a good candidate for breast augmentation alone to give you a very natural look with a sack to your breast that will make them not look over done. I highly recommend it prior to having the surgery you have 3-D imaging performed to pick the perfect size that fits your frame. Best of luck to you.

Alejandro Nogueira, MD · Answer

You can be fully satisfied with a well planned, properly executed and updated breast augmentation, using latest generation of implants: anatomical shaped, cohesive gel filled, macrotextured shellA lift leaves unsighty and lifetime scars, which have to be worthy based on the pre-existant deformity, which is minimal in your case. You are essentially a case of breast mass loss, droopines is just slight and does not justify the scars.

M. Dean Vistnes, MD · Answer

From these photos, you should get a result you are very happy with by having a straight forward breast augmentation since your nipples are above the level of your fold. Good luck!
Dean Vistnes 
Vistnes Plastic Surgery 
San Francisco Bay Area 
#realself  #drdeanvistnes #breastaugmentation

David A. Sieber, MD, FACS · Answer

Thanks for the great question and the photo. Just looking at your photos, your nipple position looks to be in good position for an augmentation alone. If looks like you just want to replace some of the upper pole fullness which was lost after breastfeeding. I don't have your breast measurements and don't know what look you're going for, but a 545cc implant does seem a bit big for your frame. That will definitely give you a very augmented look. I always have patients bring in photos of breasts they find attractive to get an idea of what they are looking for. Any time an implant larger than about 350cc is used, you increase your risk of post-op complications such as skin stretch and implant malposition. These are all good things to ask your surgeon about. Best of luck!~Dr. Sieber

Robert Oliver Jr., MD · Answer

I would strongly caution you to reconsider your choice of implants. An implant of that size (>500cc) should almost never be considered for cosmetic surgery as the width, resulting tension on your skin, and weight of the device are going to cause damages difficult to fix. You are a small frame in your photo, and a 545cc implant is going to achieve a result that most experienced surgeons would never recommend.  Looking at your photo, a large implant for you if you want an "augmented look" is actually probably in the low 400cc range rather then what you're looking at.Aside from that, you actually are a good candidate for just an implant for enhancement. I would considered consulting with another surgeon if you have in fact found someone telling you that size implant is appropriate.

Deciding on 545cc silicone submuscular implants, do I need a lift as well? (photos)

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