Deciding What’s Right For You
It’s important to consider all the options including breast lift, breast augmentation or a combination of both, according to plastic surgeon, Dr. Richard Messa. “Patients come in and they want their breasts enhanced so it’s my job to find out what they are hoping to achieve,” says Messa, who practices in xxxxxx. Messa says it’s important to realize that every woman is different and so are her breasts. “It’s my job to find out what they are hoping to achieve and do complete measurements of their breast tissue. I can look at the skin and the stretch of the breast tissue and the amount of breast tissue they have and where the nipple and aureola is positioned in relation to that and begin to determine if that person needs a breast lift or not,” says Messa.
Messa says younger women can often get the results they want with breast implants alone because of the elasticity in their skin, but older women whose skin is too stretched may also require a breast lift. “Breastosis involves stretching of the breast tissue and that means that the nipple and aureola is lower than the inframammary crease. Many times if it’s just a minor degree of asymmetry an implant alone will be enough to enhance volume and give a certain degree of breast lift.” Messa says if the nipples point downward, or fall more than two centimeters below the breast crease, a lift is the right choice to improve appearance. There are some circumstances where a lift should be combined with a breast augmentation, according to Messa.
What’s The End Game
Messa says the end result should be a natural looking breast, whether it’s achieved with a breast lift, a breast augmentation or both. He says the outcome will depend on a lot of factors. “It depends upon the amount of extra skin they have and the vertical skin excess. It also depends on the degree of laxity of the tissue and tissue stretch and also the resulting volume they want to achieve in terms of cleavage or upper pole fullness.”
Messa says subtle changes are best for achieving a youthful look and that’s possible with good communication before the surgery. “With very good measurements of the base width of the breast and height of the breast and looking at the amount of laxity, I can come up with a goal that achieves their goals and hopefully gives them the most nature, symmetric look possible.”
Managing Expectations
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