Considering breast augmentation with or without lift. Which type of lift would be best for me with implants, if any? (Photo)

Question

Recently I’ve been wanting to add a little volume back into my breasts. I have noticed that the top has lost fullness due to slight weight fluctuations over time. According to Victoria’s Secret sizing I have been a 32C though a little deflated now. I was about 15 lbs heavier in college and closer to a D. I would like to have a higher rounder appearance to my breasts and tend to love the look of round implants in 300cc range. I’ve been told a lift + implants may be what I need but unsure which?

John Michael Thomassen, MD · Answer

A vertical lift with implants in the 250-300 cc range would be perfect for you.  With a lift you cannot be as aggressive with implant size due to risk of excess skin tension.

Finny George, MD · Answer

Hi, thank you for sharing your question. You are a good candidate for a circumvertical lift and breast augmentation. Based on these pictures alone it is hard to tell whether you definitely need a lift but, preliminary, this is what I would recommend.

Andrea Marando, MD · Answer

Thank you for your question and for the photographs. There are many different techniques to uplift and reshape breast and placement of the implants. The best way to be able to advise you adequately would be to examine you and assess quality of the skin, amount of prestige and distance between the nipple and the breast crease etc.

Based on what I can see,  my suggestion (which would have to be confirmed in consultation) would be to perform breast lift /mastopexy with the anchor scar which would provide more stability of the cosmetic result in more control in reshaping and re-tightening the skin,  potentially combined with a minor reduction of your own breast tissue  and positioning of the implant behind the pectoralis major muscle. However as mentioned, it will also depend on the experience of the surgeons he will select and what he/she will believe would be the most appropriate technique in your specific case to achieve the best cosmetic result.

All the best with your procedure.

Andrea Marando
Plastic and Cosmetic Surgeon
Manchester and London, UK

Alexandrish Karvendrish Rodríguez Tavárez, MD · Answer

Hello! Thank you for sharing your doubts with us. In your case, it is advisable to perform a breast lift with high profile implants to give you more projection, with a lollipop scar (include cutting around the areola, and then downward to the base of the breast in a straight line).

Gary M. Horndeski, MD · Answer

The technique I recommend is 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. Later, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Gerald Minniti, MD, FACS · Answer

If the answer is yes, then you need a full inverted T mastopexy (along with a breast implant). Don't let anyone tell you a donut/Benelli/circumareolar lift; you will not achieve a beautiful breast shape with that mini-lift. Weight fluctuations have likely made your skin more loosely elastic and your nipple is at or below your inframammary fold. Therefore, more skin needs to be removed.

Daniel Barrett, MD · Answer

Dear Lilgirl11,my preferred lift is a lollipop lift when a periareolar won't do (ie greater than 2cm lift required). The lollipop technique was created by a Canadian plastic surgeon named Elizabeth Hall-Findley and treats the breast as a three dimensional structure instead of two dimensions (anchor - lift). Most importantly it does not require the horizontal component scars that the anchor-lift requires and breasts appear much more natural, lifted, and less boxy. Lastly, the lift lasts longer because the lollipop doesn't rely on the skin to hold the breast up, its actually breast tissue thats being brought together to support the breast and hence improves longevity. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Connie Hiers, MD, FACS · Answer

Measurements are needed to be sure, but you may need the vertical lift. During your consultation, you can discuss your options for the lift and try on sizes.

Darryl J. Blinski, MD · Answer

Agrre with full lift with smaller implants like 200 to 250 cc high Profile implants (saline might be better?). Fee $8,500 ranges. Please virtual consult

Buenaventura Sanchez Figureo, MD Account Suspended · Answer

you can get an increase with 360cc implants if you are looking for a natural and harmonious appearance you will look spectacular!

Considering breast augmentation with or without lift. Which type of lift would be best for me with implants, if any? (Photo)

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