Looking to educate self on reasons breast lift is needed? (Photos)
Doctor Answers 15
Thank you for your story, questions and photos.
Its refreshing to hear someone that wants to understand why a breast lift (mastopexy) is needed.
Nothing substitutes for a personal evaluation and a face to face discussion of your options.
Unfortunately without a examination I can advise you in general terms, however I hope you will find them helpful.
Based solely on your photos your most likely will need a mastopexy (lift) and enhancement with a breast implant.
The more "natural look" you want is less likely based on the style of the implant then on the surgical technique of implant placement and lift.
1) the reason your breast sags is that the "skin covering" is proportional larger than the breast tissue.
2) the majority of your breast tissue is below where the breast mound should anatomically be located.
3)if you refill the volume only(breast implant)... the nipple areolar complex (NAC) will tend to rotate over the top of the implant like a waterfall resulting in a full breast mound but unfortunately a downward rotation and location of the NAC.
4)the only method known to create a aesthestically acceptable breast will require trading
incisions/scars on the breast for a pleasing contour and relocating the NAC.
5)depending on your desires (shape and size) the scar may vary from:
A) just around the nipple (doughnut)
B) to a added vertical incision (lollipop)
C) to include a horizontal incsion in the breast crease (anchor).
6)while breast incisions/scars are required....there are ways to modulate/improve the
appearance of the scarring process.
7) you could always start with a augmentation only and if you like the appearance= great
if you want a more sculpted breast with a higher NAC then you could undergo a lift (often just under local anesthesia).
8) select 3 nude model photos of breast you consider your goal breasts and bring with you to your consultation.
Please make a appt. with several experienced Plastic Surgeons who are Certified by the American Board of Plastic Surgery and ideally a members of the American Society for Aesthetic Plastic Surgery (denoting by membership as having met additional criteria and a focus on Cosmetic Plastic Surgery).
My best wishes,
R. A. Hardesty, MD, FACS
Diplomate and Certified by the Am. Bd. of Plastic Surgery
4646 Brockton Ave
Riverside, Ca 92506
Positive Benefits of a Breast Lift
I prefer to use a #shortscar technique, #LollipopScar or #DonutLift” rather than the majority of surgeons in the United States that use an anchor pattern lift which involve more significant scarring. There are also many things to consider with the various options of procedures and the results that can be accomplished.
The procedures include the Lollipop lift (vertical lift), donut (periareola) lift, Benelli lift, crescent lift, and anchor lift (inverted T ). Most commonly, we prefer the lollipop or donut lift because of the shape, small scars and easier healing. Although the “anchor-shape” or inverted “T” incision is still more popular in the United States, it represents an older technique with extensive scarring and a less optimal result in many cases.
The Benelli lift as performed by most surgeons is just the donut lift, removing a donut shaped piece of areola and skin then using a #Pursestring or double purse-string suture to tighten the skin. The insertion of an implant as well, may be advisable to restore superior fullness, which is lost with aging and after pregnancy despite the rest of the breast being overly large. Fat grafting can be used instead of implants to improve the contours of the breast. This is the #NaturalBreastLIft or #CaliforniaBreastLift
Do you need a lift?? Or do you just have an opinionated jealous friend?
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Breast lift - necessary or not
- It isn't clear to me that you need a breast lift.
- With your arms at your sides, your nipples and breasts appear to be well placed.
- Some photos suggest you might be borderline (maybe a lift, maybe not)
- But it doesn't look like a 'must' to me, given your photos.
Always see a Board Certified Plastic Surgeon.
Best wishes - Elizabeth Morgan MD PHD FACS
Best of luck!
Breast lift and implants
Thank you for your question, I can see that you are a young women and you has had a thoracic surgery, it is important to consider if you want to do a surgery. I recommended you a breast lift, but it depend also if you want augmentation or if you want just the same breast size. Exist very kind of surgerys to do that, it depends what do you want with this.
I suggested you go with a Certificate Plastic Surgeon who will answer all your questions.
Be cautious with breast surgery
Need for Mastopexy (Lift)
Looking to educate self on reasons breast lift is needed?
Based on your photos, you are correct to say that your nipple is in fairly good position. However, a good portion of your breast tissue is under this level - this is called pseudoptosis, unlike ptosis where the nipple is pointing south. I generally don't like the term "breast lift" b/c it implies only lifting the nipple or breast. I prefer to say mastopexy, b/c it is really a procedure which re-shapes your breasts by tightening your breasts creating a rounder perkier appearance, adjusting the size of the areola, improving symmetry and the option of raising the nipple position. Breast implants would give you more upper pole fullness and improve cleavage; a limited mastopexy may be required to address the extent of your pseudoptosis. Be sure to consult with an experienced board certified plastic surgeon. Good luck!
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.