28, 5’5, 135lbs, c cup - consults for lift & implant completely different, can you help? (Photo)

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. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

You have heard two different approaches currently present in breast augmentation/lift. One is placement of implant underneath, the orher, on top of the muscle (your are candidate for both). Some surgeons, myself included, preffer placing implants underneath the muscle when performing breast lift simultaneously; blood sypply to the breast is better preserved. In the case of visible asymmetry, I am in favour of reduction of larger breast and augmentation with same size implants. When it comes to size (volume) of the implants, difference of 50 ml will not make any visible difference; it is only 10% of the implant volume and, very likely, 5% of total breast volume. I hope this may help you to make right decision and select right surgeon. Good luck.

The technique I recommend is The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained. Later, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.