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Old 12-28-2012, 08:53 PM   #1
 
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Pseudo-Ptosis- large implant instead of lift?

I am a saggy b/small c. My doctor told me to try on sizers and see what I liked. He would then tell me if I needed a lift or not. I tried on 400s and then went back to him. He says that with 400s, it is very unlikely I would need the lolipop lift like I thought I'd need (and what two other doctors suggested). He said once I am under, he will do the lolipop if needed, but very likely he will just move my nipple (not sure what this means).

I was looking at my breasts and I think I have pseudo-ptosis (as nipple is above crease yet boobs are still sagging further down past the crease). I plan to ask him about this when I see him next, but in the mean time, any feedback would be helpful.

Is it likely that one in my situation can really get away with just a larger implant? I want to be perky, not just bigger and saggy.

PS- My doctor said if he decides to NOT do the lolipop while I am under, and then I DO need it once things have settled, he will do the full lift 100% free as that is his responsibility for a poor call on his end.
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Old 12-28-2012, 08:59 PM   #2
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Originally Posted by lexxie View Post
I am a saggy b/small c. My doctor told me to try on sizers and see what I liked. He would then tell me if I needed a lift or not. I tried on 400s and then went back to him. He says that with 400s, it is very unlikely I would need the lolipop lift like I thought I'd need (and what two other doctors suggested). He said once I am under, he will do the lolipop if needed, but very likely he will just move my nipple (not sure what this means).

I was looking at my breasts and I think I have pseudo-ptosis (as nipple is above crease yet boobs are still sagging further down past the crease). I plan to ask him about this when I see him next, but in the mean time, any feedback would be helpful.

Is it likely that one in my situation can really get away with just a larger implant? I want to be perky, not just bigger and saggy.

PS- My doctor said if he decides to NOT do the lolipop while I am under, and then I DO need it once things have settled, he will do the full lift 100% free as that is his responsibility for a poor call on his end.

First, yest I had mild to moderate psuedoptosis, and 575s lifted me nicely. Secondly, HOW NICE about your doc doing it free!!
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Old 12-28-2012, 09:12 PM   #3
 
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He is sooo nice. He is not your average doctor in the least. He, on his request, saw me four times before he would even give me a quote! He wanted me to be 100% sure about everything, even though I clearly don't have any reservations about doing it.
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Old 12-28-2012, 09:34 PM   #4
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It sounds like you did three consults. Is that right? And two surgeons recommended lollipop lift and this one didn't?

I know it's nice to hear "no lift", but I'd consider doing another consult or two, and maybe emailing the first two PSes just to review that size and get their opinions on whether that would save you from the lift. I just am a little concerned that two PSes said yes, lift required, and it's only one saying no. It's nice that he'll do it for you for free later, but IMO, it's nicer to get everything done at once and save yourself another surgery. I'm a month out and my incisions are the sorest part for me at this point.

It does sound like you have pseudo-ptosis from your description, but I'm surprised that none of them mentioned it if that's the case. Mine definitely all checked where the nipple was in relation to the crease.
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Old 12-28-2012, 09:44 PM   #5
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It sounds like you did three consults. Is that right? And two surgeons recommended lollipop lift and this one didn't?

I know it's nice to hear "no lift", but I'd consider doing another consult or two, and maybe emailing the first two PSes just to review that size and get their opinions on whether that would save you from the lift. I just am a little concerned that two PSes said yes, lift required, and it's only one saying no. It's nice that he'll do it for you for free later, but IMO, it's nicer to get everything done at once and save yourself another surgery. I'm a month out and my incisions are the sorest part for me at this point.

It does sound like you have pseudo-ptosis from your description, but I'm surprised that none of them mentioned it if that's the case. Mine definitely all checked where the nipple was in relation to the crease.
He said he'd do the lift if it was necessary and not charge her. ANd other docs often only see $$. I got great results with only implants and psuedoptosis.
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Old 12-28-2012, 09:44 PM   #6
 
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Patootie-- I agree with everything you said as those are things on my mind as well.

None of the doctors said I had pseudo, but I was just looking online to see what level of droop I have. I thought, "That's odd. My nipple is above the fold...yet I am saggy. What does this mean?" and then saw the pseudo thing. I don't get why three doc didn't mention that term to me. They did all do measurements etc though.

As for two saying lolipop, I agree with you also. That is where my concern lies. At the same time, I can't help but think if this doctor really is so sure that he will do the revision for free, maybe he is right because that's a huge thing to offer. I don't want another surgery, but at least it's there for free if needed.

As a side note, I did not decide to go with this doctor because he said no lift/minmal lift is needed. I picked him before I knew this. Then when he said to try on sizers, he then said that because it's big enough, it will fill things out and minimal lift is needed (something about moving the nipple? is that a benali?).
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Old 12-29-2012, 02:29 AM   #7
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Quote:
Originally Posted by lexxie View Post
Patootie-- I agree with everything you said as those are things on my mind as well. None of the doctors said I had pseudo, but I was just looking online to see what level of droop I have. I thought, "That's odd. My nipple is above the fold...yet I am saggy. What does this mean?" and then saw the pseudo thing. I don't get why three doc didn't mention that term to me. They did all do measurements etc though. As for two saying lolipop, I agree with you also. That is where my concern lies. At the same time, I can't help but think if this doctor really is so sure that he will do the revision for free, maybe he is right because that's a huge thing to offer. I don't want another surgery, but at least it's there for free if needed. As a side note, I did not decide to go with this doctor because he said no lift/minmal lift is needed. I picked him before I knew this. Then when he said to try on sizers, he then said that because it's big enough, it will fill things out and minimal lift is needed (something about moving the nipple? is that a benali?).
Yes I think he means a benelli. Just wanted to say he said he will do the lift for free if it turns out it was needed which is lovely BUT will you have to pay anaestatist and operating room fees? I would clarify this first
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Old 12-29-2012, 06:22 AM   #8
 
