Breast Augmentation - minor lift necessary? Should I put in two different sized implants? (photos)
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Doctor Answers 6
Breast Augmentation Questions
Thank you for your question and photos. Even though your breasts aren't large, the lower position of your nipples and slight asymmetry may mean that you require a lift to meet your aesthetic goals. Your plastic surgeon could even out the position of the nipples somewhat and place a conservatively sized, moderate implant as well to fill out the breasts with a natural result. I recommend that you book an in-person consultation with a board certified Plastic Surgeon in order to discuss your options as they will want to measure you and discuss the pros/cons of each approach.All the best
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Breast Lift with implants
Breast lift with breast augmentation?
I realize that you are hoping for a natural look.
Based on your photo, you seem to have grade 1-2 ptosis (sagging) and this means that your nipple is near the fold under your breasts (inframammary fold), and your breast tissue is hanging mildly below the breast fold.
Unfortunately, an implant-based breast augmentation alone will not be effective. In fact, you will not only have to go with a larger than usual implant, but it will also appear too low on your chest (bottoming out). The weight of the implant will worsen the amount of sagging. You may also have a double bubble deformity where the breast tissue overlying the implant droops below in front of the implant. It may also cause a snoopy deformity (named after the cartoon character snoopy) that happens when the implant is held sitting in a high position by tight pectoral muscles, while the natural breast tissue falls off the implant and hangs below at the bottom curvature of your breast.
As such, you need a breast lift for best aesthetic results.
If you are afraid of scars brought on by a breast lift, you can get an initial breast augmentation, and if you become unhappy with your results, then you can opt for a breast lift in the future.
To best provide a rounder shape to your breasts, you want to have the implant placed using the dual-plane approach. In dual plane, the lower portion of the implant is directly behind the breast tissue to varying degrees, and the upper portion is behind the pectoralis major muscle. This approach can still add fullness and a rounder look to deflated breasts, while correct some sagging. This approach is superior to subglandular (over the muscle) in almost all ways.
Please seek an in-person consultation with a board-certified plastic surgeon and share your full concerns, desires, and expectations.
Hope this helps.
Breast augmentation with a donut lift
Thank you for your question. During your consultation I like to find out your goal (i.e. what cup size you would like to be). It's important to measure the width of your breast to determine which implant you need. There are four different profiles of implants. They are moderate ,moderate classic ,high and ultra high profile. I use the bloodless breast technique which I invented. Bleeding is minimal, typically there is no bruising after surgery and recovery is quicker versus traditional technique.You would benefit from a donut lift. The incision is just around your aerola. Patients typically don't complain of pain. Feeling after surgery is typically normal .
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.