What Is the Biggest Anatomical Limitation in My Case - Can I Achieve Upper-Pole Fullness Without a Lift? (Photos)

Question

Looking at my anatomy, what is the biggest factor that will determine whether I can achieve noticeable upper-pole and inner-pole fullness with augmentation alone? Are there any anatomical limitations that would make that goal difficult? My consult advised me I would achieve a very full but natural look with good inner/upper pole using a plan of UTM, wirh Mentor Boosts 400-500cc and felt very confident that I would not need a lift - but I can’t help but worry I’ll end up with no cleavage and bottom heavy result. Additional opinions would be greatly appreciated!

Donovan Rosas, MD · Answer

Choosing an implant size/style is an important decision which is best made in concert with your surgeon. Ultimately, options are based on a number of factors including:
-Chest dimensions: This point is crucial as the width of your breasts defines the available "real estate" on which the foundation of your augmentation is built. This "foot print" is the absolute limit with which you are dealing.  Too "large" is not so much the risk as too "wide." You cannot build a 3 acre mansion on a half acre plot. An implant which is too wide (exceeding the available space on your chest) will generally over hang laterally making it more noticeable and occasionally contributing to discomfort and nerve symptoms (numbness or tingling). This will also contribute to a more unnatural look.
-Tissue quality: This relates to size in the sense that the implant will be suspended by your tissue. Too large an implant may place took large a stress on these suspending tissues leading to healing problems in the short term and bottoming out in the long term.
-Patient desire (what is the look you are hoping to achieve?)
My role as a surgeon is to manage expectations and guide you towards a prudent choice which can satisfy these reasonable goals. Often times, a surgeon can guide a patient toward a size/cc range and patients will make determinations on implant style/profile. Patient seeking more or less projection, or seeking a more pronounced or subtle upper pole volume increase can be guided toward an implant which will help them best achieve their goals. Additionally, technique variations (sub muscular vs. sub glandular) can also aid in obtaining the look you desire.  
There are a number of tools available to help guide patient/surgeon decision making including sizers, 3D imaging and goal photos. Each modality can help better communicate your goals to your surgeon and vice versa.
Based upon your photos, a lift is unnecessary. Your implant choices sound reasonable but without measurements it is difficult to offer more specific advice.
Ultimately, it is important to not marry oneself to a particular "cc" as oppose to a particular "look." Communication is key as you and your surgeon create your custom surgical plan. 
As always, discuss your concerns with a board certified plastic surgeon (ABPS).

What Is the Biggest Anatomical Limitation in My Case - Can I Achieve Upper-Pole Fullness Without a Lift? (Photos)

Answers (1)

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