Is a breast lift enough or should I consider implants? (photos)

Question

Hi, I booked a consult with a doctor in June and trying to figure out what kind of procedure would be ideal for me. I want a lift but I’m worried they will be to small after. Should I consider smaller implants or a fat transplant? I also want my areolars much smaller. Thank you

Vasileios Vasilakis, MD, FACS · Answer

Hello, it appears that a breast lift in combination with fat transfer to the breasts will give you a nice, natural result. I would not recommend implants. I wish you the best of luck. Vasileios Vasilakis, MD. Double board certified, fellowship-trained plastic surgeon. Houston, TX.

Finny George, MD · Answer

Hi, thank you for sharing your question. You are a great candidate for a breast lift. The decision to add implants is based on your preference. If you want more fullness and projection then you should consider implants. I hope this helps.

Kaveh Alizadeh, MD, MSc, FACS · Answer

Hi Finalina,
It really depends on what size you would like to be. If you want to be substantially larger, then the only option would be to add implants.  however,  you can have a beautiful result with your current breasts with adding some fat grafting while reducing areola size and getting better projection. We have been adding fat grafting as an adjunct to fill out the cleavage if desired as well as an internal lower pole support in form of a sling as well to secure the breast position.  At Cosmoplastic Surgery, we have used the "Naturabra" technique that allows for your own breast tissue to act as an internal bra that supports the lifted breast while filling out the superior pole. We just reported our results of the past 18 years of over 700 breast lift cases at the 100th anniversary meeting of the American Association of Plastic Surgeons in San Diego in April 2022.

Leila Kasrai, MD, FRCSC · Answer

A breast lift doesn’t remove that much tissue, so your breasts will remain about the same size as they are now. However, they will be reshaped, so you may find that a different sized bra fits better (whether that’s smaller or bigger). An areola reduction can be performed at the same time. Implants would only be necessary if you want significantly rounder and/or larger breasts.

Gary M. Horndeski, MD · Answer

Your breast volume appears more than adequate and you do not need implants. 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 can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Daniel Barrett, MD · Answer

Dear Finalina,
my preferred lift is a lollipop lift when a periareolar won't do (ie greater than 2cm lift required). The lollipop technique was created by a Canadian plastic surgeon named Elizabeth Hall-Findley and treats the breast as a three dimensional structure instead of two dimensions (anchor - lift). Most importantly it does not require the horizontal component scars that the anchor-lift requires and breasts appear much more natural, lifted, and less boxy. Lastly, the lift lasts longer because the lollipop doesn't rely on the skin to hold the breast up, its actually breast tissue thats being brought together to support the breast and hence improves longevity. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Donald R. Revis Jr, MD · Answer

Good afternoon,
You are an excellent candidate for a donut mastopexy to lift your nipple position, tighten your skin and reduce your areolas. Don't waste your time and money on fat grafting- it doesn't work and doesn't last. I do think you should add implants- under the muscle- saline or silicone- depending on your preference. We would determine 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!

Connie Hiers, MD, FACS · Answer

You have plenty of breast tissue, so a lift would do well. If you want to be larger, consider a small implant.  don't let someone talk you into doing a large implant to avoid the lift since this will just give you larger and still sagging breasts.

Camille Cash, MD · Answer

From your photo you should have a nice result from a breast lift alone.  The nipple/areola complex will be downsized as part of the procedure.  Breast tissue is not removed during a lift, but the breasts may appear smaller when they are lifted.  You could consider a small implant if you want more volume or perhaps an autoaugmentation.  This uses your own breast tissue to give upper pole fullness.  Ive included a video I hope you find helpful.

Gokhan Temiz, MD - Account Suspended · Answer

Hello and thanks for your question. Based on your pictures, the breast uplift operation seems enough for your case. You don't have to have breast implant operation.

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