Pseudoptosis. Augmentation or lift? (Photo)

Question

47 y/o. 5'9. 130 pounds. Lost fullness in breasts. Would like to regain fullness. Prefer natural look..Current size 34B/C would like to be full D.I do not want scars. One Dr visit suggested I could have an augmentation with 330cc now with a lift in few years. Research has me perhaps in that "gray" area. I believe that a dual plane technique (do not want "double bubble")with perhaps silicone moderate profile ( prefer saline) but feel of breast is trumping that decision. Opinions?

Leila Kasrai, MD, FRCSC · Answer

Breast augmentation without the lift would probably be suitable for you, based on your photos. Dual plane sounds suitable as well, but you should trust your surgeon’s recommendations following your in-person examination. A correct breast implant size and shape would give you the lift you need without a mastopexy.

Athanasios Christopoulos, MD · Answer

Based  on your photos, I strongly believe that augmentation only done by dual plane  technique plus some other special steps in our technique, will give you a very  good result.

Obviously  the technique used in your case cannot be the same as the one used in a standard  breast augmentation.

If  the inframammary fold is exactly where the rule is placed in the photo, I am  sure that a tailor made for your case breast augmentation, will give you a very  good result.

Trevor M. Born, MD · Answer

Dear YSCThank you for your questions and photos! Your arms are raised in the photo- so you may have more ptosis and breast position may be too low for a submuscular implant placement. A proper history and physical exam/ consult is necessary to provide advice.With Warm RegardsTrevor M Born MD

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. You are a good candidate for a breast
augmentation with a dual plane technique of implant placement.  I don't think you need a lift, but only a full examination in-person could accurately determine this.   The size of the implant is based on your desired
breast size/shape, your chest wall measurements, and soft tissue
quality.  This decision should be based on a detailed discussion
with equal input from both you and your surgeon.  This entire surgery can be performed with a
small incision technique.  Make sure you specifically look
at before and after pictures of real patients who have had this surgery
performed by your surgeon and evaluate their results.   The most important aspect is to find a
surgeon you are comfortable with. I recommend that you seek consultation with a
qualified board-certified plastic surgeon who can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Michael Kreidstein, MD, FRCS(C) · Answer

You are on the right path to a good result, but I would not predict you will need a lift in a few years.  Be sure to get a second opinion to get reassurance you are seeking.

Pseudoptosis. Augmentation or lift? (Photo)

Answers (5)