Deflation and asymmetry from breastfeeding. Lift, fat transfer, or implants? I want lasting upper pole fullness. (Photos)

Question

I’m in my early 20s and have deflation and asymmetry from breastfeeding. I want upper pole fullness and a perky shape that lasts without needing more surgery later. A lift alone seems like it might not hold up long-term. Fat transfer with an internal bra feels ideal but is expensive. Implants offer volume, but I’m worried about BII. Based on my age and body type, what would you recommend for the best long-term result?

Harry T. Haramis, MD, FACS · Answer

Given your young age, in my experience, fat transfer by itself is a great option to restore breast fullness.

You can do this without a lift, avoid extra scars, possible changes from future pregnancies, etc.

An exam and consultation with a plastic surgeon who performs these procedures is recommended to confirm you are a candidate as well as discuss your options and expectations.

Darryl J. Blinski, MD · Answer

Reading your text and examining your nicely post of photos. The best option with all your restrictions would be a full breast lift with fat grafting and an internal bra. Fee $20,000-$30,000. Best of virtual consultant with.

Mats Hagstrom, MD (license on probation) · Answer

Without question, your best Aesthetic outcome is going to be from implant augmentation with a breast lift.
There’s no operation that can give you good volume in the upper half of your breast except an implant.
Fat transfer can increase breast volume by about 50% at best.
Most patient described this as 1/2 cup.
 Fat transfer, however, does not change the shape of the breast in any meaningful way.
Likewise, a breast lift primarily repositions the nipple, so it sits on the center of the breast.
It does not deliver projection and does not give a lot of fullness in the upper half of the breast.
 Think of a breast lift as basically lifting the nipple position and not doing much else.
Fat transfer makes the breast larger without changing shape.
Implants primarily give projection, especially in the upper pole of the breast.
If you want to look you’re describing then you will definitely need implants with a lift.
 Of all the different things to consider or variables involved with this process the most important in the end is going to be provider selection.
In the hands of the right provider, your chance of having a quality outcome without problems coordinating revision surgery is going to be higher.
 In the hands of the wrong plastic surgeons, there could be failure, disappointment, and need for multiple revision operations.
Finding the right plastic surgeon is more difficult than most people realize.
Most patients don’t do a good job at provider selection in my opinion.
To find the right provider, consider the following.
Bring pictures of yourself to use as a reference during each consultation.
 Schedule multiple consultations before selecting a provider.
Schedule in person consultations and avoid virtual consultations.
During each consultation, ask each provider to open up their portfolio and show you their entire collection of it before and after pictures of previous patients who had similar body characteristics to your own.
This is we’re having pictures of yourself is important.
 Always have pictures of yourself to use as reference when reviewing before and after pictures.
If patients don’t look like you do in the before pictures, then they are not good at representations of what your result is going to look like.
An experience provider should have an impressive collection of before, and after pictures of patients who have similar characteristics.
 This means they should have no difficulty showing you at a minimum 10 to 20 previous cases.
Ideally, they should have more before and after pictures then you have time to look at during the consultation.
If they don’t have a good collection of before and after pictures, then that should be a major red flag and should tell you to continue onto the next consultation.
 There’s no correct number of consultations needed to find the right provider.
The more consultations you have the more likely you want to find the provider for your need.
Most patients don’t have a lot of experience consulting with plastic surgeons. 
By scheduling multiple consultations, you’ll get better at the process.
Ask each provider what the most common indication for revision surgery is, what their revision rate is for this procedure and what their revision policy is.
When in doubt, slow down and schedule more consultations.
Best:
Mats Hagstrom MD

Deflation and asymmetry from breastfeeding. Lift, fat transfer, or implants? I want lasting upper pole fullness. (Photos)

Answers (3)

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Our mission is to create a world where every investment in modern beauty is Worth It.

Deflation and asymmetry from breastfeeding. Lift, fat transfer, or implants? I want lasting upper pole fullness. (Photos)

Answers (3)

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Recommended reading

Everything you need to know about Breast Lift

Our mission is to create a world where every investment in modern beauty is Worth It.