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Do I Need a Breast Lift or Implants?

The two most popular procedures for breast enhancement are breast augmentation and breast lift surgery. Each technique enhances the breasts in a particular way, and women may be candidates for one or the other or even sometimes both. The following describes the type of candidate that is best for each surgical approach. Both of these breast enhancement procedures can provide you with more attractive, firm, and shapely breasts.

Best Candidates for Breast Implants

Breast implants are used to enhance breast size, shape, fullness, and projection. Women who wish their breasts were larger are primary candidates for breast augmentation. If you are a candidate for breast augmentation, your breasts may be underdeveloped or naturally small, especially in proportion to the rest of your body. One breast may be noticeably larger than the other, or your breasts may lack the attractive roundness you desire. You may also feel self-conscious or insecure about the appearance of your breasts. Some common candidates include women whose breasts have lost volume or firmness due to pregnancy, breastfeeding, or weight loss. Breast augmentation is not designed for women whose breasts are sagging.

Best Candidates for a Breast Lift

Breast lift surgery is performed to rejuvenate sagging and misshapen breasts. Women who have suffered the effects of gravity, aging, weight fluctuations, pregnancy, breastfeeding, or genetics and whose breasts are sagging and shapeless are the leading candidates for breast lift surgery. If you are a candidate for a breast lift, your breasts may be elongated or pendulous with stretched skin, enlarged areolas, and nipples that fall below the breast crease. Candidates may be of any age but are often a little older because sagging is usually the result of factors that occur over time. Breast lift surgery can correct breast shape and firmness but is not designed to augment the size or volume of the breasts.

breastlift-01a ConradBest Candidates for a Breast Augmentation With Lift

Some women may identify as candidates for both breast augmentation and breast lift surgery. If this is the case for you, these two procedures can be combined into a breast augmentation with lift. This approach can improve breast size and perkiness at the same time and during a single procedure. You may be a candidate for a breast augmentation with lift if you wish to improve the size, fullness, shape, projection, firmness, and position of your breasts.

Once you’ve decided you want breast implants, there are a lot of additional choices you must make. These “7 S’s of Breast Augmentation” will help you keep track of the most important points when you are preparing for your breast augmentation.

Beast Augmentation Before and After Photos

1. Silicone vs. Saline

All breast implants have a silicone shell, but the substance inside the shell is either saline or silicone. Silicone implants are best for women who are more concerned about a natural look and feel, implant longevity, and minimizing the chances of rupture or rippling. Dr. Conrad is pleased to offer Sientra® High-Strength Cohesive Silicone Gel breast implants, which have even greater durability and reduced chance of rippling than traditional silicone implants.

2. Size

“One size fits all” is certainly untrue with breast implants. Implant size is measured in volume (cubic centimeters). When choosing your size, be sure to consider both your preferences and your anatomy. If you want a subtle or natural enhancement, choose smaller implants. If you want a bold change, choose larger implants. If you have naturally small breasts, smaller or moderately sized implants may produce the best aesthetic results. Dr. Conrad will help you determine which implant size best meets your anatomic needs and personal preferences.

3. Shape and Profile

Implants can be anatomically shaped (fuller at the bottom) or round (uniform fullness). However, the shape you choose may not actually matter in terms of the results, as recent research has suggested that not even surgeons can tell breast implant shape apart after surgery. What may be more important is the profile of your implants. High profile implants have a narrow base with significant forward projection, while low profile implants have a wide base and little forward projection. Your anatomy should be the biggest factor here, as the wrong profile selection could look very unnatural. For instance, if your chest wall is wide and your breasts are spaced far apart, high profile implants could make it look like your breasts are stuck or glued onto your chest. Conversely, if you have a narrow chest wall, low profile implants could have lateral overflow.  

4. Surface Texture

Breast implants can have either a smooth or irregular texture. The key argument in favor of textured implants is that they may have a reduced rate of capsular contracture because they bind to the breast tissue and are less likely to shift or rotate. Arguments in favor of smooth implants are that they are more affordable and have a lower risk of rippling.

