Breast Augmentation with lift or not? (Photo)

Question

I’m 5’0 ft and 100lbs. Very petitie and not looking to go big at all. I lost all fullness after breastfeeding and want them perky and full again. I really want a natural look so not sure how many cc’s to go with. Thinking around 175 on my left (saggier one) and 225 cc on my right. I want to be a full B cup without looking too big for my frame.

Martin Jugenburg, MD · Answer

Hello, thank you for your question. Adding an implant for volume will be great however it wont lift the breast tissue itself. Based on your photos your breasts are asymmetric so will you be ok with that post operatively. The other option is to wait after implants are in to decide on whether or not to do a lift, some plastic surgeons will do this is two surgeries but it may mean more cost to you if you want to go back for a lift. Speak to your plastic surgeon about your options and see what works best for your based on your wish pics.

Morad Askari, MD, MBA · Answer

Thank you for your question. Based on your description, and pictures, it sounds like you might benefit from a combination of a breast lift and augmentation to regain fullness and perkiness. A lift would help address the sagging, position your breasts higher and correct asymmetry, while augmentation could restore the volume lost after breastfeeding.
Regarding implant size, asymmetry is very common, and using different-sized implants for each breast as you suggested (175 cc on the left and 225 cc on the right) can help to correct this.
However, a consultation is crucial to understand your specific needs and to ensure that the implants' size and profile match your desired outcome and body frame.

Daniel Barrett, MD · Answer

Dear Habaly,
determining whether you need simply a breast augmentation versus a breast lift can be somewhat complicated. It depends on a number of factors including skin laxity and current nipple position. Generally speaking, if the nipples are lower than the inframammary line the patient will most likely need a breast lift. If the nipples are at or above the inframammary line we can generally get by with just a breast augmentation depending on the size of the implant the patient wants. I often still using implant when I perform a breast lift because it provides more upper breast fullness after the lift. To be sure a consultation with a board-certified plastic surgeon will help determine what the patient actually needs.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Ted Eisenberg, DO, FACOS, FAACS · Answer

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 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. Mildly Sagging Breasts: If your breasts are mildly droopy, a saline or silicone gel implant placed behind the pectoral muscle might help create the illusion of perkiness. That’s because as the implant fills out the top of the breast, it also fills out the bottom, making it look as if the nipple has moved higher. It hasn’t. You can always get a lift later if you feel you are not perky enough when fully settled and healed. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Farid Brad Mozaffari, MD · Answer

Based on pictures, more than likely you will not need a breast lift with augmentation. It looks like your nipple areola complexes are above your inframammary folds so no lift will be needed. As far as size, I do see a bit of size difference between the two breasts, but my recommendation would be not to concentrate on the CCs, but rather try on different sizers at your consult and see which one you like better as far as size and shape.

Ned Snyder, IV, MD · Answer

Thank you so much for submitting your questions and photos!  Based on the photos submitted, it appears that your nipple/areola position is such that a lift would not be required.  You do have some breast asymmetry which can be corrected with slightly different sized implants.  Adding more volume would also help raise your nipple position slightly.  I think the implant sizes you mention would be good options for you to achieve your desired look.  I definitely recommend an evaluation by a board certified plastic surgeon to discuss your surgical options.  Good luck and thanks again for reaching out!

Luis Bonetti, MD · Answer

Based on what I can gauge through your photos, you would have excellent results with high profile small breast implants. That will allow you to have a beautiful neckline, pronounced and according to your athletic body. I hope it has been helpfull.

Connie Hiers, MD, FACS · Answer

Measurements are needed to be certain, but just with your one view, you probably do not need a lift.

Hilton Becker, MD · Answer

Based on your photographs you should be fine with breast implants , however you do have some asymmetry which could  be corrected  with different sized implants and a possible areola lift on the right side.

Breast Augmentation with lift or not? (Photo)

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