What procedure should be done to achieve these desired results? Breast lift, Fat transfer, augmentation, or others? (Photo)

Question

Updated: I'm currently a 28GG(UK) and 28J(US) bra size. I want to have more upper pole fullness, rounder shape, higher position on my chest, and more volume if needed for my desired results. I've been to one consultation and the doctor said I have dense breast tissue, so I'm hoping I wouldn't need implants.

Aaron Gilson, DO · Answer

Hello, 
Every body is different and while comparisons are great to gauge which direction to move in, its near impossible to recreate someone else's exact breasts. Its great that you've identified the goals you've named - more upper pole fullness, rounder shape, and higher position on your chest, with possible increased volume. Are you happy with your breasts when wearing a bra? If so you may not need additional volume and a breast lift may get you most of the way to your goals. You can consider adding some fat grafting to add a bit more volume, but don't count on a significant increase like you would get with an implant. Classically, the easiest way to get more upper pole fullness with increased roundness is through an augmentation with implants. This can be done at the same time as a breast lift or done at a later stage. If you're unsure about implants you could do it at a later time, though this would involve a second surgery. As for raising your breasts on your chest, the location your breasts are on your chest (high, medium, or low footprints) is based on your individual anatomy, and while reshaping your breasts through a mastopexy and augmentation can change their appearance, it will not raise the breast base on your chest.

Brian K. Reedy, MD · Answer

Thanks for your question! I would recommend a breast lift/reduction to unload some of your own native volume. Then, we could come back in a second surgery and add an implant of your choosing. That's the best method to achieving a long-lasting result. Best of luck!

Luis A. Mejia, MD · Answer

Dear Fierce714543, thanks for sharing your pictures and concerns, it is difficult to choose a size also your wish pics are underclothes so it is not an accurate look.... however a Mastopexy without implants and lift will provide the look you are looking for, because adding size can make your breast drop and look saggy some time after surgery. Make sure you go on consultation with a board-certified plastic surgeon. Hope this helps and best of lucks. Dr. Luis Mejia.

Gianfranco Frojo, MD · Answer

I would recommend a breast lift as there is adequate volume. This would require an anchor type scar pattern.  I recommend seeing a plastic surgeon with at least 6 years of integrated plastic surgery training and ideally an additional year of aesthetic surgery fellowship training.

John Michael Thomassen, MD · Answer

You can obtain a very nice result with a Vertical Breast Lift.  You have ample breast tissue so you do not need implants.  A slight reduction can be done so you have a C cup at the end.

Ugur Horoz, MD · Answer

hello,
considering your current breast volume and size
It would be more appropriate to plan breast up-lift and augmentation together for the appearance and volume related your expectation.

best regards

Damien Grinsell MBBS, FRACS (Plast) · Answer

Hi Fierce

I have to respectfully disagree with my colleagues. It really depends if you want a natural look (slight improvement in upper pole fullness) or a faker look. If you want the former then a breast lift is the answer - which in my hands would be a minimal scar horizontal mastopexy.  If you want a faker look with more upper pole fullness then you should do a 2 stage breast reduction and 2nd stage augment.  I would not recommend a breast lift with implants. The reason for this is that the breast will fall off the implant over time and give a waterfall deformity.
Regards
Damien

Leila Kasrai, MD, FRCSC · Answer

Your wish pics show breasts underneath clothing, therefore it would be difficult to give you an opinion. However, your nipples are located below your breast fold therefore a breast lift would be recommended to reshape your breasts to make them rounder and fuller in the upper pole. Implants may be placed to increase their size if desired.

Ted Eisenberg, DO, FACOS, FAACS · Answer

I recommend an in person consultation with 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 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 is right for them. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Gary M. Horndeski, MD · Answer

If you are already a 28J you certainly do not need more volume but you do need a lift. 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.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

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