Do I also need a breast lift with my breast augmentation? (Photo)
Doctor Answers 23
Do you need a lift
Breast Augment and Lift
Thank you for your question and photo. The position of your nipples may mean that you require a lift in order to achieve results that meet your goals. I recommend that you discuss this in person with a board certified Plastic Surgeon. They will examine and measure you, discuss your expectations and let you know what they recommend for you.
All the best
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Breast augmentation with a lift
With kind regards,
Lane F. Smith, M.D., F.A.A.C.S., F.A.O.H.N.S., F.A.B.F.P.R.S.
Las Vegas Plastic Surgeon
Breast lift with implants would be best
The easy way to decipher what each procedure produces is that implants increase breast volume and add upper pole fullness. Implants are placed in either a subglandular or subpectoral pocket centered over the left and right chest breast footprint. In your case, because your skin appears thin, I would recommend subpectoral placement. When you have ptosis/sagging, where the nipple-areola complex is at the fold or lower, your breast will continue to hang off of your chest onto your upper abdomen even after implants. In fact, in patients with such sagging who undergo an augmentation without a lift, their breast tissue hangs off of the implant that is sitting on their chest, creating a shape like Snoopy's nose, hence called a "snoopy" deformity. Implants can not give a therapeutic lift and taking shortcuts will only lead to suboptimal results. In some borderline cases of ptosis, breast augmentation can be performed and if there is unsatisfactory sagging, then a lift can be performed later at a second stage, but in your case, an in person examination 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)
2) if a large portion of the breast tissue/weight needs to be lifted, a circumvertical (also called lollipop) 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!
Dr. Sean Kelishadi
Do I also need a breast lift with my breast augmentation?
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