5. Surgical Incision

Your surgical incision with Dr. Conrad could be either the inframammary incision or the periareolar incision. The inframammary incision is below the breasts along the crease. Even though it can leave noticeable scarring, this incision is the most popular choice because it has the least amount of risk and does not limit implant selection. The periareolar incision goes around the outside of the areola, usually just around the lower edge, and it leaves a smaller scar that blends with the edge of the areola. This incision type carries a slightly higher risk and may limit implant selection for women with smaller areolas.

6. Submuscular vs. Subglandular Placement

Some surgeons offer either submuscular or subglandular implant placement. With subglandular placement, the implant is inserted below the breast tissue but above the pectoral muscle. This technique leads to an easier recovery, but it offers less tissue support and carries greater overall risk. Dr. Conrad performs only submuscular implant placement, in which the implants are placed beneath the pectoral muscles, because it has less risk, produces better support, and yields the best results.

7. Surgeon

When selecting your surgeon, choose one that is certified by the American Board of Plastic and Reconstructive Surgery. You should also choose a surgeon with extensive experience who can show you plenty of before and after pictures of his patients. It is important that you and your surgeon have a good rapport so you know that your surgeon understands your desires. Be sure to ask plenty of questions and meet with multiple surgeons before making your final decision. Dr. Conrad is a board-certified, talented, and experienced breast surgeon who would be more than happy to help you reach your beauty ideals.

 
If you would like to learn more about breast enhancement through breast augmentation or any other breast procedure, schedule your personal consultation with Dr. Conrad. To make your appointment with us, please call (316) 681-2227 or complete our online contact form today.

Pregnancy and nursing may affect the breasts in ways that are far from pleasing. While these changes are almost exclusively cosmetic and do not threaten the mother’s health, they can permanently and negatively alter the appearance and feel of the breasts. Breast augmentation, sometimes combined with breast lift surgery, can help mothers restore youthfully firm, full, shapely, and perky breasts.

Breast Augmentation with Lift Before and After Photos

Breast Changes During Pregnancy and Nursing

Hormonal shifts during pregnancy and nursing can cause the following cosmetic breast changes:

  • Temporary growth and swelling that leads to subsequent deflation
  • Enlarged and darkened areolas and nipples
  • Stretched skin that leads to subsequent sagging
  • Shifting breast tissue and breast fat that alters breast shape

These changes may be caused by both pregnancy and nursing. For instance, the breasts typically grow and swell during pregnancy even if the mother does not intend to breastfeed her child. For nursing mothers, lactation creates denser breast tissue. Once a mother has weaned her child, the fatty tissue and breast tissue may shift to change the shape, contour, and feel of the breasts. A woman who suffers from breast engorgement while nursing may observe more changes to the shape of her breasts. Sometimes, the result is noticeable breast asymmetry, especially for women with natural breast asymmetry that went unnoticed beforehand. Furthermore, while some women’s breasts may return to their pre-pregnancy size or shape, other women’s breasts may not. It is not uncommon for women to have one breast shrink more than the other, causing even a full cup size difference between the breasts.

How Breast Augmentation Can Help

Even though nothing can compare to the experience of being a mother, the sagging, deflation, and other changes to the appearance and feel of the breasts are unfortunate side effects associated with pregnancy and breastfeeding. If your breasts have become flabby, shapeless, asymmetrical, deflated, or saggy due to pregnancy and nursing, breast augmentation can help restore their appearance, shape, and feel. With breast implants, your breasts can once again feel firm and look full, shapely, and round. Many mothers benefit from undergoing breast augmentation with a simultaneous breast lift to improve the look, feel, and lift of the breasts.

Breast surgeries like breast augmentation and breast lift surgery can help mothers achieve more youthful and attractive breasts. To learn more about how you could benefit from breast implants, schedule your personal consultation with Dr. Conrad by calling 316-681-2227 or by filling out our online contact form today.

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