475cc, ultra high profile - do I need a lift or nipple repositioning? (Photos)

Question

Im concerned that even after breast augmentation my breasts are going to face opposite directions with my nipples being very far apart to the left and right. Also worried that I will have a nipple very high up and to much breast volume underneath almost like a bottoming out look because off the way my anatomy is already. This is a picture of my breasts at their largest while breastfeeding, the other 5 months after weaning. Will a 475c ultra high profile implant work or do i need a lift?

Finny George, MD · Answer

Hi, thank you for sharing your question. You are a good candidate for augmentation but do not require a lift. The size and type of implant will depend on your measurements and breast characteristics. The final result will be a larger version of your current breasts.

Zoran Potparic, MD · Answer

It is very likely that after augmentation you may end up with similar result as during breast feeding time; these are nice looking breasts. I would consider doing moderate/moderate plus implants in your case based on this comparison. Good luck.

Ted Eisenberg, DO, FACOS, FAACS · Answer

I recommend an in person consultation with a plastic surgeon to discuss your goals and be measured. 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, and they choose what looks right for them. 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. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Daniel Barrett, MD · Answer

Dear Faith2fly,
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

Connie Hiers, MD, FACS · Answer

I suspect you will do well with just an enlargement, but measurements are needed to be sure. I suggest meeting with a board certified plastic surgeon, being measured, and examined, and trying of the range of sizes that best fits your frame and tissue.

Eric Maiorino, MD · Answer

This is a very common dilemma in many patients desiring augmentation after children. A breast augmentation with placement of an implant without any other changes to the breast will only amplify your present anatomy. If you are unhappy with the position of your nipple position then the only way to correct that would be with a breast lift to help re-center the breast mound over your chest wall. This will help give you the breasts you are looking for. Hope this helps!

Darryl J. Blinski, MD · Answer

Thanks for posted photos. I recommend High Profile 450-500cc ranges, no lifting otr N/A repositioning. Best to virtual consult with... Fees from $5,000-$8,000.

Jeffrey C. Hamm, MD - Account Suspended · Answer

Hi and welcome to our forum!
From your photo, I note that your breasts are relatively symmetric, relatively small, the distance from the top of your breast bone to nipples is increased, you have lost superior breast pole volume, and you demonstrate minimal sag. I cannot comment upon nipple placement as they are obscured in the photo. 
A breast augmentation will provide larger breasts of the same shape, while a lift will elevate the nipple areolar complexes into anatomic position, remove excess skin, fill out the superior breast poles, and conify the shape of the breasts. 
You will want an implant with the same base diameter as your breast diameter...too narrow, no cleavage...too wide, exaggerated cleavage and "lateral boob". The choice of size is up to you. Some practices utilize computer simulation to estimate an appropriate size. Some will have you "try on" different implant sizers. One can pour different amounts of rice from a measuring cup into a baggie and trying it on for size. 
Visit a board certified plastic surgeon for evaluation and discussion. Your surgeon will guide you through the process.
Best wishes...

475cc, ultra high profile - do I need a lift or nipple repositioning? (Photos)

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