Lift required? If so what kind? (photos)
Doctor Answers 6
Thank you for your question. It is obviously difficult to be absolutely certain from photos alone, but it looks as if a straightforward augmentation would be a possibility, though I would probably recommend an uplift as well. Without the lift, your result would sit quite low, feel quite heavy, you would be more bra-dependent, rather than less and this may not be what you are looking for. It very much depends on your attitude to the scars and this is something that really needs to be discussed at a consultation. I have also found 3-D imaging helpful in illustrating the results of your options and I would suggest you make an appointment with someone in your area, who can offer this.
You will benefit from a Breast Implant / Breast Fat Fill
What kind of lift do i require?
Your breast a asymmetrical and both the breast gland and nipple areolar complex (NAC) are ptotic especially the left side. Depending if you want to go larger or not then the best procedure is a superior dermo-glandular nipple pedicle and vertical scar mastopexy with or without an implant. This will help the symmetry of NAC and breast mound.If you are happy with the current asymmetry then a breast implant will augment the breasts but not change the position of breast gland or NAC.
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No easy answers
Thank you for your question and photographs. You have probably realised that there is no answer to your question because it looks you are in the group of patients who do not absolutely need a lift, but could have one to improve the shape. The question is whether it is worth the extra scarring, potential complications and cost of having a lift with implants, when you may be happy with implants alone.
In these circumstances I would advise that you have implants (because you have decided on this) and see if you are happy with the shape. If you are unhappy, you could always have a lift afterwards, but I think that you may well not need it. As always, if you are uncomfortable with the surgical plan at present, seek other opinions until you are completely happy before proceeding with surgery. Good luck.
Augment vs augment plus lift
You are a borderline case and will depend on your goals
sagging, then a lift can be performed later at a second stage, but in your case, an in person examination with a board certified plastic surgeon will be most instrumental in going over your lifting options in conjunction with implants. Two lifting techniques that are very good ones in the right patient and I use are based on the following: 1) if it is mainly the nipple position that needs lifting, I like the circumareolar approach (also called a donut lift) vs 2) if a large portion of the breast tissue/weight needs to be lifted, a circumvertical (also called a lollipop lift) and sometimes a full anchor incision is needed as the circumareolar approach in my mind is not strong enough to hold the weight of the breast and results in stretching of the areola and drooping over time. I hope this helps you and best of luck to you!
Dr. Sean Kelishadi