I'm a 36D-DD and I would like to get a breast lift but not sure if I should have implants too. What are your thoughts? (Photo)

Usually if a woman wears a size 36 AB bra and would like to be a C cup, which is the average size that women wear and the average size bra that is sold, she needs a volume of approximately 350 to 390 cc to make that change. This becomes less if she's wearing a 34 bra, because it has a smaller strap size and the cups have a smaller diameter. A smaller diameter implant would then be a volume of approximately 300 to 350 cc. In the same way if she was more petite, maybe a double zero or size one and wore a 32 AB bra, then to become a 32C cup she would only require about 250 to 300 cc. This is a general number, and of course there are other factors that will affect this. Other factors which contribute to the outcome are size, shape, and profile. The #profile is determined by the amount of #projection versus roundness that the you desire, as well as the #size of the implant and size of your chest. Also, the placement or incision location will also have an effect on profile. However, #BreastImplants without a #BreastLift is usually said to be mistake by many patients who reflect back on the decision. Most breasts will look larger and more droopy with solely implants. They will sag more and sooner, due to the sudden and excess weight. At times it's possible for a “Snoopy” breast or double bubble to develop as a result. Additionally, an implant with lift may be useful to re-position the nipples which may have been affected by ptosis or drooping. One of the primary intentions of a Breast Lift (#Mastopexy) is to improve the shape and position of the breast without reducing their size. It is used especially for breasts which sag or droop (#ptosis).Talk to your surgeon at greater length and be sure to view before and after pictures and reviews beforehand to gain more reassurance of the procedure.

Dear Ms. Hope69,Thank you for your photos and your questions. Nothing substitutes for a personal evaluation and a face to face discussion of your options.Breast size is a very personal choice.Unfortunately without a examination I can advise you in general terms, however I hope you will find them helpful.My responses:1) if you would like volume increase you need a breast augmentation and mastopexy.2) if you just do a Lift: it will reduce and lift the size of the nipple areolar complex (NEC) and shape the breast by skin reduction.3) a lift alone, often, will not give the upper pole fulness you desire.4)the reason to add a small argumentation is for upper pole fullness and roundness that can rarely be achieved by Mastopexy alone.5)on occasion I will perform a reduction, a lift and place a small breast implant for upper pole fulness to obtain the breast size and desired appearance.Please:1) collect several nude model photos of your desired breast appearance.2) make a appt. with Plastic Surgeon, who has experience in performing both Aug./Mastopexy/Reduction at the same operative event and who is Certified by the American Board of Plastic Surgery and ideally a member 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 and success,R. A. Hardesty, MD, FACSDiplomate and Certified by the Am. Bd. of Plastic Surgerywwwimagineplasticsurgery.com4646 Brockton AveRiverside, Ca 92506(951) 686-7600

Hello! Thank you for your question! The mastopexy procedure raises the breast, which ultimately provides a more youthful and perky breasts. This is done by removing the extra loose skin and rearranging the surrounding breast tissue in order to reshape and support the newly formed breast. At the same time, the nipple-areolar complex (NAC) is raised to the ideal position above the fold beneath your breast (the inframammary fold) as well as being placed at the most projecting portion. Oftentimes with age or following pregnancy, the NAC becomes widened and enlarged. This may be reduced in size during the breast lift procedure. It is common for the breast to lose its firmness and uplifted appearance over time, which is also accentuated with age, pregnancy/breast feeding, weight gain/loss, and gravity. This results in breast ptosis, or sagging of the breast, with a “deflated” appearance. Women seek the mastopexy procedure to regain the previous youthful appearance of her breasts and women report increased confidence, self-esteem, and femininity once achieving this desired shape and fullness. Breast lifts may or may not be performed with implants – the implant would add increased size but also greater fullness in the upper pole of the breasts which creates more cleavage.  Given the significant drooping of your breast as well as your size, a lift would improve the shape of your breasts and accomplish above.  The addition of an implant would be up to you and would give additional fullness.  But, you could probably achieve great shape with a full mast openly alone.  Hope that this helps!