Any suggestions on implant material, size, shape or profile for me? Should I include a lift? (Photo)

Thank you for your pictures and questions. No doubt that you should concentrate on a lift as your primary concern. And I would recommend you consider staging your procedure with a lift first and then consider implants later as a second stage if desired. First concentrate on shaping the breasts, correcting asymmetry, and fixing drooping. Then 3-6 months later, once everything is healed and settled, you can then size yourself for an implant. This is the best way to get the most predictable and consistent results in patients who need an aggressive lift and an implant. There may be surgeons out there who would suggest doing it together and it is certainly an option, but even those surgeons should be willing to admit that a combination procedure in a case such as yours carries a higher risk of complications and poor outcomes.
Hope this helps!
Dallas Buchanan, MD
VIVIFY plastic surgery
Tampa, FL

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

Hi, thank you for sharing your question. You are a good candidate for breast augmentation but will likely benefit from a lift as well. An in person evaluation will be needed to determine the specifics of the implant selected. I hope this helps.

Your breasts are asymmetrical in volume, shape and position. The technique I recommend is a lift using 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. At the same time, the larger breast can be reduced to match the smaller one or the smaller breast can undergo fat transfers or a small implant to match the larger one.

Best Wishes,

Gary Horndeski, M.D.

Based on these photos you will need a breast lift and small reduction on larger side, to make breasts equal before augmentation with implants. In person consultation with a board certified plastic surgeon with good reputation in breast surgery, to discuss size and lift options, is recommended. Good luck.

I think you are going to need a lift of mastopexy with an implant. I personally think you have enough breast tissue and thick enough skin that you will not see much difference in saline vs silicone. I have been practicing for 25 years. The longer I do this-the more inclined I am to do saline. They are less expensive and easier to deal with when they leak. Good luck, Jane

Dear Resourceful877387,
breast implant type and sizing selection is a complicated process and requires a detailed consultation that includes a discussion of your goals, a detailed examination, and a lengthy discussion. But the decision will always start and end with the patient. When it comes to sizing, we have all of our patients find 3 photos of their desired breast size. We ask for naked breast photos because clothing can obscure the true size (push up bras). Next, we consult with patients and go over the photos and take detailed breast measurements during a physical exam. Next, we using a sizing algorithm to determine a range of implants that will work based on the exam and the measurements.Lastly, during the operation, we use silicone sizers in the operating room to see how the size actually looks in the breast. We sit the patient up in the operating room, while asleep of course, and compare the sizer result with their desired look photos. If it is too small, we start the process over with a slightly larger implant. We don't stop until we get the perfect match.Of all of my breast augmentation patients, every one of them has been happy with their size due to this detailed and meticulous process. You don't want to invest time and money into a result that is either too big or too small.You should discuss your concerns with a board-certified plastic surgeon and make sure that your surgeon understands your goals.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Thank you for sharing your question and photographs. I do think you would benefit from a lift to help reposition your natural breast tissue higher onto your selected implant. As for which implant this will depend on your goal outcome and is best decided upon by an in-person consultation with your surgeon. Hope this helps.

Your have your heart set on implants,I would recommend a subglandular smooth round silicone gel implant in you. I would also recommend performing a lift procedure at the same time.In fact I would probably recommend first used to have an auto augmentation procedure where your breast is lifted and extra tissue that you have is moved to a different portion in your breasts which can give you an augmented look without an actual implant. This can be done and you can be allowed to heal, and then if he still wanted to implant this would be an easy surgery to perform down the road

Good afternoon Resourceful877387, We typically recommend Allergan's Natrelle silicone gummy implants to our patients here in Tampa, Fl. This implant is very customizable and we can almost achieve the patients desired look because of the diversity of options this specific implant line offers. We would recommend you visit a board certified plastic surgeon that offers complimentary in-office sizing so you can determine the shape, size, and profile YOU want. During your consultation the surgeon would be able to determine if a lift is necessary to obtain your desired result. Wishing you health and happiness in your journey! Sincerely, Dr. Eric Khairalla and the team at bŏdze