What breast procedure would be best for me?

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

Good morning!
I think your best choice would be a donut mastopexy and submuscular augmentation with saline or silicone implants, depending on your preference. The donut mastopexy will lift your nipples to the same level, allow me to reduce your areolas, and tighten your skin. We would figure out the exact size and profile when I measure your chest, we review photos together, and you have an opportunity to try on the implant sizers here in the office!

Dear orea94,
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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Hi and thanks for your question. Based on your photos. You need a breast-lifting surgery. After breast lifting you get lifted but slightly smaller breasts than now. My first recommendation is breast lifting and implant for you. With this combination you can get lifted, round and attractive breast. Different size implant should be used for your case. Implant can fill upper part of your breast and that gives good and round appearance to your breast.After this surgery you have incision around areola and from the areola to bra sulcus. The operation takes about 2.5 - 3 hours. You should use a sport bra for 6 weeks following the surgery. If you want breast lifting and implant, you should use breast band with sports bra for 6 weeks after the surgery. Sports bra supports your breast from downside and breast band supports them from the upside. By this way breast tissue and implant will be moving together.
Best of lucks

I appreciate your concerns and frustrations however it does appear from your photos that you have options. Breast lift on the right side combined with breast augmentation on the left should greatly improve your asymmetry. If you desire to be much larger, implant can be added to the right side and a larger implant on the left. Consult with a board-certified plastic surgeon in your area to explore of the best options for you. Good luck.

Hello, thank you for your question. It seems like you can benefit from a breast lift with implants. A breast augmentation and a breast lift work hand and hand to enhance the overall shape and size of a woman’s breasts. These procedures are ideal for increasing the size of the breasts while restoring balance and youthfulness to a woman’s bust. Schedule an email, Skype or in-person consultation with a board certified plastic surgeon for proper evaluation.

Depending upon which breast you prefer, would depend if you had a small reduction with lift for the larger breast, or augmentation for the smaller with a lift for the larger, or augmentation for both with a lift to the larger breast. I would suggest meeting with a board certified plastic surgeon and discussing your options.

From your photo I think you'd enjoy the benefits of a breast lift and augmentation. The lift would bring the nipple position up and remove excess skin. The areola can be reduced as well. Implants will help improve the size differential and give a nice shape to the breasts.

The shape of your breasts can be improved by an uplift and the size discrepancy, either by reduction of the right, augmentation of the left or asymmetrical augmentation of both.
Treatment depends on what you want to achieve.
I would suggest you seek an opinion from a recognised surgeon.

you can definitely get a huge improvement from using 2 different size breast implants under the muscle and a breast lift on each side. It is important to know, that they will never be identical, but you will get a huge improvement. It is also possible that 6-12 months after your first surgery, you may want to do a smaller procedure to give you more symmetry. It may make sense to reduce the size of your areola at the time of your initial surgery. However, if you select somewhat large implants, you will be much better off, waiting 6-12 months, for the skin to stretch before you try and reduce the areola size. If you try and do this too early, then the skin will be too taunt and you will get a lot of tension on the scar, which will make it harder to reduce them and will give you a thickened wide scar.
see a board certified plastic surgeon.

david berman md