Would a lift look like this? (Photo)

Question

I currently have 500-570 cc moderate implants. I’m scheduled for a lift. This is a photo of what I currently look like and what I’m aiming to somewhat look like I edited the photo to show what I was kind of looking for. More fullness on the bottom and sides, smaller areola and higher up areola. Would a lift basically look like this? Or would I need a bigger implant to get more fullness and volume like that?

Daniel Barrett, MD · Answer

Dear newgirl14,
based on your photos, it looks like you would benefit from breast lift. My preferred lift is a lollipop lift when a periareolar won't do (ie greater than 2cm lift required). The lollipop technique was created by a Canadian plastic surgeon named Elizabeth Hall-Findley and treats the breast as a three dimensional structure instead of two dimensions (anchor - lift). Most importantly it does not require the horizontal component scars that the anchor-lift requires and breasts appear much more natural, lifted, and less boxy. Lastly, the lift lasts longer because the lollipop doesn't rely on the skin to hold the breast up, its actually breast tissue thats being brought together to support the breast and hence improves longevity. 
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Gary M. Horndeski, MD · Answer

Your breasts are wider than your chest wall and are mechanically unstable. You can see the flattening inferiorly and medially in both breasts. If this inferior and medial pocket is released then the implants may bottom out and you may look heavier. I would not recommend larger implants. I recommend smaller implants and redoing the pocket to correct the flatness medially and use a circumareola approach to get the nipple-areola complex higher.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

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.  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.  Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Ronald J. Edelson, MD · Answer

I’m not sure the scars of a breast lift would be a worthwhile trade off in your situation. If you do get a lift I would recommend downsizing the implants. Large implants with a lift can cause all kinds of future headaches

Camille Cash, MD · Answer

From the submitted photos it does not appear that larger implants would be needed.  A lift (assuming you have a standard lift and not just periareolar) will remove excess skin and raise the position of the nipple.  The result will be an improvement in shape and ptosis.

Connie Hiers, MD, FACS · Answer

Don't go bigger or you will just sag sooner. Do the lift. If you want the lift to last, Go smaller so there is less weight on your tissue.

Mats Hagstrom, MD (license on probation) · Answer

I suggest talking to your plastic surgeon or consult with other plastic surgeons in your community to get a better understanding of breast lift surgery.
Generally, speaking using excessively large implants leads to a higher chance of having undesirable side effects, increased complication rates, and definitely increased rates of revision surgery.
 For that reason, I generally recommend patients think long and hard before choosing bigger implants.
The breast lift should give you a substantial improvement, hopefully better than your simulated version.
On your simulated version you didn’t lift the areola very much.
Your nipple should be well above the IMF infra mammary fold after a breast lift. 
During consultations ask providers to open up their portfolio and show you previous examples of patients who had a breast lift after having implants placed, preferably previous patients who have similar body characteristics to your own.
Best,
Mats Hagstrom MD

Would a lift look like this? (Photo)

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