Subfascial augmentation masteoplexy - will I have waterfall or snoopy deformity? (photo)

Although there are times when a breast lift is done in two stages but yours could be done in a single stage. I would certainly not advise a 600 cci implant which may be why a surgeon recommended two stages. A lollipop type lift with an implant around 450 in one stage is what I would do.

I commonly perform breast lift and implants in the same operation. You will need to ask your surgeon to see photos of their results to know what to expect.

At size 36, each 200 cc of implant corresponds to 1 cup size change. With 600 cc implants you will go up 3 cup sizes to a size DD. 600 cc implants weigh over 1 lb each, will not fit retro-pectoral and will displace inferior and laterally. The technique I recommend is a mini lift. Using a circumareola incision, your breast tissue is reshaped, elevated higher on the chest wall and more medial to increase your cleavage. At the same time, fat transfers or small implants can be placed totally submuscular.

Best Wishes,

Gary Horndeski, M.D.

Based on your photos, I doubt that implants alone will give you a good long term result. The question is whether to do the lift and implants in one operation. Doing them together carries a higher probability of needing a revision, but most of these are comparatively simple. I think of the two-stage approach as being the same as a 100% revision rate with the revision a major operation.

Good afternoon,
You should decline both approaches. I perform staged lifts and augmentations but yours is not so extreme that you need it- you may have a lift and augmentation all at the same time, safely. The second recommendation is pure nonsense and will leave you needing a revision.

Judging by your photos you would be a good candidate for a breast augmentation, dual plane, and a full mastopexy. This is a procedure that commonly is performed at the same time. In certain rare cases I would stage the procedure where a lift is initially performed and then the implants are placed at a later date. However, judging by your photos you would be a candidate to have the lift and implants placed at the same time.
I would recommend you go on some more consultations, make certain the surgeon you see is board certified by the American Board of Plastic Surgery and has a focus on breast surgery.

Hope that helps.

Hello and thank you for posting your photo with your question. I feel you are an excellent candidate for a breast lift with implants. This can certainly be done in one try. ˆ600cc might be a little too big but you are tall and it will ultimately depend on what your aiming for.
Best of luck!
Dr. Miguel Mota

Thank you for sharing your question and photograph. If a well-planned procedure is performed you should be able to have both procedures done in a single setting without the risk of a waterfall deformity. Hope this helps.

Dear Honest375160,
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 a surgery, I would suggest you to 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

With that size implants, you may not need much lifting. If the lift is done properly, should should get good results. You may want to consider something smaller and less heavy.