Is There Anything a Doctor Can Do to Create Under-boob That is Not Present in a Pre-op Breast? (photo)

Question

I'm afraid that my natural breast/chest profile won't yield the aesthetic result I want. I really love breasts that have almost all their fullness/roundness at the lower pole and none at the upper pole. I call this under-boob. I noticed this result most with breasts that are naturally a little saggy- mine are small and definitely not saggy. Is there a type, size, profile, placement, incision site that can help to achieve this look? I attached a few pixs for reference.

Brian K. Reedy, MD · Answer

The answer to your question is YES.  We are fortunate in 2013 to have a wide variety of implant choices (Shape, size, and fill material) to accommodate the desires and goals of every patient.  Choose a surgeon that specializes in breast surgery and is familiar with the various implant types, as well as, the various surgical options.  Ask to try on implants, ask to see pictures of the surgeons work, ask how many augmentation procedures he does a year, check his credentials and board certification.  There is much more information on our website.  Hope this helps.  Good Luck!

Kenneth Hughes, MD · Answer

Very few women have round breasts with the areola at the center of each breast.  Breast augmentation skillfully done can improve lower pole fullness without creating a double bubble.  Find a plastic surgeon with ELITE credentials who performs hundreds of breast augmentations each year.  Then look at the plastic surgeon's website before and after photo galleries to get a sense of who can deliver the results.  Kenneth Hughes, MD Los Angeles, CA

Vincent N. Zubowicz, MD · Answer

If there is no capsular contracture which restricts volume distribution of the breast the direction of gravity will determine where most of the implant volume will be distributed. Standing up will pull the volume downward leaving most of the volume below the horizontal pole of the breast.

Rigo J. Mendoza, MD · Answer

In my opinion, the best option for you would be to go with silicone implants above the muscle.  Implants below the muscle will give you more upper pole fullness that you seem not to like.

Michael Law, MD · Answer

A common
error that leads to an unnatural appearance after breast augmentation, even
with implants of an ideal size, is inadequate lower pole dissection and/or
inadequate release of the pectoralis major origin just above the inframammary
fold. As a result the implants sit too high and appear excessively full in the
upper poles (the area above the nipple-areola complex), while the lower poles -
which should be the fullest area of the breast - are underfilled. Inadequate
muscle release may also result in bizarre-appearing breast implant animation
when the pec major muscle contracts. In some cases this may result in one or
both of their implants jumping up literally to the level of a patient's
collarbones - an alarmingly unnatural look, and one that is totally avoidable

Is There Anything a Doctor Can Do to Create Under-boob That is Not Present in a Pre-op Breast? (photo)

Answers (7)

Answer: Is There Anything a Doctor Can Do to Create Under-boob That is Not Present in a Pre-op Breast?

Answer: Is There Anything a Doctor Can Do to Create Under-boob That is Not Present in a Pre-op Breast?

Answer: Fullness in lower pole of breast

Answer: Fullness in lower pole of breast

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Everything you need to know about Breast Implants

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Is There Anything a Doctor Can Do to Create Under-boob That is Not Present in a Pre-op Breast? (photo)

Answers (7)

Answer: Is There Anything a Doctor Can Do to Create Under-boob That is Not Present in a Pre-op Breast?

Answer: Is There Anything a Doctor Can Do to Create Under-boob That is Not Present in a Pre-op Breast?

Answer: Fullness in lower pole of breast

Answer: Fullness in lower pole of breast

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Recommended reading

Everything you need to know about Breast Implants

Our mission is to create a world where every investment in modern beauty is Worth It.