Is it possible to get a small implant with a lift on a chest that used to be 36 DD or E? (Photo)

Question

36 DD/E before kids, breastfed 2, and now a 34C. I'm 5'8 and 125 lbs. I like the look of smaller, perkier breasts. I don't want to have DDs again. I'm just looking to lift them up and not look deflated. I want the most subtle/conservative augmentation. Is it possible to have a small implant with a lift on a chest that used to be bigger?

Ted Eisenberg, DO, FACOS, FAACS · Answer

I recommend an in person evaluation by a plastic surgeon to discuss your goals and be measured. 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, if desired. 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. You should also be aware that results of surgery can change in the future with significant weight change and/or stretching of skin from the milk of pregnancy. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee.

Alan Gonzalez, MD, FACS · Answer

Thank you very much for your question, the procedure that I recommend is a breast lift with prosthesis to shape the tissueBreast pexy has several objectives, such as relocating the areola and nipple in a higher position, improving the shape of the breast, either by reorganizing the mammary parenchyma or, if this is not enough, by placing a prosthesis to restore volume.
The amount of breast tissue changes proportional to weight, pregnancy, breastfeeding, heredity, or hormonal changes.
Thank you very much for your question, the procedure that I recommend is a breast lift with prosthesis to shape the tissueBreast liftBreast pexy has several objectives, such as relocating the areola and nipple in a higher position, improving the shape of the breast, either by reorganizing the mammary parenchyma or, if this is not enough, by placing a prosthesis to restore volume.
The amount of breast tissue changes proportional to weight, pregnancy, breastfeeding, heredity, or hormonal changes.

Kenneth Hughes, MD · Answer

Hello, thank you for your question. It seems like you can benefit from a breast lift with implants. A breast augmentation and a breast lift work hand and hand to enhance the overall shape and size of a woman’s breasts. A board certified plastic surgeon will be able to guide you to the correct size implant. Based upon measurements of your chest wall and breast imprint width as well as knowledge of all breast implant sizes and profiles should make this process easy. Try on a profile bra with various silicone cc sizers your PS recommends under a tailored blouse, tank top, bikini, workout clothes, and other garments you typically wear so that you have the best idea of whether the garments fit as desired with the implant selected. Select the size that boosts your self-esteem, and fits your anatomy. Choosing an implant based on an aesthetic goal that exceeds your anatomic capacity may lead to complications and possibly revision.

Daniel Barrett, MD · Answer

Dear rruth11,
generally speaking, it is possible to combine breast lift and implants. My preferred lift is a lollipop lift when a periareolar won't do (ie greater than 2cm lift required). The lollipop technique was created by a Canadian plastic surgeon named Elizabeth Hall-Findley and treats the breast as a three dimensional structure instead of two dimensions (anchor - lift). Most importantly it does not require the horizontal component scars that the anchor-lift requires and breasts appear much more natural, lifted, and less boxy. Lastly, the lift lasts longer because the lollipop doesn't rely on the skin to hold the breast up, its actually breast tissue thats being brought together to support the breast and hence improves longevity. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Gary M. Horndeski, MD · Answer

The technique I recommend is The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained. Later, fat transfers can be performed if additional volume is desired. Implants are not lifetime devices. 8% fail within the first year and 30% fail within six years. Fat transfers are permanent and incorporated into the body.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Chad Robbins, MD · Answer

Hello and thank you for your question and photo.   Yes, you can have a small implant and be the same size as you are prior to surgery , or smaller if you end up having a reduction.

Connie Hiers, MD, FACS · Answer

Yes, you can chose a small implant with lift, or even just a lift if you are happy with your size. I would suggest meeting with a board certified plastic surgeon and discussing your options.

Frederic H. Corbin, MD (license restricted) · Answer

Thank you for the question and photos and the simple answer is YES. So go on some complimentary consultations with experts and compare recommendations after a full examination and discussion of desired results. That said your breasts appear to have a very nice shape now!

Dr Corbin

Dr Corbin

Timothy Browne, MD - Account Suspended · Answer

You seem to have a good amount of breast tissue left. I think a lift alone would give you the results you are looking for. If they seem to small after the lift, you could always add a small implant later.

Is it possible to get a small implant with a lift on a chest that used to be 36 DD or E? (Photo)

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