Stage 1 Ptosis - Do I need a lift for more upper pole fullness? (Photos)

Question

Hi all. I have had a consultation where obviously my goals were spoken about and ultimately told I was borderline needing a lift. I don’t mind a natural fall to my breast. I’ve had four kids. I don’t want a super augmented look or super perky boobs. But I do want upper pole fullness back and to feel okay in clothing where my breasts sit nicer. So I am booked in four weeks but now doing research I am so worried I’ll be unhappy incase they sag further or bottom out. What in your professional opinion would you recommend. She thought 350cc high profile round mentor OTM. Just need some honest opinions. I’m a 34B just wanting to be a full C or small D.

Michelle Zweifler, MD · Answer

Breast implants restore and add volume to the breast; they do not necessarily lift your breast.  Breasts that sit low on the chest and sag may benefit from a breast lift with the breast augmentation.

George Marosan, MD · Answer

Thank you for your question and photos. Based on these photos only without the benefit of a physical examination, most likely you will need a lift with your augmentation. You do have low lying asymmetrical breasts and with an implant centered behind your areola, you will end up with a "rock in the sock" deformity. The larger the implant, the more sagging. If the implant is placed to give you an upper pole fullness without a lift, you will end up with a "waterfall" deformity. One of your goals is to have superior pole fullness, which necessitates a lift. 
You might want to re-consult with your chosen surgeon and express your concerns. If not satisfied, seek other in person consultations. You have to feel confident in your surgeon's plan to deliver what you want to achieve. Cutting corners can lead to less than optimal results and further surgery. Good luck.

Ram Kalus, MD, FACS · Answer

Thanks for your inquiry and photos. Based on your query and goals, it does not appear you need a lift if your augmentation is above the muscle. Best of luck to you.

Zoran Potparic, MD · Answer

There is no doubt that you need a lift; a 350 ml implants would give you 2 cup sizes up. I am not sure that high-profile implants would be a better option than moderate or moderate plus. Good luck.

Stage 1 Ptosis - Do I need a lift for more upper pole fullness? (Photos)

Answers (4)

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