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?

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.

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.

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.

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.

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.

Tom J. Pousti, MD · Answer

Thank you for the question.  Based on your photographs, I think that you are starting at a good place and should have a very nice outcome with breast augmentation surgery.   Breast lifting does not appear to be necessary. Ultimately, careful selection of plastic surgeon (please check that he/she certified by the American Board of Plastic Surgery) and careful communication of your goals (in my practice I prefer the use of goal pictures, direct examination/communication in front of a full-length mirror, in bra sizers, and computer imaging) as well as careful measurements (dimensional planning) will be critical.
  Generally speaking, the best online advice I can give to ladies who are considering breast augmentation surgery ( regarding breast implant size/profile selection) is:
1. Concentrate on choosing your plastic surgeon carefully.  Check directly on the American Board of Plastic Surgery website. Concentrate on appropriate training, certification, and the ability of the plastic surgeon to achieve the results you are looking for. ***Ask to see lots of examples of his/her work.
2. Have a full discussion and communication regarding your desired goals with your plastic surgeon. This communication will be critical in determining breast implant size/type/profile will most likely help achieve your goals. 
In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. For example, 
I have found that the use of words such as “natural” or "D or DD cup” etc means different things to different people and therefore prove unhelpful.
Also, as you know, cup size varies depending on him who makes the bra; therefore, discussing desired cup size may also be inaccurate. Again, the use of computer imaging has been very helpful during the communication process, in our practice.
3. Once you feel you have communicated your goals clearly, allow your plastic surgeon to use his/her years of experience/judgment to choose the breast implant size/profile that will best meet your goals. Again, in my practice, this decision is usually made during surgery, after the use of temporary intraoperative sizers.
I hope this (and the attached link, dedicated to breast augmentation surgery concerns) helps. Best wishes for an outcome that you will be very pleased with.

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

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