I had a BA/BL one week ago and they are not lifted, bigger or perky. What do you Doctors suggest I do next?
Doctor Answers 5
Breasts not lifted, bigger or perky after breast lift plus implants.
Let's be clear; it's evident you were excited about surgery before, and you wisely decided to not go to the budget-surgery center. You worried about scarring with a full lift, but had the exact same scars with a previous breast reduction, so hopefully your surgeon advised you this was an incorrect concern. Then it became a cost issue, trying to achieve a "real" lift with only a crescent incision. I have to say that I personally believe you had a periareolar incision breast augmentation and that any skin removed amounted to a tiny sliver of skin that would have not "lifted" your breasts by more than a millimeter or two. (So just how much did you pay for the"lift" portion of your procedure?) So I agree you didn't get lifted at all, but did you really expect to with only a tiny sliver of skin removed above your areolas?
Secondly, you DID get 400cc implants, so your breasts are bigger. But in a 5'2" or 5'3" woman who weighs nearly 200 pounds, and still has the loose breast skin after pregnancy and breast feeding, this is indeed a "minimal" augmentation. Nicely done, and at $6100, the right price for a breast augmentation, but hardly a breast lift or substantial increase in size proportionate to your present frame.
It sounds as if you want high, round, Baywatch-type breasts, which may not be possible with breast skin that has been stretched several times (before your initial breast reduction, and with your pregnancies and breast-feeding). You can certainly achieve more skin tightening with a full Wise (anchor) breast lift (same scars as with your reduction), which will make your breasts higher and tighter, at least for a while until the stretched skin again softens and re-stretches. Higher and tighter also makes it difficult to enlarge your breasts very much more with larger implants, so there is this additional limiting factor. Bigger implants will make you bigger, but in the same skin brassiere, you will still have teardrop-shaped breasts, just somewhat larger Having both bigger, and higher and tighter, may not be possible at the same time without significantly increasing your risk or wound breakdown, severe scarring, or exposure of your implant(s).
So, there is always a "judgement call" with regards to safety and "tolerable risk" of complications. I don't think what you are asking for is unreasonable, but clearly your surgeon placated your concern about scarring by selling you on the idea that a crescent lift is really a lift, and then didn't do a very good job of determining what size increase you felt was desired. Perhaps your surgeon really felt that 400cc was all you wanted or all that was safe. Somehow I doubt that. He took the "safe and easy" route and hoped you would be happy.
The only problem now is for you to decide if that is your surgeon's or your fault. Or a bit of both. With renewed realistic expectations, you obviously need to decide if you want to pay a different surgeon the full price for doing what he or she can do to achieve closer to your goals. And, you need to have a detailed discussion about what can and cannot realistically be achieved. Of course, there is always capsular contracture, which no one TRIES to achieve, but which will give the high, round look you ask about (but at the often-forgotten "cost" of hard and painful breasts). This look is unfortunately not always the result of a good push-up bra, but a tight, thick internal capsule scar around your implant(s). Not really what you want.
For high perky breasts with upper pole fullness you need both a repeat full breast lift, and as large of implants as you and your surgeon feel is safe. Discuss in detail just how high, just how perky, and just how much bigger you want vs what can be achieved. Maybe even in two stages for improved safety and perhaps bigger implants. I hope this helps! Best wishes for the New Year! Dr. Tholen