5'7" 145lbs .Get fullness without lift? (photo)

Question

5'7" 145lbs (170cm, 65kg). With a breast augmentation, I'd like to gain some fullness. I know some surgeons would recommend a lift, but I'm not interested in that yet. What are your expert opinions about results I might be able to expect? Are there any particular shapes, sizes, or types of implants I should look at?

Brian K. Reedy, MD · Answer

Thanks for your question! If your breastfeeding breasts are the look you are going for, then I do think you could do this without a lift. Your nipples will always sit lower on the breast mound, but as long as you are okay with that, you'll be happy. I would suggest a moderate profile, but I can't give cc recommendations without seeing you in person. Good luck!

Stanley Castor, MD · Answer

Hi Swiss Mom,
I don't feel that you need a breast lift yet. Placing round silicone gel (gummy bear) implants under your muscle will give you fullness like the picture of you before breastfeeding. I don't recommend going on top of your muscle because you are asking your skin to hold up the weight of your implant...they will sag in a few months. To achieve the size in the first photo you would need around 300cc implants. Since you are taller than average, you could easily go a cup size larger (around 450cc) if you wanted to be larger than your first picture. Hope that helps!

Irena Karanetz, MD · Answer

Hello,
 
Thank you for the question and the photos.
 
Based on your photos, you appear to be an excellent candidate for breast augmentation and it may be performed without a breast lift, however, it is difficult to tell definitively without an in-person examination.
 
Implant size discussion and implant selection is one of the most important steps during your consultation with plastic surgeon. The decision-making process depends on your desires, as well as breast and soft tissue dimensions of your chest wall.   
 
I would seek an in-person evaluation by the Board-Certified Plastic Surgeon, in order to discuss your goals and concerns for the best cosmetic results.
 
I hope this helps.
Best regards, Dr. Karanetz
 
Dr. Irena Karanetz
Breast Fellowship-Trained
Board Certified Plastic Surgeon

Eric Swanson, MD · Answer

You do have some sagging, but not enough that you have to have a lift. Anatomical or teardrop implants were popular in the past, but in the U.S. are almost totally abandoned. The reasons are (1) they are usually textured, which can cause a rare cancer called BIA-ALCL, and (2) round implants work great and avoid the problem of rotation of the implant. So your best bet is smooth, round, high profile implants, either silicone or saline. Studies have failed to show an aesthetic advantage for shaped implants.

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 with different size and style breast implants. They also get to see what they would look like when the breasts have fully dropped and fluffed and in clothes. 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 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. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Daniel Barrett, MD · Answer

Dear swiss_mom,
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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Gary M. Horndeski, MD · Answer

The technique I recommend is 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 or small implants can be placed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Ronald J. Edelson, MD · Answer

You are a good case for a lollipop lift with implants. Just be aware that not all surgeons know how to do the lollipop lift so you may have to research that procedure deeper

Zoran Potparic, MD · Answer

There is no doubt that you will benefit from both procedures. This can be done in a single surgery or you may decide to do augmentation first (it will give you fullness and volume but will not change position of nipples) followed with a lift if you find it necessary. Only on the basis of in person consultation and discussion about your goals one could give you suggestion about the size and shape of implants. Good luck. .

Zeshaan Maan, MD · Answer

Hi - based on your message and photos it sounds like you’re looking primarily for fullness, though I anticipate with the right implant you’ll get some lift out of it without a “lift surgery” (aka mastopexy). A higher profile implant would do a better job of this.
I recommend seeing a plastic surgeon in consultation so they can examine you and take measurements to better inform the discussion and ensure your goals and the expected outcome are aligned.

5'7" 145lbs .Get fullness without lift? (photo)

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