Just had my first breast augmentation consult and I'm curious to hear what other professionals think? (Photos)
Doctor Answers 6
Just had my first breast augmentation consult and I'm curious to hear what other professionals think?
Breast implants alone or breast implants with breast lift?
You might be well advised to have several consultations to get a variety of opinions until you find a doctor in whom you have confidence. Best wishes.
Jon A Perlman M.D., FACS
Diplomate, American Board of Plastic Surgery
Member, American Society for Aesthetic Plastic Surgery (ASAPS)
ABC-TV Extreme Makeover Surgeon
Beverly Hills, California
Breast augmentation with possible lift
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You will need a lift
I don't recommend the donut lift
Hi and thanks so much for your photos and inquiry. There are likely going to be as many different opinions as there are responses to your question because your situation falls into a "grey zone." Technically speaking, you need a lift in order to center the nipple/areola up onto the breast mound and tighten the lower pole of the breast. A small-medium implant in addition would give you a really nice result with the upper-pole fullness you're looking for. But, if you're just not comfortable with the vertical scar that results from the breast lift, an alternative is to have a dual plane breast augmentation with a moderate-sized implant (300-400 cc.) You will have very natural-looking breasts, and your nipple will be slightly more elevated on the breast, although not prefectly centered. This gives you the benefit of having some muscular coverage over the implant, but helps the implant fill out the lower pole of the breast. And your scar will be small. What I would recommend you avoid is a large, subglandular implant with a donut lift. There are many problems with this. First, the peri-areolar scar tends to widen and stretch your areolar skin over time. It also flattens the central breast, decreasing protection. The subglandular placement increases your risk of capsular contracture. Down the road, when you need a revision, you'll likely need to change the implant to a subglandular plane, which is a fairly complicated procedure.Looking at all the factors in your life, I suggest weighing what is important to you. If shape is the most important factor, have a vertical breast lift with an implant. The shape will be lovely, and the scars will lighten over time. If avoiding scars is your priority, you'll probably do fine with a dual-plane breast augmentation as long as your expectations are realistic. Placing a large subglandular implant in an attempt to avoid a lift does not work, and you will need a complicated revision/lift eventually.Best of luck with your decision, please keep us posted.Dr. Weintraub
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