Lift or implant + internal bra? (Photo)

Question

173 cm, 72 kg, breastfed 2 kids, may or may not have more kids (29 year old single mum) Ideally would like to avoid a mastopexy. Looking at 400-450 cc round high profile under the muscle with an internal bra

Zoran Potparic, MD · Answer

No doubt that breast augmentation in the volume range you want, is going to give you significant improvement. It is impossible to say whether skin tightening by means of breast lift (with augmentation) may be a better solution, without in person consultation. Good luck.

Gary M. Horndeski, MD · Answer

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.

Daniel Barrett, MD · Answer

Dear Polite228260,
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

Donald R. Revis Jr, MD · Answer

Good afternoon,
You need a donut mastopexy and submuscular augmentation with saline or silicone gel implants, depending on your preference. The scar is confined to the areolar border, without any vertical cmponent, and thus heals inconspicuously. I developed the Original Internal Bra over 20 years ago, and while it can be used in first time patients, it really was designed to be a revision procedure for patients who already have implants. It can lift the breast tissue and implant position but it cannot lift your nipple position, therefore you need the donut mastopexy as well.

Brian K. Reedy, MD · Answer

Thanks for your question! Based on the photos provided, I think you would benefit from a breast lift. However, a side angle would be better in determining that. Please be sure to consult in-person with a board-certified plastic surgeon to get optimal results. Good luck!

Connie Hiers, MD, FACS · Answer

Just looking at your photos (you did not post side views) and with no measurements, you may do fine without a lift. Measurements and an examination is needed to be sure.

Brooke R. Seckel, MD, FACS (retired) · Answer

Polite,
If the nipple is at a level above the fold uner your breast then breast augmentation without a lift should giove you a nice result. Based on your photos that appears to be the case so implants alone should achieve a nice result.
You do have glandular ptosis or sagging. In my practice a high profile breast implant ot he new Menntor XTRA implant can help the breast project more and improve the shape and position of the breast on your chest

Lift or implant + internal bra? (Photo)

Answers (7)

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