Should I get a breast lift only on my right side? (Photo)

Question

I am going to get breast augmentation next month.. When I went for my consultation, the doctor said I needed a breast lift only on my right breast. Is it necessary though? .. Because then I will have 2 different shades of nipples due to the scarring. If I just get the implants will it be okay? Or will my right side sag even more?

John Michael Thomassen, MD · Answer

Breast augmentations sometimes magnify small asymmetries so it could be your R breast will be more ptotic than the left if you do not correct this.  A small crescentic excision of skin above the areola should be enough to improve this asymmetry with minimal scarring.

Steven Goldman, MD · Answer

It can be frustrating if different surgeons recommend different options, but generally if you understand why one option may be better or worse in your individual case, this can help you determine which option is best for you.   Implants do not truly lift the breast, but you will get some elevation of the nipple in most cases. In this case that may be enough to make your asymmetry a little bit less noticeable, although iimplants alone will not completely eliminate the asymmetry.  Therefore, depending on your goals, you may be able to consider having an augmentation alone. This is something that would have to be determined through a thorough consultation.Also note that based on your picture, you will likely need a larger implant on the right. This may mean you should consider silicone implants, which show asymmetry less noticeably than saline.Good luck. Don't be afraid to seek more information before you make a final decision.

Martin Jugenburg, MD · Answer

Yes, you are correct this may imporve your over all look. Consult with a board certified plastic surgeon to discuss your concerns. Regards,

Rodger Shortt, FRCSC · Answer

When I see your photo (which is not the same as a consultation) I agree it is possible, and even probable, that you need a lift.  But it is not a guarantee.  It depends on several things: the size of the implant, the shape of the implant, your preferences (scar versus a bit of asymmetry).  If you were my patient I would have a long conversation about all that and see where your opinion lies.  I would probably suggest doing the augmentation then converting to a lift as well if needed. If not required then I wouldn't.  I think that it is a game time decision.  However, your surgeon can only make the right choice for you if they have taken the time to get to know you and your goals.Dr Rodger ShorttOakville Plastic SurgeonDirector of Cosmetic Surgery Training Program &Assistant Clinical Professor,McMaster University

Harry T. Haramis, MD, FACS · Answer

All breasts are different right to left before and after any procedures. Without clothing, there will always be some differences. The goal is for more symmetry and a lift on the longer right side will help.  The left does not appear to require a lift.During implant surgery, the right side will be lifted to better match the left. If you just get implants, the right will remain very different. In that case, you could always go back for a lift at a second procedure.An exam and consultation with a plastic surgeon who performs these procedures is recommended to discuss your options and expectations.

Tania Medina de Garcia, MD · Answer

Hello dear, thanks for your question and
provided information as well..
The breasts may lose their elasticity and firmness which can be caused by
different factors such as pregnancy, massive weight loss, lactation and aging.
To reaffirm the breasts and restore the natural look your surgeon can perform a
mastopexy or breast lift. A breast lift restores a firmer,
perkier, and more aesthetically pleasing shape to sagging breasts. This not
only can improve a patient’s appearance by restoring her youthful,
feminine proportions, but  also help bras and swimsuits fit more
comfortably and attractively. By removing excess, stretched out skin, reshaping
the breast tissue, and raising the nipple & areola into a more forward
position, a cosmetic surgeon can create a more youthful breast
contour. Stretched, large areolae can also be reduced during breast
lift surgery, creating an overall better proportioned, natural looking breast, Actually
the perkiness on a person or another, depends on patients skin and breast
tissue, hugs!

Robert S. Houser, DO · Answer

If you don't lift it, you'll be asymmetric in a tee-shirt with no bra.  If you do lift it, you'll be asymmetric out of your clothing.  Which is more important to you?  I will often start with the implants and let everything shake out for 3 or 4 months.  If you love it, great.  If not, it's simple to go back and do a little lift.  Once that scar is on you, it can never be removed -- no matter how good it is. I hope this helps!

J. Garrett Harper, MD · Answer

The footprint to that breast might just be lower then the other and in that case, your nipples don't need to be at the exact same distance from your sternal notch.  If your fold is lower on that side but your nipples are at the same height, adding an implant will give you more tissue in your lower pole on the side that has the lower fold.  That area of the breast is aesthetically extremely important and any mismatch in that distance between breasts can make you look even more asymmetric.  It also depends on what implants you choose and what your goal shape and size is.  Measurements and an examination are critical in providing you the best course of action.  I can't just knee-jerk reaction tell you that you need a lift on that side.  Hope that helps.-JGH

John Zavell, MD, FACS · Answer

It is not uncommon for one breast to hang lower than the other.  In your case, you should plan on having the breast lift on the right breast along with the augmentation.  Areolar scars can fade and blend in with the areolar-skin interface and look natural, so don't worry about the scar.  You want the best look.

Kenneth R. Francis, MD, FACS · Answer

Dear Bonitamujer,You will definitely require a lift on the one breast, along with a breast implant.  Your left breast does not appear as though it needs a lift.  Good luck!

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