Are desired results even possible? (Photo)

Question

I am a 34 very athletic female and over time my breasts have developed severe drooping. I would like to have a lift with implants but I am concerned my desired results are not possible. I have included a picture of me currently and two of my desired breasts. Are the results I’m looking for even possible or will I only be able to experience an improvement?

Carlos Mata, MD, MBA, FACS · Answer

Thank you for your question. Based on your needs, a breast lift with implants would be the best option for you. The breast lift repositions the nipple and eliminates excess skin to fix sagging, while breast implants will add volume and shape. A breast lift with implants can make your breasts rounder, fuller, and less droopy. To ensure the best possible outcome, you should schedule a consultation with a surgeon to discuss the best surgical option for your objectives, the expected outcomes, and the recovery process.

Thomas A. Mustoe, MD, FACS · Answer

Yes that shape is entirely possible with a breast lift and appropriate size implant. You will have some relaxation of the tissues postoperative so to achieve  that level of perkiness you may require a secondary lift ( ie 2 step procedure to get a Secondary correction of residual slack that will inevitably occur after the first procedure.  However I think you are an excellent candidate. The implants should be below the muscle with very precise pocket creation and a partial dual plane approach but leaving some pectoral is muscle intact to support the implant.

Finny George, MD · Answer

Hi, thank you for sharing your question. You are a good candidate for a breast augmentation with a lift. This combination will help you achieve your results. An in-person evaluation would be ideal to determine the type of lift and size of implants needed.

Matthew S. Kilgo, MD · Answer

Hello. In terms of breast size and implant position I do think the photographs you provided demonstrate reasonable goals. Some aspects would be more difficult to achieve. including the degree of cleavage apparent in the middle photograph. The distance between your breasts is wider and any attempt to narrow this may be problematic. However, with the increase in breast volume provided by implants, you would have better cleavage in clothing. Also, your nipple areolar complexes are fairly lateralized. This can be corrected to some degree with a lift but perhaps not to the position in the desired photograph. Vectra 3D imaging would be very helpful for you see what a reasonable post operative result may look like. I hope this helps.

Gianfranco Frojo, MD · Answer

You will need an implant and a lift in order to get anywhere close to the desired result you are seeking. The extra skin and laxity of the breast must be properly addressed to achieve a stable long term result.

Daniel Barrett, MD · Answer

Dear Fitish35,
based on your photo, it looks like you would benefit from breast lift. My preferred lift is a lollipop lift when a periareolar won't do (ie greater than 2cm lift required). The lollipop technique was created by a Canadian plastic surgeon named Elizabeth Hall-Findley and treats the breast as a three dimensional structure instead of two dimensions (anchor - lift). Most importantly it does not require the horizontal component scars that the anchor-lift requires and breasts appear much more natural, lifted, and less boxy. Lastly, the lift lasts longer because the lollipop doesn't rely on the skin to hold the breast up, its actually breast tissue thats being brought together to support the breast and hence improves longevity. 
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Maryam Zamani (Saheb-Al-Zamani), MD · Answer

Breast augmentation with implant and lift can help you achieve the fullness and lift that you are looking for. Given the size and quality of your skin, an "internal bra" such as the Galaflex scaffold may be recommended to help support the weight and position of the implants and give longevity to your results.   I recommend you see a board-certified plastic surgeon in consultation who can help you select implants that fit your body and chest measurements while striving for the ideal shape and size you have in mind.
Best,
Dr. Zamani

Gary M. Horndeski, MD · Answer

The technique I recommend is 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 or small implants can be placed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

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 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 is right for them. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Gerald Minniti, MD, FACS · Answer

You can get results similar to this when you combine implants and a breast lift. This will reposition the nipple and remove excess skin.

Are desired results even possible? (Photo)

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