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April 21 2014

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In Need of a Lift?

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woman-breasts-B-cupThis column features weekly tips and advice from a revolving cast of industry leaders on hand to discuss your beauty dilemmas, from blemishes to Botox.

I was barely a B cup, then I breast-fed my baby. I wish my breasts were fuller, but I hate the unnatural plastic look of boob jobs. What kind of results can I expect from a breast-lift? Or injecting fat from other parts of my body? Do the results look natural? Breast augmentation gets a bad rap, because the only ones that everyone knows about are the ones that look fake. Many women are walking around with implants that appear natural. However, the term natural has to be defined. Once you hit your late twenties, and especially after breast-feeding, true natural usually means the start of sagging and lack of fullness on the top part of the breast, or what is referred to as upper pole fullness.

When someone in your situation asks to look natural, she usually means she wants me to make her breasts in proportion to her body habitus (or body type), and to give her some upper pole fullness, making her look like she’s wearing a padded bra when she’s really not. This can be done with an implant, as long as the implant is not too big for the dimensions of the breast. For someone like you, who has breast-fed, you usually have some looseness of the breast skin that allows space for a small implant to sit nicely, without looking like a round ball stuck on your chest.

At a small B cup, a breast-lift alone will require at least a scar around your nipple, or a “lollipop” incision, and will not give you the upper pole fullness you are probably looking for. If you absolutely do not want an implant (and you have the fat to spare), fat transfer with or without a lift could be a great option.

The fat transfer looks and feels completely natural and requires no incisions on the breasts. The only real downside is that you cannot guarantee exactly how much of the fat will stay permanently, so if you have your heart set on being a certain size, this is not a good choice for you. I tell my patients that we should know their final cup size at three months after the procedure. The biggest bonuses are that not only is it two procedures in one, but since your body fat has been redistributed, if you gain weight later, it will disproportionately go to your breasts!

Located in Beverly Hills, Dr. Suzanne Trott is a board-certified plastic surgeon who specializes in breast and body contouring. Her areas of expertise include liposuction and the new “natural breast augmentation” procedure with autologous body fat. She answers your questions on her blog, Lipo Queen, an international resource for unbiased information regarding all of the newest developments in plastic surgery and cosmetic medicine. Her book, Lipo Queen will be available next year. Further information about Dr. Trott and her practice can be found at Drtrott.com.

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