Do I need a uplift or just a straightforward BA? I'm worried about scars. (photos)

Question

I am 4ft11 around 53 kg and I currently wear a 32b bra.. I have had 3 children so my skin is quite stretchy, would I be ok with just a straightforward BA? I am really worried about the scars of an uplift and don’t think I will ever love my boobs with those scars. I have seen 4 surgeons in total 1 that said I need a uplift, the 2nd said no uplift at all just 500cc under the muscle.. 3rd said nipple lift and the 4th said I’ll be ok with just a BA but my natural boobs could drop in time. Pleasehelp

Finny George, MD · Answer

Hi, thank you for sharing your question. Based on your photos, you are a great candidate for breast augmentation and should expect to reach your goals. This alone will be enough, you will not need a lift procedure. The exact size and shape of the implants can only be determined after measurements are taken by your plastic surgeon. I hope this helps.

Ajay Mahajan, MD, FRCS (Plast) · Answer

You will probably have a resonably good result with breast implants only. This would be the right option for you, especially if you are very concerned about the scaring involved with the lift.

For optimal outcome, please consult a fully qualified plastic surgeon, who has specialist qualification in plastic surgery 'FRCS Plast' after having being trained adequately in the field of plastic surgery, is registered on the 'Specialist register for Plastic surgery' with the General Medical Council and has been considered competent enough to be a member of the 'BAPRAS' (British Association of Plastic Reconstructive and Aesthetic Surgeons) and 'BAAPS' (British Association of Aesthetic Plastic Surgeons) at the least.

Hagen Schumacher, PhD, FRCS(Plast), FEBOPRAS · Answer

Hello,
Thank you for your enquiry. The photographic information is very helpful.
You might or not need an uplift. No surgeon can tell with certainty. If you have very large implants, they will stretch your breasts more, so I would be careful with that choice.
You could have implants first and accept the possibility of having droopiness. That could be fixed under a local anaesthetic procedure at a later date if needed. If they don't droop, then even better.
I would suggest to confirm this with your surgeon.

Riaz Agha, MBBS, DPhil(Oxon), FRCS(Plast) · Answer

Breast implants alone may be enough to give you the look you desire depending on the volume and type of implant you go for.
If you do need a lift, you can opt for a minimal scar approach such as a crescentic or doughnut uplift where the scar is at the areolar border and fades away nicely.

Martin Jugenburg, MD · Answer

Hello, thank you for your question. Sounds like it can be puzzling when you have many opinions and several technique options. There are many choices that can take place.  You can also place the implants now and see how you like them. If you don't think you will want those scars then, you have answered the question on your own. Go with the plastic surgeon that you found to be on the same page as you and whom you feel comfortable with.

Brian K. Reedy, MD · Answer

Thanks for your question! I think that you could probably do a breast augmentation without a lift depending on your goals and depending on the implant size. As you know, one breast is droopier than the other but that doesn’t mean you still can’t get a lovely result. Find the surgeon you are most comfortable with, whose B&A’s you like and who has quality reviews. Good luck!

Ted Eisenberg, DO, FACOS, FAACS · Answer

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 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

Gary M. Horndeski, MD · Answer

Your breasts are too low on the chest wall and widely separated. 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 totally submuscular.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Ronald J. Edelson, MD · Answer

You are certainly  borderline as far as needing a lift done. I suggest you consider the lollipop type lift. If gives any excellent shape and the scars heal very nicely. You're the perfect candidate for that procedure.

Daniel Barrett, MD · Answer

Dear Caring239400,
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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Do I need a uplift or just a straightforward BA? I'm worried about scars. (photos)

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