I Want Big Perky Boobs is It Possible with my Breast Type? (photo)

Thank you for the photos. Your breasts appear to be quite full in the bottom part, which is a very natural look for 38D. The breasts of the woman in the photo appear to be mainly composed of implants. She probably doesn't have much of her own breast tissue, unlike you, and that's why her breasts are so round on top. You could maybe get this same look if you chose large enough implants that are reasonably high profile, and have them placed in a submammary location (under the breast itself), where they will appear more round.  There is a round, more cohesive implant available from Allergan, but unfortunately I don't think they are available in the US currently. Check with your plastic surgeon whether Allergan Inspira Truform 2 (Soft-Touch Gel) is available to you. Good luck!

Hello- great question. I agree with quite a few other surgeons- implants over the muscle would achieve the result you are after, though in fact will look better than the ones in the other photo. Don't forget the hidden power of push-up bras.... no doubt in full use in the comparison photo you provided!

Thank you for your question and photos.

Unfortunately, if you were to have implants (below or above the muscle), you will never have the result you desire for very long. The problem with the type of lift you had, which is more than 50yrs old, is that a vertical incision was made. A vertical scar where most of your breast tissue sits, will inevitably stretch and give way to the 'bottoming-out' phenomenon. Adding an implant will only make things worse for you in the long run, requiring 'maintenance' revisions to re-lift your breasts. Save yourself from further disappointment.

You may want to take a look at the breast reduction/ lift with implant blogs or questions. You will see that many women end up removing the implants altogether. It's unfortunate to see that many surgeons are still advocating implants to women with anchor/vertical lifts.

Kind regards,

Dr. H

Thank you for your question.  Breast implants would improve your upper pole fullness. You do have some "bottoming out" of your breast tissue. A combination of a lift and augmentation would help to improve your breast shape.  The result will not be similar to the photo because the patient in the photo did not have much breast tissue.  Most of her breasts are composed of the implants.  Seek consultation from a Plastic Surgeon. All the best.

         You could definitely have an implant placed to help with the superior pole fullness that would make you look similar to the goal pic.  Find a plastic surgeon with ELITE credentials who performs hundreds of breast augmentations and breast lifts each year.  Then look at the plastic surgeon's website before and after photo galleries to get a sense of who can deliver the results.  Kenneth Hughes, MD Los Angeles, CA

Hi there,

You have a beautiful result from your surgery, congratulations to your surgeon. All you need now is some subglandular implants to give you the upper pole fullness you desire.  Easy!  Go visit your excellent surgeon and have the discussion.

All the very best.

Thank you for your photo.  I commend your surgeon on giving you a pleasing result following a breast reduction/lift.  I do not believe that the look that you wish to achieve (picture on the right) is realistic considering the difference between your body and that of the woman in the photo.  You already have significant volume in the lower pole of your breasts, so adding further volume to increase the upper pole would require a large implant.  This would be a temporary fix and very soon after that, you would experience significant ptosis of the lower pole.    The weight of your breasts following augmentation with gravity would stretch the scar, gland and soft tissue.  There is a significant risk that you would then face revisional surgeries in the future.   I would advise you to discuss this further with your plastic surgeon.  Best of luck!

It would be difficult to achieve the results of the photo you posted with your current status.  If you placed your implants intentionally high, your nipples would be ptotic and the look would be quite odd when undressed.  If you just wanted to be larger and fuller, an augmentation could do wonders for your current status.  Please evaluate your motivations for that face look and if it isn't strong, go with just an augmentation.  As for over or under the muscle, I prefer under due to the many advantages but you should make that decision after discussing it with your chosen surgeon.

Congratulations on having undergone the breast reduction procedure. I think that your goals are realistic. The "full, round look” is probably best achieved with saline breast implants.  Careful pocket dissection and judicious selection of breast implant/volume will be important.  Of course, careful communication will also be key. You may find the attached link helpful as you do your “homework”.

 Best wishes.

First of all, this looks like a nice breast reduction outcome. 

I don't think the overall look of the goal photo is attainable--this woman's frame is considerably smaller than yours. 

But it can be approached. An in person consult would be needed to make a plan, but that plan would probably include excising some lower pole skin using the breast fold incision that is already present, and by placing implants that would be rather sizable, perhaps undoing the breast reduction's benefits to some extent. 

Discuss with your surgeon. All the best.