What are my options for breast augmentation? Looking for upper pole fullness and cleavage (Photo)

Question

Interested in a breast augmentation and curious about the options- looking for upper pole fullness/cleavage as my breast tissue naturally sits low with broad shoulders. Would an implant work? Are there any other options if avoiding implants?

Finny George, MD · Answer

Hi, thank you for sharing your question. You are a great candidate for breast augmentation. This will provide you with the most stable, consistent and symmetric result. Another option would be fat grafting but this is slightly unpredictable.

Gianfranco Frojo, MD · Answer

I believe that you are a great candidate for breast augmentation with silicone gel implants. You should see a board-eligible or board-certified plastic surgeon with extensive training in aesthetic plastic surgery of the breast.

Robert M. Wald, Jr., MD · Answer

In order to achieve upper pole fullness, a breast implant would be required. Fat transfer to the breast will help this problem, but will not achieve the results a breast implant. There are no non invasive techniques to accomplish your goals.

Gulcin Nujen Cardak, MD, FEBOPRAS · Answer

Breast implants are best options for you. With careful planning, you will get cleavage and elegant upper pole fullness. Fat grafting not enough for getting results you desired. Please stay away from body fillers.

Brandon Richland, MD · Answer

Based on your pictures, your breasts display natural asymmetry with your right breast being larger and its nipple positioning lower when compared to your left. You may benefit from a combination of procedures. The first to consider is a breast lift to your right breast in order to address the discrepancy between your areola sizes and nipple positioning, followed by placement of two mildly different sized implants in aim of increasing symmetry. A second option would be to still have a breast lift performed to the right nipple and in place of having a breast augmentation with implants, having fat grafting to both of your breasts.
A virtual or in person consultation with a breast specialist will provide you an accurate recommendation and pricing.
Respectfully,Brandon Richland, MD

Brian K. Reedy, MD · Answer

Thanks for your question! I do think that an implant is a good option for you. There are docs out there that do fat grafting for overall volume and perhaps that is a route you may like going. It’s not my preference, but it is an option. I think that a moderate implant could get you a really lovely result. Best of luck!

Ted Eisenberg, DO, FACOS, FAACS · Answer

I recommend an in person consultation with a plastic surgeon to discuss your goals and be measured. 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, and they 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

Gary M. Horndeski, MD · Answer

The technique I recommend is a mini lift. Using a circumareola incision, your breast tissue is reshaped, elevated higher on the chest wall and more medial to increase your cleavage. At the same time, fat transfers or small implants can be placed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Daniel Barrett, MD · Answer

Dear Jubilant426977,
breast implant type and sizing selection is a complicated process and requires a detailed consultation that includes a discussion of your goals, a detailed examination, and a lengthy discussion. But the decision will always start and end with the patient. When it comes to sizing, we have all of our patients find 3 photos of their desired breast size. We ask for naked breast photos because clothing can obscure the true size (push up bras). Next, we consult with patients and go over the photos and take detailed breast measurements during a physical exam. Next, we using a sizing algorithm to determine a range of implants that will work based on the exam and the measurements.Lastly, during the operation, we use silicone sizers in the operating room to see how the size actually looks in the breast. We sit the patient up in the operating room, while asleep of course, and compare the sizer result with their desired look photos. If it is too small, we start the process over with a slightly larger implant. We don't stop until we get the perfect match.Of all of my breast augmentation patients, every one of them has been happy with their size due to this detailed and meticulous process. You don't want to invest time and money into a result that is either too big or too small.You should discuss your concerns with a board-certified plastic surgeon and make sure that your surgeon understands your goals.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Nelson Castillo, MD · Answer

Thank you for sharing your question.  You look to be an excellent augmentation candidate and the methods of achieving this would be through the use of implants, a fat transfer, or a combination of the two.  Best to seek out a series of in-person consultations in order to determine your goal outcome, your candidacy for the various treatment options, and how each will affect your specific anatomy.  Hope this helps.

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