My surgeon recommended a lift along with the implants I requested. I do not want to get the lift due to scarring, recovery, and the extra cost. He said we could proceed with the implant only but suggested I get a larger implant to help with the lift problem. Is this the course of action that you would take and the same recommendation?
May 2, 2020
Answer: Do I need a breast lift? You might not need one. I recommend an in person evaluation by a plastic surgeon to be measured and discuss your goals. 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. 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.
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May 2, 2020
Answer: Do I need a breast lift? You might not need one. I recommend an in person evaluation by a plastic surgeon to be measured and discuss your goals. 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. 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.
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July 21, 2020
Answer: Lift or no lift Looking at your pictures, it appears your nipple position is adequate, which is an important consideration when determining whether or not you'll need a lift. I think an implant alone should work well, and I agree that a slightly larger implant will "lift" the breast slightly. However, I wouldn't err on getting significantly larger implants if you do not want this.A dual plane approach can be performed to help position the implant appropriately, however they may sit a little lower on the chest to avoid a "waterfall" appearance (where the breast tissue flows over the implant like water off a waterfall).In the end, if you decide to go with implants alone and you aren't happy with the results, a lift can be performed in the future. You should discuss this scenario with your plastic surgeon and see what that would imply financially.I hope this helps. Good luck!
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July 21, 2020
Answer: Lift or no lift Looking at your pictures, it appears your nipple position is adequate, which is an important consideration when determining whether or not you'll need a lift. I think an implant alone should work well, and I agree that a slightly larger implant will "lift" the breast slightly. However, I wouldn't err on getting significantly larger implants if you do not want this.A dual plane approach can be performed to help position the implant appropriately, however they may sit a little lower on the chest to avoid a "waterfall" appearance (where the breast tissue flows over the implant like water off a waterfall).In the end, if you decide to go with implants alone and you aren't happy with the results, a lift can be performed in the future. You should discuss this scenario with your plastic surgeon and see what that would imply financially.I hope this helps. Good luck!
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April 30, 2020
Answer: Lift needed Your breasts are too low on the chest wall to undergo augmentation alone. Augmentation will result in large low breasts and likely the inframammary fold will have to be released resulting in bottoming out or double bubble deformity. You would benefit from a lift using 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.
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April 30, 2020
Answer: Lift needed Your breasts are too low on the chest wall to undergo augmentation alone. Augmentation will result in large low breasts and likely the inframammary fold will have to be released resulting in bottoming out or double bubble deformity. You would benefit from a lift using 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.
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