Breast Augmentation

Before And After Photos


This is a 34 year old woman who is 5’6″ and 115 pounds. She is a mother of one. She came to my office for a breast enhancement and told my nurses that she “didn’t want a lift.” She was seen by another plastic surgeon who recommended 350cc plus sized implants.

She is seen here after a breast augmentation with 275cc smooth silicone implants placed beneath the muscle. She is seen here about one year after her procedure. She told me when I was taking her pictures that “I think I should get the lift now but I look good in a bathing suit.”

Her results are quite good, and honestly I think she looks beautiful without the bathing suit as well. It may not be “perfect” but it is quite good and the idea of “perfect” is very subjective. I don’t necessarily believe that your breasts have to be perfect to be perfectly fine. The one whose opinion matters most is yours. I will help you with some perspective and tell you what I think. This is, in fact, what most women want from me-they have heard about me and they have seen my work on my website and they trust my opinion regarding the need for a lift and the size of the implants and all the other factors that come into play when considering breast enhancement.

We determined that she looked like a “stripper” when the implant size was 350cc and over. From a certain perspective this probably isn’t the worst appearance in the world, but I think for “everyday looks” it’s probably best to choose a size that avoids this look. I tell my patients that if you are old enough, and married with kids, and YOU CAN LOOK LIKE A STRIPPER, this probably isn’t a bad thing!

This issue of a “lift” is a source of anxiety for many woman. Again, to need a lift is all subjective and based on your goals and the expertise and artistic eye of your surgeon. Your personality must be taken into consideration, and it’s important that your surgeon explore all the issues with a lift (put it all out there for discussion and discovery) because the fear of this lift is overblown and misunderstood for sure.

How do I know if I need a lift? Most women know if they need a lift because if they ask the question things aren’t what they want them to be. I look at the forest and then the trees when I make this evaluation. If your breasts look attractive and cool than a lift may not be in order. The level of your nipple relative to the fold at the bottom of the crease is the technical way we determine ptosis or sagging of the breast. Is the nipple above, at or below the breast crease? Is it pointing at your feet? The “ideal” relationship of the nipple to your breast mound occurs when the nipple is well above the breast fold (remember when you were a teenager!).

The other big issue that’s hardly discussed is the “breast station.” This is my definition, and this is the apparent horizontal location of your breasts on your ribs (a line you would draw across your chest that would mark where you think your breasts are located). Breasts that are actually “low” are those that sit lower on your ribs. My patients tell me where they would prefer them to be by placing their hands beneath the breasts and pulling them upwards.

Timing can also be an important consideration. Maybe you plan on more kids. Maybe you just aren’t there mentally quite yet. Maybe you have an aversion to a lift for reasons that aren’t valid. Maybe your impression of the scars makes you uncomfortable-will your significant other be “turned off” by the scars?

All good questions indeed and here is a brief synopsis of what I see from my perch (and I see lots of this stuff as it is one of the most common breast procedures that I perform). The scar issue is completely overblown for sure. There are very few complaints about the scars and if there are any they are always minor. Shape of the breast is as important if not more important than size. All the size in the world can’t make up for a beautiful shape. If the issue is your concern about your significant other, rest assured that men see the “big picture” and don’t see details. Given a long enough time (two years or so) and these scars usually heal quite good. Photographs taken for my website will always make the scars look darker and more noticeable because of the lighting. They always look better in real time. Do you want a Ferrari with a scratch or an old worn out car?

Keeping good posture with your shoulders held back will always provide for breast lift.  You can always choose a lift as a secondary procedure if you prefer. Only a really good surgeon can provide you with the best advice about the need for a lift. Not everyone who I think needs a lift actually needs a lift. One alternative breast surgery is in fact NO SURGERY AT ALL! It’s certainly wonderful to have options!