Is my wish pic achievable? Would you recommend over or under the muscle? (photos)

Question

I've only had one consult. 5'7" 126lbs Dr recs: Mini lift (areola incision) 400CC subfascial NOTE - the elasticity of my skin is high. I can stretch it pretty far. My pre baby/nursing size was about 34 D or DD, photo attached. I also attached a picture of my breasts after nursing one child. (i had 3 more and nursed 6 more years) I was wondering if anyone feels that my wish pic (smiley) is achievable, firstly. Second, would you agree with going OTM versus UTM? if so, why?? Thanks!

Geuris Cruz Quiroz, MD · Answer

Thank you so much for your question. Based on your pictures I will recommends you to have a lift together with the breast implants, a lift can help you with to give you the projection you are looking for, please keep in mind the breast are very different in any woman you can have a look similar but you have your own type of breast. Also, the implants I will recommend under the muscle (UTM), after having multiples patient with similar conditions as you I noticed when implants have been placed under the muscles there is less risk of breast fall due to the weight of the prosthesis that will be supported by the pectoral without weighing on the skin. Both technique are good your surgeon in a physical consultation will determinate was is the best for you. Do not forget to search for a board certified plastic surgeon.

Hope this helps.
Dr. Quiroz

Hope this helps.
Dr. Quiroz

Celal Alioglu, MD · Answer

Hello you need breast implants and lifting because your breasts are swollen to give a shape implants are important.

Ted Eisenberg, DO, FACOS, FAACS · Answer

After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size and style breast implants. They then get to choose what looks right for them. They also get to see what they would look like when the breasts have fully dropped and fluffed and in clothes. You get to see actual results and the surgeon's experience and not a virtual idea of what can be achieved. Women tell me that this process is very helpful in determining what size and style breast implant is right for them. Mildly Sagging Breasts: If your breasts are mildly droopy, a saline or silicone gel implant placed behind the pectoral muscle might help create the illusion of perkiness. That’s because as the implant fills out the top of the breast, it also fills out the bottom, making it look as if the nipple has moved higher. It hasn’t. You can always get a lift later if you feel you are not perky enough when fully settled and healed. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Daniel Barrett, MD · Answer

Dear Hayati7,
determining whether you need simply a breast augmentation versus a breast lift can be somewhat complicated. It depends on a number of factors including skin laxity and current nipple position. Generally speaking, if the nipples are lower than the inframammary line the patient will most likely need a breast lift. If the nipples are at or above the inframammary line we can generally get by with just a breast augmentation depending on the size of the implant the patient wants. I often still using implant when I perform a breast lift because it provides more upper breast fullness after the lift. To be sure a consultation with a board-certified plastic surgeon will help determine what the patient actually needs.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Omar Francisco Jimenez Garcia, MD · Answer

Hello. The answer is Yes! You can have great results after breast augmentation. It's a good idea to carry a photo to the office to show your goals when you have an exam with a board-certified plastic surgeon. Anyway, you must know that the results may differ from one woman to another. In your case, you can get great results with breast augmentation. The best procedure must be a decision after a physical exam. Good luck!

Connie Hiers, MD, FACS · Answer

I would go under the muscle for you to give better upper breast fullness, avoid seeing the edge of the implant and more support to the implant since a lift will be done.

Camille Cash, MD · Answer

Your wish photo should be achievable with a lift and implants.  You may need to consider a different lift than the mini lift which could result in stretched areola tissue.  I encourage you to visit with a few board certified plastic surgeons in your area to listen to varying opinions.

David E. Berman, MD (retired) · Answer

i would definitely go UNDER the muscle for 4 reasons especially for you since you are thin will small breasts that do not have much volume:

1) feels more natural - since more layers between your implants and the outside world
2) you will get better mammograms - since it is pushing your breast tissue farther forward
3) more natural shape since the pec muscle gives a softer more natural look
4) less likely to develop hardness and capsule formation.

I also do not think you will need a breast lift once you put in the 400 cc since i think they will take up your loose skin and they will lift up your nipples. the plastic surgeon can make the final decision, once he sits you up after putting the implants in place.

sincerely
david berman md, frcsc

Is my wish pic achievable? Would you recommend over or under the muscle? (photos)

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