Any combination of procedures can be used in the mommy makeover, and likely an in-person consultation would best determine which breast procedure to use. The mommy makeover is a combination of
procedures to bring a woman’s body back to the way she looked prior to
pregnancy. Most commonly some variation of a #TummyTuck and #BeastSurgery are
performed. Additional procedures can include liposuction, umbilical hernia
repair. The most common
#breastprocedures include #mastopexy or #breastlift, #breastaugmentation,
#breastreduction. Once you schedule a consultation with a local surgeon you will be able to determine which procedure will best achieve your desired results.
My opinion is without an added implant you would need the anchor incision and with an implant you might get away with a lollipop incision.
Based on your photo an anchor incision is what will give you the best shape after surgery. You may also consider a small implant as well. I know the incisions can sometimes feel scary, but they fade over time and you want to be happy with the shape of your breasts when the surgery is finished. If you minimized the incision to just a crescent you may be disappointed in the resulting shape when the surgery is complete.
you for your questions. Rather
than finding a non-certified surgeon that may give you better pricing it can be
helpful to find a newer Board Certified Plastic Surgeon that has years of
experience in training and surgery-required to become Board Certified in
Plastic Surgery but is newer in practice. They have the latest up to date
training and highest standards as currently set by the newest technology and
are able to pass on to the consumer much better pricing for Breast
Augmentation. The manufacturers of the breast implants encourage and assist the
newer Certified Plastic Surgeons by giving them special pricing on implants
which most will pass on to you, the consumer. Check for special pricing here on
RealSelf and make sure the surgeon is a Board Certified Plastic Surgeon and you
may find the perfect Plastic Surgeon for you who is able to work with your
budget without cutting corners!
Before you make your decision on procedure(s) size and
shape of implants and what procedure I would suggest that you meet with a Board Certified
Plastic Surgeon and go over your concerns and what you hope to
accomplish. Your surgeon should be able to explain to you why they are
recommending the size and procedure they are according to your current breast
tissue, measurements including your chest width and your desired outcome. From
your photos your nipple/areola is large and low so usually a full lift is
necessary to achieve the desired look, either a vertical (lollipop) or anchor
pattern lift would work best as the Crescent is not enough of a lift in your
case from the picture you attached. The lift with implants will give you a more youthful and fuller shape. Your
Surgeon should be able to advise you thoroughly on your options.
We have all our Breast Surgery patients not only utilize our 3D imaging so they
can get a real visual on what the implants will look like on them but also to
actually try on the different size implants with a tight bra and t-shirt to see
what they might expect. That way they have a good visual of what a 450cc
implant will do as opposed to a 350cc implant for example. You want to make
sure that you see a surgeon that will listen to you and your goals for the
procedure and discuss in detail their recommendation for size and shape not
only taking into consideration your desired outcome but also your breast
measurements before the procedure including your chest dimensions. And then let
you try the implants that they feel will give you the desired result so you are
in agreement with the size.
Most important is to pick a Board Certified Plastic Surgeon - Certified by the
American Board of Plastic Surgery. It can be hard and confusing for consumers
when a physician may tell you they are Board Certified. Make sure it is Board
Certified in Plastic Surgery as many Physicians are certified but it is in
another area such as Dermatology, Gynecology, ENT, or some other specialty that
does not have the years of training and Certification in Plastic Surgery
required to be a Board Certified Plastic Surgeon.
The degree of droopiness of your breasts mandates a more aggressive type of lift. I would only consider a full mastopexy for my patients with the anchor incision to optimize shaping and contour. I would also discuss with my patient the optional placement of a small breast implant to enhance fullness and projection. Personally I never recommend crescent mastopexy but do use periareolar mastopexies for patients with minimal droopiness and mostly emptiness needing volume restoration. You are in need of a more aggressive procedure to enable you to obtain a dramatic improvement and nicer shape and contour IMO.
The video above will give you additional information. Enjoy.
Jon A Perlman MD FACS
Certified, Am Board of Plastic Surgery
Member, Am. Society for Aesthetic Plastic Surgery (ASAPS)
Beverly Hills, Ca
The more excess skin you have, the more is need to remove the excess skin and provide a nice contour to the breast. That is why the anchor incision is sometimes used. A small implant should also be considered in your case.
Thank you for providing your photos. Although additional photo views and an in-office examination are necessary, it appears you have Grade 3 ptosis where the nipple is at the lowest part of the breast and below your inframammary fold or crease. Unfortunately, Grade 3 ptotic breasts are lifted with a "lollipop" or "anchor" procedure where there is at least a vertical component of the incision that goes from the nipple down to the crease. You also appear to have lost volume in the upper pole of the breast and may consider a small implant at the same time if you would like to regain that "round" youthful volume while still looking natural. In my experience, patients are extremely satisfied with a breast lift with implants after a mommy makeover even with the type of incision and are often willing to share their experiences with others. The incisions fade over time and there are in-office and at-home treatments we provide to improve them as well. Best of luck!
Good question. To really know you need to see someone in person that can manipulate the tissue and offer you different options. Certainly to have more round rejuvenated breasts you will need to have implants and some kind of lift. In you picture the nipples are on the lowest part of the breast pointing down and that is what we refer to as Grade III Ptosis. It is highest degree of ptosis on the scale we use. The good news is you can have a beautiful elegant result with a lift and implants. I would not recommend a crescent lift for you. You need much more skin removed than a simple crescent around the areola. You will likely be very unhappy with that result. From what I see in the limited view you have posted you will need a lollipop lift or a full anchor lift. I do full anchor augmentation lifts ALL the time and they are beautiful shaped breasts. I will tell you what I tell my patients. In my personal opinion if you want the correct operation you need to let go of the fact that you will have scars on your breast. There is simply no other possible way to create higher fuller breasts without and implant and a full lift. It is never ever a good idea to use bigger implants trying to avoid a lift because you just end up with bigger more droopy breasts. I would make sure you find a board certified plastic surgeon with an excellent reputation for their work and have a consult and just hear them out. But, I would go in thinking, "If I need scars to do this the I need scars." If you can not buy in to that mindset it is not likely that you will be happy with whatever operation you have. I hope this helps. I try to be bluntly honest in my replies to patients on this forum. This is everything I would tell you if you were sitting in front of me in my office for a consultation. Best of luck. Dr. Rick!
The crescent procedure has no ability to lift the breast weight and can move an areola about 1/2" for symnettry only. A lift requires removal of skin and repositioning of the areola. With as much skin excess as seen in your photos I would use the anchor pattern.
A crescent will not produce a good cosmetic result in a patient with your anatomy. Either an anchor shaped mastopexy or "lollipop" approach could be utilized to get an uplifted nicely shaped breast with or without an implant, depending on the size that you wish to achieve.
Following the advice from a surgeon on this or any other
website who proposes to tell you exactly what to do based on 2 dimensional photos,
without examining you, physically feeling the tissue, assessing your desired
outcome, taking a full medical history, and discussing the pros and cons of
each operative procedure would not be in your best interest. I would suggest
you find a plastic surgeon certified by the American Board of Plastic Surgery
and ideally a member of the American Society for Aesthetic Plastic Surgery
ASAPS)that you trust and are
comfortable with. You should discuss your concerns with that surgeon in person.
Robert Singer, MDFACS
La Jolla, California