Would you advise a breast lift? (Photos)

Question

I had a BA in 2022 (400/440cc UHP UTM). I healed beautifully. But I had two kids since then and feel like I could go bigger. Get more natural cleavage. I am scheduled to get 695/695cc HP UTM implants. But my surgeon is also advising a lift for my nipple asymmetry. He says the asymmetry may get worse otherwise. But I would rather avoid this extra surgery and the scars. Are the scars worse than slightly uneven nipples? Thoughts? Will the asymmetry be even worse without a lift and 695cc?

Camille Cash, MD · Answer

The implants you are considering are very large and heavy.  The nipple asymmetry could worsen with the new implants.  In addition the weight of the implants could lead to sagging in the future.  Only you can determine how much the nipple asymmetry would concern you.

Gary M. Horndeski, MD · Answer

440 cc implants weigh 1 lb. each.  Going to 695 cc implants will increase the mechanical load and make your situation even worse.  Your breasts are already wider than your chest wall and are mechanically unstable.  I do not recommend going to larger implants.  You may benefit from a circumareola approach to reposition the nipple-areola complex to create more symmetry.

Best Wishes,

Gary Horndeski, M.D.

John LoMonaco, MD, FACS · Answer

Thanks for the photos.

I see your left breast is a bit lower than the right, and so it has a bit less fullness at the top. Your cleavage area is pretty small, and that has to do with a size increase.

It is possible to exchange your implants, address any pocket issues, and raise the left breast up a bit with a pocket repair, possible with mesh.

Going bigger will be hard on your skin (although an exam is needed) and may put you at risk for "uniboob" or symmastia in the center which you want to avoid at all costs.

Get a few opinions to find a surgeon who sees your issues and can propose a specific plan to correct. Redo cases are harder !

Would you advise a breast lift? (Photos)

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Would you advise a breast lift? (Photos)

Answers (3)

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Everything you need to know about Breast Lift with Implants

Our mission is to create a world where every investment in modern beauty is Worth It.