Breast implants or breast lift with implants to even out my breasts?

Question

Have always wanted to even out my breasts, and am looking to fill in the space above as well. What would be my best option for a fuller, more even look? Am currently a 36 DD.

Alan Gonzalez, MD, FACS · Answer

Hello @lilxenax thank you for your question. Without a proper assessment an expert opinion is not possible. The best course of action is to consult one or several board certified plastic surgeon for more information and options tailored specifically to your needs. Best wishes! Alan Gonzalez MD FACS

Gary M. Horndeski, MD · Answer

Unfortunately, you have not provided photographs. However, the technique I recommend is a lift using 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 can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Nelson Castillo, MD · Answer

Thank you for sharing your question. unfortunately without photographs or an in-person examination it is difficult to comment.

Daniel Barrett, MD · Answer

Dear lilxenax,
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

Connie Hiers, MD, FACS · Answer

You did not show photos, but if you are a DD, you have plenty of tissue. I suspect you need a lift. Going larger will just give you large and still sagging breasts.

James Fernau, MD, FACS - Account Suspended · Answer

Hello, and thanks for your question. If your breasts sag, you may want to consider a breast lift with implants. Sometimes, if there is very little sag, breast implants alone can do the trick to make them look lifted. It just depends on the severity of your sag. The best thing to do would be to see a surgeon in person so that they can have a better look and give their opinion. Please see a board-certified physician for your consultation. Best of luck to you!

Sincerely, James Fernau, MD 
FACS Aesthetic Surgery Certified, American Board of Plastic Surgery Certified, American Board of Otolaryngology/Head & Neck Surgery Member: American Society of Plastic Surgery (ASPS) American Society of Aesthetic Plastic Surgery (ASAPS) International Society of Aesthetic Plastic Surgery (ISAPS) American Academy of Facial Plastic Reconstructive Surgery (AAFPRS) American Academy of Otolaryngology/Head & Neck Surgery (AAOHNS) American Society for Laser Medicine and Surgery (ASLMS) The Rhinoplasty Society

Gokhan Temiz, MD - Account Suspended · Answer

Hello and thanks for your question. It is nearly impossible to provide you the best treatment plan for your case without seeing your pictures. For deciding the best treatment plan, the assessment has to be completed with your pictures.

Richard P. Rand, MD, FACS (retired) · Answer

Without some reference pics we can't answer your question. Asymmetry can sometimes be managed with differential implants but IF the nipples are at different heights, a lift will likely be needed.

Breast implants or breast lift with implants to even out my breasts?

Answers (8)

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