Will I need a Breast lift? Or will implants alone help the sagging?

Question

My surgeon suggested 295cc under muscel ultra high profile implants . My skin is really thin and they are sagging a bit. I was a B before pregnacy then up to a DD. After then after Breast feeding they completely deflated . Do I need a Breast lift and implants? Or will implants alone help perk them up a bit? One breast has sagged more then the other will this even out with out a breast lift ? Also what implants size and type do you suggest? Will I be able to achieve the look I want (see photo)?

Kenneth Hughes, MD · Answer

Breast augmentation alone may be reasonable based upon the pictures.Kenneth Hughes, MDBeverly Hills, CA

Ted Eisenberg, DO, FACOS, FAACS · Answer

I believe that you could get a good
result with an implant alone. Oftentimes, an augmentation can give the illusion
of a lift and more symmetry. Remember, your breasts are sisters, not twins. After you have more volume, it's often about the clothes you wear to achieve the look you want. In clothes, they'll look like sisters from the same family.After a minimum of 9 months, when the implant has
settled, you'll have a better idea whether or not you think your breasts are
perky enough. Before getting any surgery, you should wait at last 6 months after
you've finished breast feeding to allow your breasts to reach their final
post-pregnancy shape and size. For more information on this and similar topics, I
recommend a plastic surgery Q&A book like "The Scoop On Breasts: A
Plastic Surgeon Busts the Myths."

Richard Baxter, MD · Answer

Without knowing specific measurements it is not possible to offer much specific advice, but if you don't pass the "pencil test" then it is possible that implants alone or with a minimal lift such as a Benelli would work. The implants need to be large enough to fill up the skin envelope. I am not sure that 295 cc would be enough to give you the look in the wish pic, which is pretty fake looking.

Amy Simon, MD, FACS · Answer

The decision to pursue a breast lift along with
augmentation will vary greatly depending on each person’s individual anatomy,
preferences, priorities and goals.  I would recommend you discuss this
with your surgeon in detail.  Your surgeon will have a greater chance of
achieving closer symmetry if a lift is pursued along with the augmentation,
especially if you are starting from a situation where things are slightly
asymmetric.  That being said, keep in mind that, “Breasts are sisters, not
twins,” and they will never look exactly the same before or after surgery,
because even after surgery, the final result is dependent upon how your body
heals and how your skin, breast tissue, and anatomy gives with time and
age.  In addition, rather than trying to achieve the result achieved by someone
else in a photo, for example, a friend or a model that is found on line, I
would concentrate instead on appreciating whatever improvement can be made on
your individual anatomy as matching a photo is generally not very
realistic.  Hopefully this is helpful to you.  Best of luck!

Sean Kelishadi, MD · Answer

Hello and thanks for your question.  You will probably have a great result with breast augmentation alone, but hard to say for sure without an in-person examination and/or side profile views of your breasts.  Everyone has some degree of breast asymmetry, and whether or not you choose to have a lift may also be affected by your expectations and goals.  I hope this helps to answer your question.

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