Answers
"I have full D cup breasts that I would like to have lifted using implants. Is there a procedure in which I could get liposuction of the breasts prior to getting implants so there would not be an increase in the size of my breasts? I would like to have the firmness and the lift that implants provide without a size increase. Is this possible?"
Answered by
Kenneth R. Francis, MD
New York, NY
You raise an interesting scenario. I will assume that you don't want to incur the scars that are associated with a traditional breast lift. Liposuction of the breasts is a procedure used to reduce the breast size in a select group of patients, primarily those with very fatty breasts and the elderly, who may be too sick to undergo a full general anesthetic. It usually causes further sagging of the breasts, however. So, you would be worsening the sagging and then trying to correct it with placement of large implants. At any rate, you would have to go larger than D in order to tighten the skin enough to create a lift effect. I doubt that the scenario is feasible, but a consultation with a plastic surgeon board certified by the American Board of Plastic Surgery would better assess your situation to determine if it is.