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I had grade 2 ptosis and was able to get a nice result and avoid a lift with a larger (575) over the muscle implant. Feel free to add me and view my pics. I wasn't going for perky, per se, I am 50, but they look pretty darn good. Very happy and DH is too, he was really turned off by all the scars we saw when it looked like I was headed for a lift. He basically said no lift, he preferred me the way I was. Good luck!
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Old 12-29-2012, 06:58 AM   #9
 
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I am just between stage 1 and 2 droop in one of my breasts. My PS asked me what my expectations were from a BA. I told him I do not expect perfection, nor to look like a supermodel. That as long as I look better in my clothes and feel better naked.....then I would be happy.

He then told me that by choosing the right size implant the droop would not be noticeable, but there will be a small difference in symmetry, and reminded me that most women have this small difference naturally anyway. My choices in size were 350cc to 450cc. He leaned heavily toward the 425's and 450's for the best results.

I am 47. In that case I don't expect many (if any) will see me naked besides myself and my husband ever again. lol.
But even at 47, I know I would not want to live with the scars of a lift.
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Old 12-29-2012, 07:04 AM   #10
 
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If you are borderline needing a lift and don't get one it can cause double bubble deformity. They ways to avoid it are to either do the lift or to go with overs or subfascials. Unders + ptosis tend to cause it more than anything. And most PSs much prefer under the muscle but it's not the right choice for everyone.

Not being perky is one thing but you don't want DB! If you get it, then it will require an additional surgery to correct. If you don't mind doing that second surgery, taking on the additional risks associated with it and going through another recovery and paying OR, etc fees again if it happens then absolutely try it. But I would really think about it if other PSs recommended a lift. As per the larger implant, it should help, just make sure it's not going to push your body...that can cause other complications like symmastia. Did the other PS tell you a size range or did you tell them what size you wanted?

Remember too that with each additional surgery you have additional risks with infection, etc all over again. So, it's really much better to try your best to get it right the first time. I think a few more consultations may be helpful. It can't hurt to get all of the advice that you can from in person exams.

Good luck!
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Old 12-29-2012, 09:02 AM   #11
 
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I am doing the same. I am a saggy B small C and going for implant without lift. My doctor said if anything in a year I may get a lift and he would just charge me for sutures.

Nipple lift is basically just moving your nipple higher on the breast to keep them where they should be. :-)
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Old 12-29-2012, 05:51 PM   #12
 
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Cupcake85- He said it would all be covered by him (which makes me think he is really confident about my not needing the lolipop as that's kinda a big deal to offer me lol)

50&fab- I don't know how to people (not that familiar with the forum). Can you please tell me how?

One thing I really don't get is how the breast tissue which is hanging below the crease manages to lift up from an implant. I am guessing looking at surgery photos/videos would help me understand that part, but I am a huge wimp and can't look at that stuff.
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Old 12-29-2012, 08:05 PM   #13
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Glad you see my point. Don't get me wrong, I'm not saying no one can be happy without a lift. I had grade 1 ptosis and didn't do a lift, even with smallish implants. I am pretty happy with my shape without the lift, don't feel like they are too droopy at all, though they are definitely not 20 year old breasts. Like 50&Fab and Thumbelina, I wanted boobs that fit my body, which is 40, not necessarily perfect boobs.

I saw three surgeons, and all of them said I'd be happy without a lift, even with me asking about it. One said possible Benelli on one side (uneven due to more milk production on one side when BFing.) When I pushed the PS I went with about a Benelli on both, she said she could always do it in office later, once I saw if I liked them without. I think I do want it, but I won't bother doing it unless I need a revision, which I may need since I'm having some significant rippling/visible edge issues, even with silicone. I would much rather have had the Benelli at the time of BA. That's the part that worries me here -- that you have two surgeons saying definite lift, and not just a Benelli. It could just be extra money on their end, but if you know you have some tissue hanging below the crease, it may be necessary.

I do agree that it's awesome and a sign that he's really confident in his judgment that he'll do the lollipop for free later. However, two recoveries is not insignificant. More time off, more soreness, more chance of complications.

Again, I'm not saying don't go with him, just maybe get another opinion to get more info on the lift and your implant size specifically, or email the docs you have already seen and get their thoughts now that you have a size in mind. I would feel much better if you just had one more doc agree that with 400s you'll have what you want without a lift.

Also ask to see pictures of patients who had a similar starting point to you and see their results, plus do the online searching and comparing that you are doing already. That may give you the best idea of what you need, though of course everyone is different. One of the other ladies on here had emailed me that we were virtual before twins, and I relied a lot on her after pics.
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Old 12-29-2012, 09:56 PM   #14
 
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Yah, having two surgeries would not be fun. I was rather instant on having the lolipop even after he said I wouldn't likely need it due to it being a 400 implant. Thats when he told me about sitting me up in the operating room and he would make the decision then (but he doesn't think it will be a lolipop, and that if he's wrong, he will fix things for free).

My biggest fear isn't so much about it not looking good to start without the lolipop, or even say six months down the road. My concern is that I could see myself wanting it say just two years down the road. By then I imagine he will say that two years is too long since he did it and the I'll be thinking "NOW I HAVE TO PAY MORE TO DO IT!".
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Old 08-11-2013, 06:06 PM   #15
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i know this was probably awhile ago... but i am dealing with the exact same issues. what did you end up getting - are you happy with your results?
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